PlainPill

Kava vs THC for anxiety

Short answer: For anxiety, more users report improvement with Kava — 93% of 196 reports, versus 33% of 96 for THC.

Kava has 41 meta-analyses and 37 randomized trials on PubMed; THC has 249 and 488.

Based on 431 reports about Kava and 434 about THC. Not medical advice.

Kava
Supplement
THC
Substance
Users say it helped63%helped224 reports · high confidence26%helped295 reports · high confidence
Verdict
Mostly positive
Mixed
ResearchAResearch: StrongAResearch: Strong
Meta-analyses / RCTs41 / 37249 / 488
Mainly used for
Anxiety
% reporting improvement
93% (196)33% (96)
Sleep
% reporting improvement
86% (37)59% (95)
Mood
% reporting improvement
80% (35)64% (58)
Focus
% reporting improvement
67% (6)38% (40)
Memory
% reporting improvement
—7% (27)
Common side effectsdrowsiness, liver damage, stomach issues, irritabilityanxiety, brain fog, vivid dreams, paranoia
Typical dose reported60 mg kavalactone equivalent / daily7 mg / once a week
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 →
THC
Latest review conclusion

Cannabis use was also associated with increased relapse rates, more hospitalizations and pronounced positive symptoms in psychotic patients. We make recommendations about the type of research that is required to better characterize the relationship between cannabis use and the development and outcomes of psychosis.

Eur Arch Psychiatry Clin Neurosci, 2020 ↗
What a user said
“once a week I smoke a little weed before the gym (sativa Pre-roll sour diesel from medmen) and it actually made me feel normal.”
Full THC 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