PlainPill

Kava vs Lithium Orotate for anxiety

Short answer: For anxiety, more users report improvement with Lithium Orotate — 98% of 80 reports, versus 93% of 196 for Kava.

Kava has 41 meta-analyses and 37 randomized trials on PubMed; Lithium Orotate has 581 and 979.

Based on 431 reports about Kava and 307 about Lithium Orotate. Not medical advice.

Kava
Supplement
Lithium Orotate
Supplement
Users say it helped63%helped224 reports · high confidence76%helped138 reports · high confidence
Verdict
Mostly positive
Mostly positive
ResearchAResearch: StrongAResearch: Strong
Meta-analyses / RCTs41 / 37581 / 979
Mainly used for
Anxiety
% reporting improvement
93% (196)98% (80)
Mood
% reporting improvement
80% (35)92% (108)
Sleep
% reporting improvement
86% (37)100% (16)
Focus
% reporting improvement
67% (6)81% (16)
Pain & inflammation
% reporting improvement
100% (10)—
Common side effectsdrowsiness, liver damage, stomach issues, irritabilitybrain fog, emotional blunting, sexual dysfunction, drowsiness
Typical dose reported60 mg kavalactone equivalent / daily1-2 tablets
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 →
Lithium Orotate
Latest review conclusion

Although it is yet to be determined which is more effective between lithium or lecanemab or donanemab, lithium may be more effective than aducanumab. Aducanumab, lecanemab and donanemab do not appear to differ in their effectiveness on cognitive function. Low-dose lithium may be safer than aducanumab, lecanemab and donanemab.

Ageing Res Rev, 2024 ↗
What a user said
“The lithium is absolutely curbing my mania... My social anxiety is 100% gone when I take lithium orotate.”
Full Lithium Orotate 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