PlainPill

Ashwagandha vs Kava for anxiety

Short answer: For anxiety, more users report improvement with Kava — 93% of 196 reports, versus 88% of 881 for Ashwagandha.

Ashwagandha has 48 meta-analyses and 59 randomized trials on PubMed; Kava has 41 and 37.

Based on 2,447 reports about Ashwagandha and 431 about Kava. Not medical advice.

Ashwagandha
Supplement
Kava
Supplement
Users say it helped44%helped1,321 reports · high confidence63%helped224 reports · high confidence
Verdict
Mixed
Mostly positive
ResearchAResearch: StrongAResearch: Strong
Meta-analyses / RCTs48 / 5941 / 37
Mainly used for
Anxiety
% reporting improvement
88% (881)93% (196)
Mood
% reporting improvement
53% (446)80% (35)
Sleep
% reporting improvement
77% (233)86% (37)
Energy
% reporting improvement
53% (125)50% (2)
Libido
% reporting improvement
62% (127)—
Common side effectsanhedonia, drowsiness, fatigue, depressiondrowsiness, liver damage, stomach issues, irritability
Typical dose reported800-1600 mg / after dinner60 mg kavalactone equivalent / daily
Ashwagandha
Latest review conclusion

The current systematic review and dose-response meta-analysis of RCTs revealed a beneficial effect in both stress and anxiety following Ashwagandha supplementation. However, further high-quality studies are needed to firmly establish the clinical efficacy of the plant.

Phytother Res, 2022 ↗
What a user said
“I paired it with maca and ashwaganda and it legit felt like a steroid cycle.”
Full Ashwagandha 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