Traditionally,only a virgin chewed the tough root to prepare the drink. Only men were permitted to imbibe, and only during special occasions. Famous visitors, including President Lyndon Johnson, the Pope, and Hillary Clinton, were offered kava. Americans bypass all the tradition. Kava's mood-altering effects are available through pills, a few drops, or tea.
Chronic overuse can cause a scaly, yellowing skin condition, but side effects are rare.
Wunderlich combines traditional and alternative medicine. He says for patients suffering mild anxiety, he recommends a moderate dosage taken for a limited time. He Does not believe abuse is a huge problem. Experts agree kava kava, could be dangerous for those suffering from depression or those taking several popular anti-depressants such as Prozac, Xanax or valium. It's not to be mixed with alcohol and it is not recommended for those with Parkinson's disease, pregnant or nursing mothers.