Kava fact of the day: Two drug monitoring studies, including a total of 7078 patients taking 120-150mg kava extract per day, had not found a single case of liver damage [1].
In 2002 a systematic review of the safety of kava extract was undertaken. They reviewed the studies of many different clinical trials. They also included the results of two drug monitoring studies. Adults were taking 120-150mg kava extract for 6 weeks. While there were instances of negative interactions, they were limited to gastrointestinal upset, allergy, headache and dizziness. Two drug monitoring studies found no instances of liver injury out of the groups [2]. This study is applicable to those consuming kavas medicinally using extracts. This study doesn’t necessarily speak to those of us who consume kava traditionally in larger amounts, however it does lend evidence that the daily consumption of kavalactones does not directly lead to liver damage in healthy individuals. These studies also review theories of liver injury that occurred during the 1998-2002 time period.
[1] Ernst, E. “A re-evaluation of kava (Piper methysticum).” British journal of clinical pharmacology vol. 64,4 (2007): 415-7. doi:10.1111/j.1365-2125.2007.02932.x
(https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2048557/)
[2] Stevinson C, Huntley A, Ernst E. A systematic review of the safety of kava extract in the treatment of anxiety. Drug Saf. 2002;25(4):251-61. doi: 10.2165/00002018-200225040-00003. PMID: 11994028.
(https://pubmed.ncbi.nlm.nih.gov/11994028/)
In 2002 a systematic review of the safety of kava extract was undertaken. They reviewed the studies of many different clinical trials. They also included the results of two drug monitoring studies. Adults were taking 120-150mg kava extract for 6 weeks. While there were instances of negative interactions, they were limited to gastrointestinal upset, allergy, headache and dizziness. Two drug monitoring studies found no instances of liver injury out of the groups [2]. This study is applicable to those consuming kavas medicinally using extracts. This study doesn’t necessarily speak to those of us who consume kava traditionally in larger amounts, however it does lend evidence that the daily consumption of kavalactones does not directly lead to liver damage in healthy individuals. These studies also review theories of liver injury that occurred during the 1998-2002 time period.
[1] Ernst, E. “A re-evaluation of kava (Piper methysticum).” British journal of clinical pharmacology vol. 64,4 (2007): 415-7. doi:10.1111/j.1365-2125.2007.02932.x
(https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2048557/)
[2] Stevinson C, Huntley A, Ernst E. A systematic review of the safety of kava extract in the treatment of anxiety. Drug Saf. 2002;25(4):251-61. doi: 10.2165/00002018-200225040-00003. PMID: 11994028.
(https://pubmed.ncbi.nlm.nih.gov/11994028/)