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Head-to-head evidence comparison — which supplement is right for you?
Melatonin wins 2 of 3 categories. Both are solid choices — the best pick depends on your specific goals.
Verdict
Probably helps
4 of 7 studies with measurable effects showed benefit.
Top outcomes
Verdict
Likely helps
14 of 19 studies with measurable effects showed benefit.
Top outcomes
Shared outcomes (1)
Outcomes where both Kava and Melatonin have evidence — compare verdict strength side-by-side.
150-300mg kavalactones daily
Evening for relaxation, 30-60 minutes before stressful events, Before bed for sleep
Water-extracted root powder or capsules
0.5-1mg
30-60 minutes before bed
Immediate-release tablet or sublingual
30-60 minutes
30-60 minutes
30-60 minutes
1-2 hours
Same night
1-3 days
Next morning
First week
Herbal medicines in the treatment of psychiatric disorders: 10-year updated review
Phytotherapy research : PTR (2018) · Systematic review
Other encouraging herbal medicines with preliminary evidence include Curcuma longa (turmeric) in depression, Withania somnifera (ashwagandha) in affective disorders, and Ginkgo biloba (ginkgo) as an adjunctive treatment in Schizophrenia.
GABA-modulating phytomedicines for anxiety: A systematic review of preclinical and clinical evidence
Phytotherapy research : PTR (2018) · Systematic review
An open-ended search to 5 July 2017 was conducted using MEDLINE (PubMed), Scopus, and Cochrane library online databases and performed in a stepped format from preclinical to clinical investigations.
Herbal medicine for insomnia: A systematic review and meta-analysis
Sleep medicine reviews (2015) · Meta analysis · n=1602
There was no statistically significant difference between any herbal medicine and placebo, or any herbal medicine and active control, for any of the thirteen measures of clinical efficacy.
Melatonin in cancer treatment
The Cochrane database of systematic reviews (2025) · Meta analysis · n=126
We downgraded the certainty of the evidence because of high risk of bias, small sample size, the width of the 95% confidence interval, and indirectness due to inadequate reporting of cancer type.
Comparative Efficacy, Tolerability, and Acceptability of Donanemab, Lecanemab, Aducanumab, Melatonin, and Aerobic Exercise for a Short Time on Cognitive Function in Mild Cognitive Impairment and Mild Alzheimer's Disease: A Systematic Review and Network Meta-Analysis
Journal of Alzheimer's disease : JAD (2024) · Meta analysis · n=4599
Melatonin may be a better potential disease-modifying treatment for cognitive decline in mild AD and MCI.
Melatonin for sleep disorders in people with autism: Systematic review and meta-analysis
Progress in neuro-psychopharmacology & biological psychiatry (2023) · Meta analysis · n=595
According to the global analysis, the wake after sleep onset and night awakening parameters were not statistically significant.
Based on multiple meta-analyses showing efficacy vs placebo with effect size comparable to benzodiazepines for mild-moderate anxiety. WS1490 extract showed OR=3.3 vs placebo. Effectiveness limited to 60% due to mixed results in some GAD populations and study quality limitations.
Based on meta-analyses showing 7-12 minute reduction in sleep onset. Higher doses showed diminishing returns and increased morning grogginess. Sublingual forms may be more effective at lower doses.
AI-estimated from published studies. Interpret as directional guidance.
Melatonin has a higher evidence score (9/10 vs 9/10) and wins in 2 of 3 categories.
For fall asleep faster, Melatonin has a higher relevance score (95 vs 70).
No known interactions between Kava and Melatonin have been documented in our database. However, always consult a healthcare provider before combining supplements.