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Condition

Agoraphobia

Agoraphobia is an anxiety disorder in which people fear and avoid places like public transport, crowds, or being outside alone, because escape or help might feel out of reach if panic strikes. Among supplements, inositol has the most research behind it, and small trials found anxiety symptoms eased in people with panic-related fears. Those studies were tiny, about 21 people across three studies, so the evidence is limited and firm conclusions aren't possible yet.

Sources: PMID 11386498

Supplements studied
2
Graded outcomes
2
Trials
2
People studied
162

Evidence by supplement

  • Strong
  • Moderate
  • Limited
  • Very limited

2 supplements

Inositol: outcomes studied for Agoraphobia
GradeOutcomeEffectSizeStudiesPeopleStudies list
Anxiety Symptoms

Small Improvement

Improves (the measure goes down)Small effect3 studies21 people
Panic AttacksImproves (the measure goes down)1 study21 people
Kava: outcomes studied for Agoraphobia
GradeOutcomeEffectSizeStudiesPeopleStudies list
Aggression

Small Improvement

Improves (the measure goes up)Small effect141 people
Anxiety SymptomsImproves (the measure goes down)7 studies141 people
Subjective Well-BeingImproves (the measure goes up)3 studies141 people
Liver EnzymesChanges; see studies141 people

Key findings

  • Anxiety SymptomsInositolImproves (the measure goes down)
  • AggressionKavaImproves (the measure goes up)

The Agoraphobia Supportive Care protocol

2 primary supplements · 7 supporting supplements

See the full protocol

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Studies cited

14 studies from PubMed

  1. The Kava Anxiety Depression Spectrum Study (KADSS): a randomized, placebo-controlled crossover trial using an aqueous extract of Piper methysticumPsychopharmacology · PMID 19430766
  2. A placebo-controlled study of Kava kava in generalized anxiety disorderInt Clin Psychopharmacol · PMID 12131602
  3. Efficacy of kava extract for treating anxiety: systematic review and meta-analysis.J Clin Psychopharmacol · PMID 10653213
  4. Medicinal herbs for the treatment of anxiety: A systematic review and network meta-analysis.Pharmacol Res · PMID 35378276
  5. Kava treatment in patients with anxietyPhytother Res · PMID 15162364
  6. Clinical efficacy of kava extract WS 1490 in sleep disturbances associated with anxiety disorders. Results of a multicenter, randomized, placebo-controlled, double-blind clinical trialJ Affect Disord · PMID 14706720
  7. Kava extract for treating anxietyCochrane Database Syst Rev · PMID 12535473
  8. Efficacy of kava-kava in the treatment of non-psychotic anxiety, following pretreatment with benzodiazepinesPsychopharmacology · PMID 11605083
  9. Treatment of anxiety, tension and restlessness states with Kava special extract WS 1490 in general practice: a randomized placebo-controlled double-blind multicenter trialPhytomedicine · PMID 14692723
  10. Kava-kava extract WS 1490 versus placebo in anxiety disorders--a randomized placebo-controlled 25-week outpatient trialPharmacopsychiatry · PMID 9065962
  11. Acute inositol does not attenuate m-CPP-induced anxiety, mydriasis and endocrine effects in panic disorderJ Psychiatr Res · PMID 9352475
  12. Double-blind, placebo-controlled, crossover trial of inositol treatment for panic disorderAm J Psychiatry · PMID 7793450
  13. Double-blind, controlled, crossover trial of inositol versus fluvoxamine for the treatment of panic disorderJ Clin Psychopharmacol · PMID 11386498
  14. Effect of inositol on bulimia nervosa and binge eatingInt J Eat Disord · PMID 11262515