PlainPill

Alcohol vs Kava for anxiety

Short answer: For anxiety, more users report improvement with Kava — 93% of 196 reports, versus 73% of 52 for Alcohol.

Kava has 41 meta-analyses and 37 randomized trials on PubMed; the other has not been graded.

Based on 189 reports about Alcohol and 431 about Kava. Not medical advice.

Alcohol
Substance
Kava
Supplement
Users say it helped19%helped142 reports · high confidence63%helped224 reports · high confidence
Verdict
Mixed
Mostly positive
ResearchNot gradedAResearch: Strong
Meta-analyses / RCTs—41 / 37
Mainly used for
Anxiety
% reporting improvement
73% (52)93% (196)
Sleep
% reporting improvement
10% (29)86% (37)
Mood
% reporting improvement
60% (30)80% (35)
Focus
% reporting improvement
73% (11)67% (6)
Energy
% reporting improvement
70% (10)50% (2)
Common side effectshangover, insomnia, poor sleep, heart palpitationsdrowsiness, liver damage, stomach issues, irritability
Typical dose reported0.5-0.63 g/kg60 mg kavalactone equivalent / daily
Alcohol
What a user said
“taurine (2–3 g daily) and alcohol are the only substances that have seemed to calm my body’s stress and anxiety.”
Full Alcohol profile →
Kava
Latest review conclusion

Numerous interactions between herbal medicines and conventional drugs have been documented. While the significance of many interactions is uncertain, several interactions, particularly those with St John's wort, may have serious clinical consequences.

Drugs, 2009 ↗
What a user said
“I felt insanely relaxed, any anxiety was dropped to 0, and I could think more clearly.”
Full Kava profile →

Related comparisons

Percentages come from first-hand user reports and are not clinical outcomes. Talk to a doctor before starting, stopping or combining anything. How we rate