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Herbal Preparations

There are herbal remedies to calm the anxiety associated with agoraphobia that are supported in research, but not as many as herbal companies might claim. Two herbs whose anxiety-reducing properties have been supported by research studies are Kava Kava and Valerian.

Kava Kava

First used by islanders in the South Pacific and then extensively in Europe, studies support Kava Kava’s effectiveness for reducing anxiety and treating insomnia. The effects of Kava Kava come from interaction with the limbic system which regulates emotion. An average therapeutic dosage is 300 milligrams of standardized extract containing 70 percent kavalactones (the active ingredient) per day, divided up among two or three doses.

Kava Kava should not be used if you are pregnant or breast-feeding, or if you have Parkinson’s or liver disease. It can also interact with alcohol or other anxiety medications to cause major drowsiness. Kava Kava should not be taken in large doses over long periods of time. Significant doses taken over periods of four to eight weeks can cause discoloration of the skin or nails, and dry, scaly skin.

Note: A ban on the use of Kava Kava in both medicinal and food products was recently upheld in the UK. This came about after a review of the latest scientific research weighing its benefits against the risk of liver toxicity.

Kava Kava was originally banned in the UK in 2002, as a result of data supplied to the Medicines and Healthcare Regulatory Agency (MHRA) by the Committee on Safety of Medicines’ Expert Working Group and the Medicines Commission, both of which determined that in rare cases, Kava Kava could cause liver damage when used in unlicensed medicine.

Meanwhile the ban on Kava has been lifted in other European countries such as Germany (in 2005), and Wales (in 2002). In France, Ireland, and Portugal, sale of Kava Kava has slowed due to health concerns. In the U.S., Canada, Australia, and New Zealand, Kava Kava is still being sold with various advisements and warnings on the label while risk assessments are being conducted.

Valerian

Valerian comes from parts of Europe and Asia and its name means “well-being.” Numerous studies including placebo control groups suggest that Valerian enhances the quality of sleep for insomniacs. A few controlled studies have demonstrated the effects of Valerian in reducing anxiety.

The sleep-inducing properties of Valerian are better proven than its anxiety-reducing properties. A recommended therapeutic dose for insomnia is between 400 and 900 milligrams. However, the quality of Valerian products varies widely and it is best to choose one that contains valerenic acid.

Cases of Valerian causing harmful side effects are few and far between. Like Kava Kava, you shouldn’t take Valerian if you are pregnant, breast-feeding, or have liver problems. Possible side effects, though infrequent, are upset stomach, headaches, and liver damage. In high doses, Valerian has been known to cause confusion, hypersensitivity, insomnia, and even hallucinations.

Now Here is a list of some common herbs that have been touted to reduce anxiety for which there is little or no scientific evidence:

Chamomile
Ginkgo biloba
Lemon balm
Hops
Ginseng
St. John’s Wort

Never rely solely on the use of herbs to cure agoraphobia or other anxiety disorder. Herbs alone are not adequate treatment.

Also, most herbal preparations are not regulated by the food and drug administration. This means that manufacturers of herbal products are under no legal obligation to actually include the ingredients printed on the bottle in the product.

Consult your pharmacist for help in choosing a reputable herbal product. A pharmacist is likely to be able to help you know which herbal companies are reputable and which are not.

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