Drug & supplement interaction

Chenopodium Oil + Interferon Beta-1a

Interferon Beta-1a brand names: Rebif, Avonex.

Moderate Interaction
The bottom line Moderate

Chenopodium Oil has a moderate interaction with Interferon Beta-1a. Theoretically, concomitant use of chenopodium oil with other photosensitizing drugs can increase the risk of adverse effects.

Read the full interaction report
SeverityModerate
LikelihoodProbable
EvidenceD
What do Severity, Likelihood & Evidence mean?
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Interaction report

Chenopodium Oil and Interferon Beta-1a

Here is the interaction we found between these two, with the evidence behind it.

Moderate

PHOTOSENSITIZING DRUGS

Why this applies to Interferon Beta-1a

Interferon Beta-1a falls under PHOTOSENSITIZING DRUGS — the group Chenopodium Oil interacts with.

Theoretically, concomitant use of chenopodium oil with other photosensitizing drugs can increase the risk of adverse effects.
Chenopodium species are also associated with photosensitivity.
Severity Moderate Likelihood Probable Evidence D

Interaction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports..

Dr. Brian Staiger, PharmD, BCPS
Dr. Brian Staiger explains PharmD, Clinical Pharmacist

Here's the gist with your Rebif or Avonex and chenopodium oil. This isn't about one changing how the other is broken down in your body. Instead, both can make your skin more sensitive to sunlight. Interferon beta-1a is already known to cause skin reactions and sun sensitivity in some people, and certain chenopodium plants have been linked to photosensitivity too. Stack them together and you could, in theory, sunburn more easily or get more skin irritation.

I'll be honest: this is a theoretical concern based on how each behaves, not proven cases. Still, chenopodium oil itself is considered unsafe to take internally because of its toxic ascaridole content. Please check with your pharmacist or doctor before using it, and practice good sun protection either way.

References
  1. Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.

What These Ratings Mean

Every interaction above is graded three ways — here’s the key to each label.

Severity how clinically significant the interaction is
Major

Clinically significant. Avoid the combination, or use only under close professional supervision.

Moderate

Usually worth avoiding or managing — may need monitoring, a dose change, or timing apart.

Minor

Generally not serious. Be aware of it and mention it to your pharmacist.

Likelihood how strong the evidence is that the interaction actually happens in people
  • LikelyWell-controlled human studies have demonstrated the likely existence of this interaction.
  • ProbableInteraction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
  • PossibleInteraction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists.
  • UnlikelyInteraction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Evidence the quality of the studies behind the rating (graded A–D)
  • AHigh-quality meta-analysis (quantitative systematic review).
  • BCase-control study.
  • CConsensus.
  • DAnecdotal evidence.

These ratings are for information only. Never start, stop, or otherwise change your therapy before speaking with your provider.

Keep it in perspective

Chenopodium Oil Also Interacts With Other Medications

Chenopodium Oil has 334 moderate known drug interactions in our database — the Interferon Beta-1a one above is one of them. If you take anything else, check it against the full list below.

Taking anything else?

Check Another of Your Medications Against Chenopodium Oil

Covers the 2,830 medications we’ve checked against Chenopodium Oil. Pick one to open its full report.

Everything else you take

See Every Supplement That Interacts With Interferon Beta-1a

This page covers Chenopodium Oil only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Interferon Beta-1a page lists 57 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Beer (major), Siberian Cocklebur (major), Wine (major), Alfalfa (moderate) and Angelica Archangelica (moderate).

By severity: 3 major · 53 moderate · 1 minor.

From our pharmacist’s overview on the Interferon Beta-1a page

“Siberian cocklebur, an herb tied to documented cases of liver failure, is the first name to know for anyone injecting interferon beta-1a (Rebif, Avonex) for multiple sclerosis. Interferon beta-1a can strain the liver on its own, which is why prescribers order routine liver blood tests, and 38 of the 57 supplements on file carry that sa…”

Reviewed by 2 · Jul 18, 2026

Open the Interferon Beta-1a interaction page

One more smart check

Taking Chenopodium Oil as Part of a Dietary Supplement Product? Check It for Interactions

We hold 1 real supplement products containing Chenopodium Oil, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Chenopodium Oil. Your product may carry other ingredients that interact with Interferon Beta-1a too, on top of Chenopodium Oil — and those would not show on this page. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Chenopodium Oil and Interferon Beta-1a Sit Against Everything Else

Out of every supplement and medication people look up on HelloPharmacist, here is where these two land this week — and which way each has been moving.

Supplement Chenopodium Oil
Steady interest

#1,416 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication Interferon Beta-1a
Top half

#1,141 of 2,830 medications looked up here in the last 7 days

29 days ago today

Position among everything looked up on this site, not a measure of how commonly either one is used or how important it is. A supplement can climb this list because of a news story. It counts every request to the page, automated ones included, and nothing here identifies anyone.

Supplement

About Chenopodium Oil

What is Chenopodium Oil?

Chenopodium Oil
  • Intestinal worms (roundworm, hookworm)
  • Digestive upset and gas
  • Respiratory complaints
  • Skin conditions
  • As a culinary seasoning (epazote leaf)

Chenopodium oil is a strong-smelling essential oil from the epazote plant that was historically used to treat intestinal worms. It contains ascaridole, a compound that is quite toxic, and overdoses have caused serious harm, so it is no longer recommended for internal use. Safer modern deworming medicines exist, so talk with a pharmacist or doctor before using this oil.

Read the full Chenopodium Oil monograph & all interactions
Medication

About Interferon Beta-1a Intramuscular Injection

What Is Interferon Beta-1a Intramuscular Injection Used For?

Brand names: Rebif, Avonex

  • Interferon beta-1a intramuscular injection is used to treat adults with various forms of multiple sclerosis (MS; a disease in which the nerves do not function properly and people may experience weakness, numbness, loss of muscle coordination, and problems with vision, speech, and bladder control) including:

    • clinically isolated syndrome (CIS; nerve symptom episodes that last at least 24 hours),

    • relapsing-remitting forms (course of disease where symptoms flare up from time to time), or

    • secondary progressive forms (course of disease where relapses occur more often).

  • Interferon beta-1a is in a class of medications called immunomodulators. It works by decreasing inflammation and preventing nerve damage that may cause symptoms of multiple sclerosis.

See full Interferon Beta-1a Intramuscular Injection drug information
Keep checking

Other Drugs & Chenopodium Oil

Browse every other medication we’ve checked against Chenopodium Oil — both the ones with a known interaction and the ones without. Select any drug for the full detail.

0Major
334Moderate
0Minor
2,495No known interaction
Moderate

334 interactions

Showing 60 of 334 moderate interactions — see all 334 on the Chenopodium Oil page.

No interaction 2,495 drugs checked — show the list
Sources

Sources & How We Checked

Interaction details are evidence-graded and sourced from the Natural Medicines database. The medication overview comes from MedlinePlus.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

Parts of this content are provided by the Therapeutic Research Center, LLC.

DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.

© 2021 Therapeutic Research Center, LLC

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Pharmacist Counseling Corner

Taking Chenopodium Oil and Interferon Beta-1a Together: Common Questions

Can you take Chenopodium Oil with Interferon Beta-1a?
There is a moderate interaction, so it may be acceptable with monitoring or timing changes — but check with your pharmacist first. Read the full details on this page and confirm with your pharmacist before combining them.
How serious is the Chenopodium Oil and Interferon Beta-1a interaction?
We rate it Moderate. This combination may require monitoring, a dose adjustment, or separating the times you take each one. Consult your pharmacist before using them together.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.