PlainPill

CBD vs Kava for anxiety

Short answer: For anxiety, more users report improvement with Kava — 93% of 196 reports, versus 88% of 185 for CBD.

CBD has 286 meta-analyses and 344 randomized trials on PubMed; Kava has 41 and 37.

Based on 482 reports about CBD and 431 about Kava. Not medical advice.

CBD
Supplement
Kava
Supplement
Users say it helped59%helped236 reports · high confidence63%helped224 reports · high confidence
Verdict
Mixed
Mostly positive
ResearchAResearch: StrongAResearch: Strong
Meta-analyses / RCTs286 / 34441 / 37
Mainly used for
Anxiety
% reporting improvement
88% (185)93% (196)
Sleep
% reporting improvement
72% (76)86% (37)
Mood
% reporting improvement
85% (34)80% (35)
Pain & inflammation
% reporting improvement
80% (35)100% (10)
Focus
% reporting improvement
83% (12)67% (6)
Common side effectsbrain fog, headache, wakefulness, subdued feelingdrowsiness, liver damage, stomach issues, irritability
Typical dose reported30-60 mg; 54 mg / after dinner; before bed60 mg kavalactone equivalent / daily
CBD
Latest review conclusion

In addition, this meta-analysis focuses on the efficacy of CBD in treating anxiety disorders such as generalized anxiety disorder (GAD), social anxiety disorder (SAD), and post-traumatic stress disorder (PTSD). However, caution should be exercised in interpreting our findings due to the limited size of the clinical sample, and additional trials ought to be carried out if deemed necessary.

Psychiatry Res, 2024 ↗
What a user said
“I take it for sleeping and anxiety and it works so well, even after five years. I haven't build up any tolerance.”
Full CBD 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 →

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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