bwfm said...
Pelagicdancer, how did you find out about kava root? Sounds interesting, but I'm a little afraid of the side effects, and I do take some of the meds that are listed as contradictory if taking kava root. I'd like to know more, though, if you don't mind.
It was actually accidental - I took some kava root for another reason and noticed that my IC pain was way better. I then Googled it and found out that it was a common remedy for IC.
Which side effects are you concerned about
? The amount that I took was quite small, not enough for me to notice any side effects. It is used recreationally/socially (and ceremonially) on South Pacific Islands but that is in much larger quantities made into a beverage - I have taken kava that way too so I know what it feels like and I didn't get those effects from taking a couple capsules. But we all have different sensitivities and different suppliers may be different.
If you are referring to the claim that it might be harmful to the liver, that is very disputed. A small number of alleged liver toxicity cases surfaced in Europe back in 2001. So some countries issued a stop-sale order on kava until safety assessments could be done. Researchers have concluded it was due to improper parts of the kava plant (leaves and stems) being used to manufacture products - there are some potentially toxic alkaloids found in the leaves/stems that are not found in the root. In addition, the people in the case reports were using other drugs and alcohol as well. Traditionally kava is only used as the root, but around 2000-2001 the demand for kava extracts was skyrocketing in Europe and one or more pharmaceutical companies looking to profit used entire plants for their products instead of just the roots. Other researchers suggested that the use of certain chemicals in some extracts might also have been to blame. I can't help but assume that producers are being more careful since then.
Compare it to something like Tylenol, which causes around 30,000 hospitalizations and 500 deaths due to liver failure per year in the US alone. Whereas last I read, kava had 93 possible hospitalizations and 7 possible deaths world-wide - ever, not per year. Of the 93 case reports, only 8 cases were determined to have a close association between the use of kava and liver dysfunction. The other cases could not be fully assessed due to insufficient data or other potential causes of liver damage.
So I am really not worried about
it myself :). I do think it's a good idea to get it from a quality source though and get root or capsules as opposed to a liquid extract.
As for drug interactions, may I ask what drugs you take? And do you have a health care practitioner who would be knowledgable about
the subject?
Most drug interactions are just that it might increase drowsiness if you take it with something else that can also cause drowsiness. There is also, as with nearly any herb, the potential that it might increase or decrease the metabolism of a drug. Myself I only noticed drug interactions when I took a lot of kava, like if I drank cups of the traditional beverage as opposed to just swallowing a couple capsules for my IC. The only potentially serious interactions listed are alcohol, leflunomide, lomitapide, mipomersen, and teriflunomide. It is because these drugs are known to potentially cause major liver damage and so because of the possibility that kava might be hard on the liver as well it has been recommended that people not take them together. I can tell you about
the interactions with specific drugs if you want, I have taken it with opioids, antidepressants, gabapentin, benzodiazepines etc, so I can tell you my experiences if you want. Of course it's best to consult a health care practitioner who is aware of your health conditions and everything you are taking AND is knowledgeable about
plant medicines before starting any new herb or supplement.
I just think the fact that the kava seemed to have actually cured my IC as opposed to being something I had to take forever is pretty amazing.