Drug & supplement interaction

Wormseed + ADO-Trastuzumab Emtansine

ADO-Trastuzumab Emtansine brand name: Kadcyla.

No Known Interaction
Medically reviewed by · Updated July 2026 · Pair last verified Sep 13, 2026
The bottom line No known interaction

We found no known interaction between Wormseed and ADO-Trastuzumab Emtansine in our sources. Absence of a documented interaction is not the same as proven safety, and does not guarantee one does not exist. Do not start, stop, or change a medication or supplement based on this page; confirm with your pharmacist or doctor first. Additionally, although there is no interaction, the two are separately associated with some of the same side effects, which would make a new symptom harder to attribute to one or the other.

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Interaction report

Wormseed and ADO-Trastuzumab Emtansine

We checked these two against our interaction database. Here is what we found.

No Known Interaction Found

We did not find a documented interaction between ADO-Trastuzumab Emtansine and Wormseed in our sources. This does not guarantee that the combination is completely free of risk — there is often limited research on supplements and herbal products, especially around drug interactions.

Worth understanding: our licensed dataset holds no drug-interaction record for Wormseed at all — not against ADO-Trastuzumab Emtansine, and not against any other medication we track. This verdict therefore rests on the absence of any recorded data, not on research that looked at this combination and found nothing. We cannot rule an interaction out.

If you decide to take both, the practical routine is simple: add one new thing at a time and note the date you started it. If the combination is going to disagree with you, it usually shows in the first days to a couple of weeks — and a start date turns “I’ve been feeling off” into something a pharmacist can actually work with. Do not stop a prescribed medicine on your own.

Always talk with your pharmacist or doctor before making changes to your medications or supplements, particularly if you take several medications or have an ongoing health condition.

Wormseed safety at a glance

Wormseed overall Use caution Culinary amounts are generally well tolerated, but the concentrated oil can be toxic.
Pregnancy Unsafe When used orally due to potential for toxicity; avoid using. Read the full pregnancy detail
Breastfeeding Unsafe When used orally due to potential for toxicity; avoid using. Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center) — the full detail is in the Special populations card below. Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

Still wondering about combining ADO-Trastuzumab Emtansine and Wormseed? Ask Dr. Brian Staiger, PharmD, BCPS directly ›
What to actually watch for

No Interaction Found — But Data Suggests Wormseed and ADO-Trastuzumab Emtansine May Share a Side Effect

This is not an interaction. Neither one changes how your body handles the other, and nothing here says they react together. What our sources do show is that each has separately been linked to the effects below — so taking both can make those effects more likely to turn up, and harder to pin on one or the other if they do.

  • Muscle pain Additional detail

    Wormseed

    “Orally, wormseed is unsafe.

    Serious Adverse Effects (Rare):

    Symptoms of poisoning are possible in the amounts traditionally used as medicine. Symptoms of toxicity include epileptiform spasms, gastroenteritis, kidney irritation, muscle twitching, stupor, visual disorders, and even death.”

    Wormseed · Natural Medicines adverse-effect record, reported in poisoning.

    ADO-Trastuzumab Emtansine

    Listed in the ADVERSE REACTIONS section of the FDA label for ADO-Trastuzumab Emtansine. Read the label on DailyMed ›

Effects for ADO-Trastuzumab Emtansine come from the ADVERSE REACTIONS section of its FDA label; effects for Wormseed come from the Natural Medicines adverse-effect record, quoted above. Where a percentage is shown, it is the share of 8,277 voluntary FDA FAERS reports for ADO-Trastuzumab Emtansine that mention that effect — a reporting proportion, not an incidence rate and not evidence the drug caused it. Wording is matched across sources by our own clinical vocabulary, so treat this as a prompt to pay attention, not a diagnosis.

Special populations

Wormseed in Pregnancy & Breastfeeding

Pregnancy And Lactation Unsafe

When used orally due to potential for toxicity; avoid using.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.© 2026 Therapeutic Research Center

Everything else you take

See Every Supplement That Interacts With ADO-Trastuzumab Emtansine

This page covers Wormseed only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the ADO-Trastuzumab Emtansine page lists 121 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: Grapefruit (major), St. John's Wort (major), Acacia Rigidula (moderate), Adrafinil (moderate) and African Wild Potato (moderate).

By severity: 2 major · 87 moderate · 32 minor.

From our pharmacist’s overview on the ADO-Trastuzumab Emtansine page

“If you're taking ado-trastuzumab emtansine (Kadcyla) for HER2-positive breast cancer, treat this list as one to check carefully, not casually. Every one of the 121 flagged ingredients affects the same enzyme, CYP3A4, which your body uses to clear part of this medicine.”

Reviewed by 2 · Jul 18, 2026

Open the ADO-Trastuzumab Emtansine interaction page

One more smart check

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

We hold 20 real supplement products containing Wormseed, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Wormseed. Even though Wormseed itself has no known interaction with ADO-Trastuzumab Emtansine, another ingredient on your label might. Find your product and we’ll check every ingredient on its label:

How much people look this up

Where Wormseed and ADO-Trastuzumab Emtansine 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 Wormseed
Steady interest

#1,224 of 1,452 supplements looked up here in the last 7 days

29 days ago today
Medication ADO-Trastuzumab Emtansine
Steady interest

#1,706 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.

Where does our data come from?
  • Source: the Natural Medicines (TRC Healthcare) clinical database — the evidence-graded professional reference for herb & supplement interactions.
  • Citation library: 103,510 references behind our interaction content, 65,311 of them resolved to verified PubMed/DOI sources. See every Wormseed reference on this page ↓
  • Freshness: we automatically re-check this combination every week — this pair was last verified September 13, 2026. The Wormseed and ADO-Trastuzumab Emtansine records this page draws on were last updated July 10, 2026.
  • What “no known interaction” means: no documented interaction in the sources above — not a guarantee of safety. Supplements are studied far less than prescription drugs, so we say exactly what the evidence supports, and nothing more.
Data structure & sourcing designed and verified by .
Supplement

About Wormseed

What is Wormseed?

  • Intestinal worms and parasites
  • Digestive upset and gas
  • Cooking herb (culinary use as epazote)
  • Menstrual complaints
  • Respiratory symptoms

Wormseed (also called epazote) is a strong-smelling herb traditionally used to expel intestinal worms and to flavor food. Its essential oil is potentially toxic and has caused serious poisoning, so it should never be used in medicinal amounts without professional guidance. Modern deworming medicines are far safer and more reliable.

Dysphania ambrosioides · Amaranthaceae · Leaves, seeds, flowering tops, and essential oil (oil of chenopodium) · Tea, dried herb, tincture, and essential oil

An interaction check asks whether these two react with each other — it does not ask whether Wormseed is a good idea for someone in your situation. Here is what our Wormseed record says about it on its own.

Wormseed: dosing

There is no well-established or standardized medicinal dose for wormseed, and the essential oil has a narrow margin between a useful amount and a toxic one. As a food seasoning (epazote), the small amounts used in cooking are considered safe for most people.

From our Wormseed monograph — the full record covers uses, side effects and every documented interaction.

Read the full Wormseed monograph & all interactions
Medication

About Ado-trastuzumab Emtansine Injection

What Is Ado-trastuzumab Emtansine Injection Used For?

Brand name: Kadcyla

Kadcyla (ado-trastuzumab emtansine) is used to treat two types of HER2-positive breast cancer. In metastatic breast cancer — cancer that has spread to other parts of the body — it is used when patients have already received trastuzumab and a taxane chemotherapy, either together or separately.

Kadcyla is also used as an adjuvant (post-surgery) treatment for HER2-positive early breast cancer in patients who still had remaining invasive cancer after receiving neoadjuvant (pre-surgery) taxane- and trastuzumab-based treatment. Patients must be selected based on an FDA-authorized HER2 test before starting Kadcyla.

Most-Reported Side Effects for ADO-Trastuzumab Emtansine

From FAERS, the FDA’s public side-effect reporting system (8,277 reports, all brands). Reports are voluntary and are not proof the drug caused the effect.

Disease progression 781 reports
Fatigue 751 reports
Nausea 732 reports
Diarrhea 594 reports
Thrombocytopenia 468 reports
See full Ado-trastuzumab Emtansine Injection drug information
Keep checking

Other Drugs & Wormseed

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

0Major
0Moderate
0Minor
2,829No known interaction
2,829 No interaction
No interaction 2,829 drugs checked — show the list

We also checked Wormseed against these medications and found no known interaction in our sources. Open any page to confirm.

Showing the 60 most looked-up of 2,829 medications checked with no known interaction — see the full Wormseed list.

See the full Wormseed interactions page
See every supplement checked against ADO-Trastuzumab Emtansine, ranked by severity
Evidence & sources

Wormseed References

The 1 references that drive our Wormseed monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.

  1. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.

Medication overviews come from MedlinePlus (NIH); supplement label data from the NIH Dietary Supplement Label Database. Content is written and reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.

Pharmacist Counseling Corner

Taking Wormseed and ADO-Trastuzumab Emtansine Together: Common Questions

Is it safe to take Wormseed with ADO-Trastuzumab Emtansine?
We do not list a known interaction between Wormseed and ADO-Trastuzumab Emtansine. That does not guarantee the combination is risk-free, so confirm with your pharmacist or doctor — especially if you take other medications or have a health condition.
Do Wormseed and ADO-Trastuzumab Emtansine have any of the same side effects?
Yes — our sources link each of them separately to one of the same effects. That is not an interaction: neither changes how your body handles the other. It does mean that if one of those effects turns up, it can be harder to tell which one is behind it. They are listed on this page with the source behind each.
Does ADO-Trastuzumab Emtansine interact with any supplements?
Yes. ADO-Trastuzumab Emtansine has documented interactions with 121 supplements in our database — Wormseed is not one of them. The ADO-Trastuzumab Emtansine interaction page linked on this page lists every one, ranked by severity.

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

Where next

Keep Exploring

Wormseed monograph Uses, safety profile, and every drug interaction in one place Ado-trastuzumab Emtansine Injection drug information The full plain-English guide to this medication ADO-Trastuzumab Emtansine supplement interactions Every supplement checked against ADO-Trastuzumab Emtansine, ranked by severity Supplement interaction checker Check any supplement or product against your medications Browse medications A–Z Every drug we’ve checked against herbs & supplements References The 1 citations behind this page Ask a pharmacist Free, personal answer from our licensed team

Still Have a Question About ADO-Trastuzumab Emtansine and Wormseed?

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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.