Kava + Metoprolol

SAFE — No Known Interaction

🟢 SAFE — Kava and Metoprolol can be taken together safely.

Evidence level: THEORETICAL

What this interaction means

Kava and Metoprolol are safe to take together. No adverse interactions have been reported in medical literature.

How it works (mechanism)

No clinically significant interaction between Kava and Metoprolol has been documented in medical literature or FDA drug labeling.

Practical advice

No interaction between Kava and Metoprolol has been documented. As a best practice, keep a list of everything you take — including Kava — and share it with your healthcare provider at every visit. This helps them spot potential issues early.

Timing

Take each at their normal times. Kava — if it's hawthorn (a common cardiovascular botanical), it may have additive blood pressure and heart rate lowering effects with Metoprolol. Monitor pulse and blood pressure. Stimulating botanicals like ephedra (ma huang) can counteract beta-blockers.

Risk factors

Higher risk for: those with asthma or COPD, bradycardia, diabetes (may mask hypoglycemia symptoms), elderly, concurrent calcium channel blocker use, or peripheral vascular disease.

Symptoms to watch for

Monitor blood pressure and heart rate when combining Kava with Metoprolol. Watch for: dizziness, lightheadedness (especially when standing up), fatigue, cold extremities, slow heartbeat, or swelling in ankles/feet. Check your blood pressure at home if possible. When to seek emergency help: Fainting, chest pain, heart rate below 50 bpm, severe dizziness, difficulty breathing, or allergic reactions (swelling of face, lips, or tongue).

What to tell your doctor

No urgent need to discuss, but always keep your doctor informed of your full supplement and medication list. An up-to-date list helps them make the best treatment decisions.

Safer alternatives

Safe combination at standard doses. Continue your medication as prescribed. Inform your doctor or pharmacist that you are using both, so they can monitor for any changes over time.

Frequently asked questions

Can I take Kava and Metoprolol together?

Kava and Metoprolol are safe to take together. No adverse interactions have been reported in medical literature.

When should I take Kava vs Metoprolol?

Take each at their normal times. Kava — if it's hawthorn (a common cardiovascular botanical), it may have additive blood pressure and heart rate lowering effects with Metoprolol. Monitor pulse and blood pressure. Stimulating botanicals like ephedra (ma huang) can counteract beta-blockers.

What symptoms should I watch for if I combine Kava and Metoprolol?

Monitor blood pressure and heart rate when combining Kava with Metoprolol. Watch for: dizziness, lightheadedness (especially when standing up), fatigue, cold extremities, slow heartbeat, or swelling in ankles/feet. Check your blood pressure at home if possible. When to seek emergency help: Fainting, chest pain, heart rate below 50 bpm, severe dizziness, difficulty breathing, or allergic reactions (swelling of face, lips, or tongue).

Are there safer alternatives to combining Kava with Metoprolol?

Safe combination at standard doses. Continue your medication as prescribed. Inform your doctor or pharmacist that you are using both, so they can monitor for any changes over time.

What should I tell my doctor about taking Kava and Metoprolol?

No urgent need to discuss, but always keep your doctor informed of your full supplement and medication list. An up-to-date list helps them make the best treatment decisions.

Explore more interactions

Or browse the full interaction database (121,000+ pairs).