is kava a drug - #26035
I am super confused about this whole “is kava a drug” situation. A few weeks ago, a friend recommended it for my anxiety and said it's natural and all, but I keep hearing different things. Like, how can something that comes from a plant be considered a drug? I started taking kava about a week ago, and I thought it was helping, but then I read some articles saying kava can be addictive?? I'm like, wait, what? I don’t want to be addicted to anything! Also, I've been feeling a little nauseous at times since I started, but my friend says that's just because my body is getting used to it. I really thought kava was supposed to be non-addictive?! I also did a bit of digging online, and it seems some doctors say kava is a drug but other sources say it's more of an alternative medicine... I'm just really trying to understand how to categorize it. Am I doing something wrong? How can I tell if my experiences with kava are normal? Is kava a drug that should be avoided? Should I be concerned about these side effects? Ugh, I just need some clarity here!
100% Anonymously
No sign-up needed.

Doctors' responses
Kava, derived from the root of the Piper methysticum plant, is indeed considered both a plant-based remedy and a drug, depending on the context of its use. In many parts of the world, particularly in the South Pacific, kava is traditionally used for its calming effects. The active compounds in kava, called kavalactones, interact with the brain’s neurotransmitter systems, notably GABA, which can induce relaxation and reduce anxiety—hence its reputation as a natural anxiolytic. However, despite its natural origins, kava can still exhibit drug-like properties. Regarding addiction, kava is not typically considered addictive in the conventional sense, like opioids or stimulants, but that doesn’t mean it’s free from any chance of dependence or side effects. Some individuals may develop a habit if they rely on it for prolonged stress or anxiety relief. The nausea you’re experiencing might be a side effect, as kava can cause gastrointestinal disturbances in some people. It’s crucial to monitor for other side effects too, like headaches, dizziness, or lethargy. One major concern with kava is its potential to cause liver damage, so it’s advisable to use it cautiously and under supervision, particularly if you have pre-existing liver conditions or are on medications metabolized by the liver. It’s best to consult a healthcare provider who can assess whether kava is suitable for you, taking into account your personal health profile and any medications you may be on. In the meantime, consider limiting your use and observing how your body reacts. If nausea persists or if you experience other worrying symptoms, stop using kava and consult a doctor. Clarity on the terminology might help too: in pharmacology, a “drug” encompasses any substance with a physiological effect when ingested or introduced to the body, including those from natural sources. So, categorically, kava does fit into that definition, even as an alternative remedy. Your decision to use kava should balance these understandings with your comfort level with its effects and any health risks.
100% Anonymously
Get expert answers anytime, completely confidential. No sign-up needed.
About our doctors
Only qualified doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.