Drug & supplement interaction

Wormwood + Methsuximide

Methsuximide brand name: Celontin.

Moderate Interaction
The bottom line Moderate

Wormwood has a moderate interaction with Methsuximide. Theoretically, taking wormwood might interfere with the effects of anticonvulsant drugs.

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

Wormwood and Methsuximide

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

Moderate

ANTICONVULSANTS

Why this applies to Methsuximide

Methsuximide falls under ANTICONVULSANTS — the group Wormwood interacts with.

Theoretically, taking wormwood might interfere with the effects of anticonvulsant drugs.
Thujone, a constituent of wormwood, has convulsant effects.
Severity Moderate Likelihood Possible Evidence D

Interaction 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.

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

Here's the concern with pairing wormwood and methsuximide. Methsuximide is a seizure medicine that calms down overactive electrical signals in the brain to prevent absence (petit mal) seizures. Wormwood contains a compound called thujone, which in higher amounts can actually do the opposite and provoke seizure activity. So in theory, wormwood could work against the very thing methsuximide is trying to do, making seizures harder to control.

I want to be honest: this is based on lab and animal findings, not strong human studies, so it's more of a caution than a proven problem. Still, with a seizure disorder there isn't much room for guesswork. Please don't change anything on your own. Just check with your doctor or pharmacist before trying wormwood.

References
  1. Hold KM, Sirisoma NS, Casida JE. Detoxification of alpha- and beta-Thujones (the active ingredients of absinthe): site specificity and species differences in cytochrome P450 oxidation in vitro and in vivo. Chem Res Toxicol 2001;14:589-95.

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

Wormwood Also Interacts With Other Medications

Wormwood has 49 moderate known drug interactions in our database — the Methsuximide 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 Wormwood

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

From our Q&A

Questions About Wormwood or Methsuximide

These are real questions from readers, answered by the pharmacists at HelloPharmacist — written by a person, not generated from a database. Each one covers Wormwood or Methsuximide, not necessarily both, but if one is close to what you were about to ask it will usually go further than a database entry can:

Not quite your question? Ask our pharmacists directly — it is free, there is no account required, and answers usually come back within 24 hours.

Everything else you take

See Every Supplement That Interacts With Methsuximide

This page covers Wormwood only. If you take other supplements — a multivitamin, a sleep aid, something for joints — the Methsuximide page lists 105 supplements it has a documented interaction with, worst first, each one explained.

The most serious there right now: 1,4-butanediol (major), Activated Charcoal (major), Beer (major), Gamma-hydroxybutyrate (ghb) (major) and Kava (major).

By severity: 7 major · 82 moderate · 16 minor.

From our pharmacist’s overview on the Methsuximide page

“Methsuximide (Celontin) treats absence seizures by quieting overactive brain signals, so anything else that slows the nervous system deserves genuine respect before you take it alongside. Of the 105 supplements and herbs on record, 78 add sedation on top of what the drug already does, and that group holds most of the 7 major-rated entr…”

Reviewed by 2 · Jul 18, 2026

Open the Methsuximide interaction page

One more smart check

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

We hold 387 real supplement products containing Wormwood, each one broken down to its full ingredient list — and combination products often carry several ingredients besides Wormwood. Your product may carry other ingredients that interact with Methsuximide too, on top of Wormwood — 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 Wormwood and Methsuximide 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 Wormwood
Top 25%

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

29 days ago today
Medication Methsuximide
Steady interest

#2,646 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 Wormwood

What is Wormwood?

Wormwood
  • Digestive upset and poor appetite
  • Intestinal parasites
  • Crohn's disease symptoms
  • Bitter tonic for indigestion
  • Flavoring in absinthe and vermouth

Wormwood is a very bitter herb traditionally used to stimulate appetite and ease digestion, and it has early research interest in Crohn's disease. It contains thujone, which can be toxic in large amounts, so it should only be used short-term in controlled doses. Talk to a pharmacist or doctor before using it, and avoid it if you are pregnant or breastfeeding.

Read the full Wormwood monograph & all interactions
Medication

About Methsuximide

What Is Methsuximide Used For?

Brand name: Celontin

Methsuximide is used to control absence (petit mal) seizures — brief episodes of staring or lapses in consciousness — when other seizure medications have not worked. Both Celontin and the generic methsuximide capsules carry this indication.

It can also be used alongside other antiseizure medications when a person has absence seizures together with other types of epilepsy.

See full Methsuximide drug information
Keep checking

Other Drugs & Wormwood

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

0Major
49Moderate
0Minor
2,780No known interaction
Moderate

49 interactions

No interaction 2,780 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 Wormwood and Methsuximide Together: Common Questions

Can you take Wormwood with Methsuximide?
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 Wormwood and Methsuximide 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

Still Have a Question About Methsuximide and Wormwood?

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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.