Kava, also known as Piper methysticum, is a tall shrub in the pepper family that grows in the South Pacific islands. Kava extract has been used there for thousands of years as a folk remedy and as a social and ceremonial beverage.
The part of the plant used medicinally is the root. Although the root was traditionally chewed or made into a beverage, kava liquid extract is now available in capsule, tablet, beverage, tea, and liquid extract forms.
The main active components in kava extract powder are called kavalactones. Specific types of kavalactones include dihydrokavain, methysticin, kavain, dihydromethysticin, dihydrokawain, yangonin and desmethoxyyangonin.
There is currently a lack of clinical trials testing the effects of kava extract. In 2003, a review by the Cochrane Collaboration examined the existing research to see how kava fared compared to a placebo in treating anxiety. After analyzing the 11 studies (involving a total of 645 people) that met the criteria, the researchers concluded that kava "appears to be an effective symptomatic treatment option for anxiety." However, they added that it appeared to be a small effect.
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