Herb & supplement monograph

Wormwood Drug Interactions, Uses, Effectiveness, Safety & More

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Reviewed by licensed pharmacists Sourced from Natural Medicines

Wormwood Drug Interactions: The Bottom Line

From the HelloPharmacist Editorial Team · Updated July 2026

Based on the available evidence, the overall risk of a clinically significant Wormwood drug interaction appears low for most people, since the concerns identified are theoretical rather than proven in humans. None of the listed interactions are rated major, and the documentation behind them comes from lab-based reasoning rather than human studies.

Interactions deserving the most attention

The combination that deserves the most care involves anticonvulsants, the medications used to control seizures. Wormwood contains a compound called thujone that can trigger seizure activity, so in theory it could work against these drugs. This has not been confirmed in human studies, but because seizure control is a narrow-margin situation where even a small change matters, people taking these medicines should treat wormwood with extra caution.

What the rest of the list means

Although a fairly long list of medications appears here, nearly all of them trace back to this single theoretical concern about thujone. That means the number of listed drugs does not reflect dozens of separate proven problems, and no interaction on this list has been clearly shown to cause harm in people.

Check your medications against Wormwood

Based on HelloPharmacist’s Wormwood interaction data and reviewed under our editorial standards.

Interaction report

Drugs that interact with Wormwood

50 medications have a known interaction with Wormwood, graded by severity. Select any drug for the full evidence-based detail.

2,830 drugs
AcetazolamideAk-Zol, Diamox› Aminophylline, Amobarbital, EphedrineAmesec› AmobarbitalAmytal› Amobarbital, Ephedrine SulfateEphedrine & Amytal› Amobarbital, SecobarbitalTuinal› Aprobarbital, Butabarbital, PhenobarbitalTriple Barbital› Belladonna, Caffeine, Ergotamine, PentobarbitalMicomp PB› Belladonna, PhenobarbitalBellophen, Susano› Bellafoline, Caffeine, Ergotamine Tartrate, PentobarbitalCafergot PB› Butalbital, Phenobarbital, SecobarbitalTribarb› CarbamazepineCarbatrol, Carnexiv, Equetro, Tegretol, Tegretol XR› CenobamateXcopri› ClobazamFrisium, Onfi, Sympazan› ClonazepamCeberclon, Klonopin, Rivotril› ClorazepateTranxene, Tranxene SD, Tranxene T-Tab› DiazepamDiastat AcuDial, Valium, Valium injection, Valtoco› Divalproex SodiumDepakote› Ephedrine, Phenobarbital, TheophyllineTedral› EthosuximideZarontin› EthotoinPaganone› FelbamateFelbatol› FosphenytoinCerebyx› Fosphenytoin SodiumSesquient› GabapentinGralise, Neurontin› Gabapentin EnacarbilHorizant› LamotrigineLamictal› LevetiracetamElepsia XR, Keppra, Spritam› LorazepamAtivan› Magnesium Sulfate (prescription Drug)Bilagog, Magnesium Sulfate› MephenytoinMesantoin›
Read The List Like a Pharmacist

What Severity, Likelihood & Evidence Mean

Severity — How Serious It Can Be

  • Major. Clinically significant; generally best avoided, or used only under direct professional supervision.
  • Moderate. May need monitoring, a dose adjustment, or separating the times you take each one.
  • Minor. Generally not clinically significant, but still worth noting and mentioning to your pharmacist.
  • No known interaction. Checked against our sources with nothing documented — not the same as proven safety.

Likelihood — How Well It’s Documented

  • Likely. Well-controlled human studies have demonstrated the likely existence of this interaction
  • Probable. 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.
  • Possible. 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
  • Unlikely. Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans.

Where This Data Comes From

  • Interaction records are evidence-graded and sourced from the Natural Medicines database (TRC Healthcare), the same reference used by pharmacists and hospitals.
  • Each drug listed above links to the full report for that exact Wormwood combination — clinical detail, likelihood, evidence level, and citations.
  • Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
The big picture

The kinds of drugs Wormwood affects

Every type of medication (drug category) Wormwood is known to interact with. Open any category for the detail — or search your exact drug in the checker above.

All 1 drug category Wormwood interacts with
Anticonvulsants
Anticonvulsants

Theoretically, taking wormwood might interfere with the effects of anticonvulsant drugs.
Thujone, a constituent of wormwood, has convulsant effects.

Likelihood Possible Evidence D
Monograph

Wormwood: Uses, Safety & Side Effects

The bottom line

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.

Wormwood
Scientific name
Artemisia absinthium
Family
Asteraceae
Part used
Leaves, flowering tops, and essential oil
Common forms
Tea, tincture, capsules, extracts, essential oil
People commonly use it for
  • Digestive upset and poor appetite
  • Intestinal parasites
  • Crohn's disease symptoms
  • Bitter tonic for indigestion
  • Flavoring in absinthe and vermouth

Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.

Safety at a glance
OverallUse caution

Short-term use of properly prepared products may be acceptable, but the thujone in wormwood can be toxic in higher amounts.

PregnancyInsufficient reliable information

LIKELY UNSAFE ..when used orally in amounts greater than those found in foods. Some wormwood products contain thujone, a neurotoxin. Theoretically, th...

Read the full pregnancy detail
BreastfeedingInsufficient reliable information

Insufficient reliable information available; avoid using.

Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

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Overview

Wormwood (Artemisia absinthium) is an aromatic plant in the daisy family that is native to Europe, Asia, and North Africa, and it now grows in many parts of the world. It is well known for its strong, pungent smell and very bitter taste.

People have used wormwood in traditional medicine for centuries, mainly for digestive complaints and to help get rid of intestinal worms. It is also famous as a flavoring in the alcoholic drink absinthe and in vermouth. Today it is taken as a tea, tincture, capsule, or extract.

How it works

Wormwood contains very bitter compounds called sesquiterpene lactones (such as absinthin), which are thought to trigger taste receptors and increase saliva, stomach acid, and digestive juices. This is the basis for its traditional use as a digestive bitter.

The plant's essential oil contains thujone, a compound that can affect the nervous system and is responsible for much of wormwood's toxicity in large amounts. Wormwood also has antioxidant and possible anti-inflammatory and antimicrobial actions in laboratory studies.

It is important to know that most of these mechanisms come from laboratory and animal research. How well they apply to people taking wormwood products is not fully known.

Effectiveness

Does Wormwood work?

Evidence overview · 8 uses evaluated
8 Insufficient evidence
How to read these evidence grades

Natural Medicines’ 7-point scale. We show each rating’s label word-for-word.

1EffectiveStrong, consistent evidence it works.
2Likely EffectiveGood evidence, though not yet conclusive.
3Possibly EffectiveSome evidence suggests a benefit.
4Possibly IneffectiveSome evidence it may not help.
5Likely IneffectiveFairly strong evidence it doesn’t help.
6IneffectiveStrong evidence it doesn’t work.
7Insufficient Reliable Evidence to RateToo little research to say either way.

For Wormwood, current evidence isn’t strong enough to rate any specific use. The conditions it has been studied for are listed below.

Also studied for 8 conditions — evidence insufficient to rate
Insufficient Reliable Evidence To Rate Biliary disorders
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using oral wormwood for biliary disorders, there is insufficient reliable information about the clinical effects of wormwood for this purpose.

Insufficient Reliable Evidence To Rate Crohn disease
Rating & evidence shown verbatim from Natural Medicines

Small clinical studies suggest that oral wormwood may modestly improve symptoms in patients with Crohn disease.

Insufficient Reliable Evidence To Rate Depression
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using oral wormwood for depression, there is insufficient reliable information about the clinical effects of wormwood for this purpose.

Insufficient Reliable Evidence To Rate Dyspepsia
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using oral wormwood for dyspepsia, there is insufficient reliable information about the clinical effects of wormwood for this purpose.

Insufficient Reliable Evidence To Rate Gastritis
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using oral wormwood for gastritis, there is insufficient reliable information about the clinical effects of wormwood for this purpose.

Insufficient Reliable Evidence To Rate IgA nephropathy
Rating & evidence shown verbatim from Natural Medicines

It is unclear if oral wormwood is beneficial in patients with IgA nephropathy.

Insufficient Reliable Evidence To Rate Insect bite
Rating & evidence shown verbatim from Natural Medicines

Although there has been interest in using topical wormwood for insect bites, there is insufficient reliable information about the clinical effects of wormwood for this purpose.

Insufficient Reliable Evidence To Rate Osteoarthritis
Rating & evidence shown verbatim from Natural Medicines

It is unclear if topical wormwood is beneficial in patients with knee osteoarthritis.

Source & disclaimer. Effectiveness ratings and evidence summaries are provided by Natural Medicines (Therapeutic Research Center) and shown as licensed. Where Natural Medicines hasn’t rated a use, HelloPharmacist’s pharmacists may add their own reviewed rating and evidence (each such entry is labeled). This is educational information, not medical advice — talk with your pharmacist or doctor before starting, stopping, or changing a supplement.

Safety & precautions

The biggest safety concern with wormwood is thujone, which can be toxic to the nervous system. In large doses or with long-term use, wormwood has been linked to seizures, muscle breakdown, kidney problems, and other serious effects. Many countries limit the amount of thujone allowed in food and drinks for this reason.

Because wormwood is in the daisy (Asteraceae) family, people allergic to ragweed, marigolds, daisies, or related plants may react to it. People with seizure disorders or kidney problems should be especially careful and should not use it without medical advice.

Pregnancy: Avoid wormwood. It may stimulate the uterus and is traditionally considered unsafe in pregnancy. Breastfeeding: Avoid it as well, since there is not enough information to know it is safe. Wormwood is also not recommended for children.

Side effects

When used short-term in small, controlled amounts, wormwood is usually tolerated, but it can cause side effects such as nausea, stomach upset, vomiting, and a strong bitter aftertaste.

More serious reactions are mainly linked to thujone from large doses, concentrated oil, or long-term use. These can include dizziness, restlessness, tremors, seizures, muscle breakdown, and kidney damage. Allergic reactions are possible in people sensitive to plants in the daisy family.

The pure essential oil should never be swallowed, as it can be highly toxic.

Wormwood: Reported Adverse Effects

Documented safety reports on Wormwood from the evidence-graded Natural Medicines (TRC Healthcare) database, shown word-for-word from the licensed record.

Wormwood contains thujone, a neurotoxin. When products containing thujone are used orally in medicinal amounts, wormwood may be unsafe.

Most Common Adverse Effects:

Orally: The oil from wormwood leaves can cause diffuse muscle aches, nausea, and vomiting.

Serious Adverse Effects (Rare):

Orally: The oil from wormwood leaves can cause acute kidney toxicity, rhabdomyolysis, and seizures.

Reports by condition
Alcohol use disorder Other

Chronic ingestion of absinthe, an alcoholic beverage that contains wormwood extract, has been linked to absinthism. Absinthism was first described in the 1800s when absinthe was at its peak levels of consumption. It has been characterized by addiction, gastrointestinal adverse effects, insomnia, auditory and visual hallucinations, tremors, paralysis, epilepsy, and brain damage. There is also increased risk of psychiatric disease and suicide. Increasing thujone concentrations of absinthe increases anxiety and decreases attention in healthy individuals. A case of bradyarrhythmias associated with absinthe intoxication has also been reported. However, there is speculation that some of the symptoms of absinthism originally described might be attributed to adulteration with metals or toxic plants such as calamus and tansy, rather than the ingredients usually used in absinthe drinks. Some researchers also suggest that absinthism is not a unique condition and is indistinguishable from alcohol use disorder. In fact, some evidence suggests that the thujone concentrations in the absinthe formulations from the 1800s were too low to cause significant thujone-related toxicities.

  1. Weisbord SD, Soule JB, Kimmel PL. Poison on line-acute renal failure caused by oil of wormwood purchased through the internet. N Engl J Med 1997;337:825-7.
  2. Gambelunghe C, Melai P. Absinthe: enjoying a new popularity among young people? Forensic Sci Int 2002;130:183-6.
  3. Padosch SA, Lachenmeier DW, Kroner LU. Absinthism: a fictitious 19th century syndrome with present impact. Subst Abuse Treat Prev Policy 2006;1:14.
  4. Dettling, A., Grass, H., Schuff, A., Skopp, G., Strohbeck-Kuehner, P., and Haffner, H. T. Absinthe: attention performance and mood under the influence of thujone. J Stud.Alcohol 2004;65(5):573-581.
  5. Benezet-Mazuecos, J. and de la Fuente, A. Electrocardiographic findings after acute absinthe intoxication. Int J Cardiol. 11-10-2006;113(2):e48-e50.
  6. Lachenmeier DW, Walch SG, Padosch SA, Kroner LU. Absinthe--a review. Crit Rev Food Sci Nutr 2006;46:365-77.
  7. Lachenmeier DW, Emmert J, Kuballa T, Sartor G. Thujone--cause of absinthism? Forensic Sci Int 2006;158:1-8.
Diarrhea Gastrointestinal

Orally, the oil from wormwood leaves can cause nausea and vomiting. Use of a home-prepared wormwood extract has been associated with vomiting and severe diarrhea in an infant.

  1. Weisbord SD, Soule JB, Kimmel PL. Poison on line-acute renal failure caused by oil of wormwood purchased through the internet. N Engl J Med 1997;337:825-7.
  2. Kocaoglu C, Ozel A. Persistent metabolic acidosis and severe diarrhoea due to Artemisia absinthium poisoning. J Pak Med Assoc. 2014 Sep;64(9):1081-3.
Epilepsy Neurologic/CNS

Orally, the oil from wormwood leaves can cause seizures.

  1. Weisbord SD, Soule JB, Kimmel PL. Poison on line-acute renal failure caused by oil of wormwood purchased through the internet. N Engl J Med 1997;337:825-7.
Erythema Dermatologic

Topically, a single case report describes a sensitivity or first degree chemical burn reaction, with facial pain and erythema, after a 50-year-old adult applied a homemade poultice containing wormwood to the face for an unreported length of time.

  1. El Makrini NI, Hassam B. Artemisia absinthium: burning plant! Pan Afr Med J. 2016 Jan 22;23:10.
Kidney failure Renal

Orally, the oil from wormwood leaves can cause acute kidney toxicity and acute kidney failure.

  1. Weisbord SD, Soule JB, Kimmel PL. Poison on line-acute renal failure caused by oil of wormwood purchased through the internet. N Engl J Med 1997;337:825-7.
Muscle breakdown Musculoskeletal

Orally, the oil from wormwood leaves can cause diffuse muscle aches and rhabdomyolysis.

  1. Weisbord SD, Soule JB, Kimmel PL. Poison on line-acute renal failure caused by oil of wormwood purchased through the internet. N Engl J Med 1997;337:825-7.
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.

Adverse-effects data: Natural Medicines, Therapeutic Research Center

Dosing

There is no well-established standard dose of wormwood, and safe amounts depend on the form and how much thujone it contains. It is usually used only for short periods.

If you choose to use a wormwood product, follow the directions on the label and choose a reputable brand. Do not exceed the recommended amount, avoid long-term use, and never take the concentrated essential oil by mouth. Because of the thujone risk, it is best to check with a pharmacist or doctor before starting.

Pregnancy & Breastfeeding

Wormwood & Pregnancy

Insufficient reliable information

LIKELY UNSAFE ..when used orally in amounts greater than those found in foods. Some wormwood products contain thujone, a neurotoxin. Theoretically, thujone also has potential uterine and menstrual stimulant effects. There is insufficient reliable information available about the safety of wormwood when used topically during pregnancy.

Wormwood & Breastfeeding

Insufficient reliable information

Insufficient reliable information available; 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

Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center

References & further reading

The 10 references that drive our Wormwood 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. Weisbord SD, Soule JB, Kimmel PL. Poison on line-acute renal failure caused by oil of wormwood purchased through the internet. N Engl J Med 1997;337:825-7. PubMed
  2. Gambelunghe C, Melai P. Absinthe: enjoying a new popularity among young people? Forensic Sci Int 2002;130:183-6.
  3. 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.
  4. Lachenmeier DW, Walch SG, Padosch SA, Kroner LU. Absinthe--a review. Crit Rev Food Sci Nutr 2006;46:365-77.
  5. Padosch SA, Lachenmeier DW, Kroner LU. Absinthism: a fictitious 19th century syndrome with present impact. Subst Abuse Treat Prev Policy 2006;1:14. PubMed
  6. Lachenmeier DW, Emmert J, Kuballa T, Sartor G. Thujone--cause of absinthism? Forensic Sci Int 2006;158:1-8. PubMed
  7. Dettling, A., Grass, H., Schuff, A., Skopp, G., Strohbeck-Kuehner, P., and Haffner, H. T. Absinthe: attention performance and mood under the influence of thujone. J Stud.Alcohol 2004;65(5):573-581. PubMed
  8. Benezet-Mazuecos, J. and de la Fuente, A. Electrocardiographic findings after acute absinthe intoxication. Int J Cardiol. 11-10-2006;113(2):e48-e50. PubMed
  9. El Makrini NI, Hassam B. Artemisia absinthium: burning plant! Pan Afr Med J. 2016 Jan 22;23:10. PubMed
  10. Kocaoglu C, Ozel A. Persistent metabolic acidosis and severe diarrhoea due to Artemisia absinthium poisoning. J Pak Med Assoc. 2014 Sep;64(9):1081-3.
Keep reading

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.

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

Product directory

Supplement products with Wormwood

407 products in our database contain Wormwood. Open any to see its full ingredient list and every drug interaction we check.

Dysbiocide by Biotics Research Corporation Capsule 120 Capsule(s) View ingredients & interactions EcoClear by Body Ecology Capsule 120 Vegetarian Capsule(s) View ingredients & interactions Epstein Barr Support by Signature Supplements Capsule 100 Capsule(s) View ingredients & interactions FemmeWell by Live Conscious Capsule 60 Capsule(s) View ingredients & interactions First Cleanse 1 Morning Formula by Renew Life Capsule 42 Vegetable Capsule(s) View ingredients & interactions First Cleanse 1 Morning Formula by Renew Life Capsule 42 Vegetable Capsule(s) View ingredients & interactions First Cleanse 1 Morning Formula by Renew Life Capsule 30 Vegetable Capsule(s) View ingredients & interactions Formula Max by Pure Herbs Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Fresh Green Black Walnut by Biophix Liquid 2 Fluid Ounce(s) · 60 mL View ingredients & interactions Gallbladder Guard by Hawaii Pharm Liquid 4 Fluid Ounce(s) · 120 Milliliter(s) View ingredients & interactions Gallbladder Guard Non-Alcohol by Hawaii Pharm Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Green Black Walnut Wormwood Complex by BIOVEA Liquid 2 Fluid Ounce(s) · 59 mL View ingredients & interactions Green Ginger by Pure Herbs Liquid 1 Fluid Ounce(s) · 30 mL View ingredients & interactions Green Ginger by Pure Herbs Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Green Ginger & Wormseed by Pure Herbs Liquid 1 Fluid Ounce(s) · 30 mL View ingredients & interactions Green Ginger & Wormseed by Pure Herbs Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Green Walnut Complex by Thymely Solutions Liquid 1 fl. Oz. · 30 mL View ingredients & interactions Gut Complex by Healths Harmony Capsule 120 Capsule(s) View ingredients & interactions Herbal Parasite Guardian by BiOptimizers Capsule 90 Cap(s) View ingredients & interactions Immu Guard by Professional Botanicals Capsule 30 Packet(s) View ingredients & interactions Immu Guard by Professional Botanicals Capsule 90 Veg. Capsule(s) View ingredients & interactions Immune BAB by Microbe Formulas Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Immune Borr by Microbe Formulas Liquid 4 Fluid Ounce(s) · 120 mL View ingredients & interactions Insta Colon by dr.bo Capsule 30 Capsule(s) View ingredients & interactions
Pharmacist Counseling Corner

Wormwood: Common Questions

What is Wormwood used for, and does it work?
People use Wormwood for a range of reasons, but according to the Natural Medicines database the current clinical evidence is insufficient to confirm it works for the specific conditions it has been studied for. See the graded list on this page, and talk to your pharmacist or doctor before relying on it for any condition.
Does Wormwood interact with prescription medications?
Yes. We list 50 medications with a known interaction with Wormwood. Use the checker above to see how Wormwood interacts with a specific drug.
How are Wormwood interactions rated?
Each interaction is graded major, moderate, or minor based on how clinically significant it is and the strength of the evidence behind it. Major interactions are the most serious and are best avoided, or used only under close professional supervision.
Is it safe to take Wormwood with my medications?
It depends on the specific medication. Some combinations are fine, while others call for monitoring, timing changes, or should be avoided. Check your exact drug above and confirm with your pharmacist or doctor before starting, stopping, or changing anything.
Where does this Wormwood interaction information come from?
Our interaction data is built on the Natural Medicines database — an evidence-graded reference for vitamins, herbs, and supplements — and is reviewed by licensed HelloPharmacist pharmacists, who may add clinical context.
What is Wormwood used for?
It is most commonly used as a bitter herb to stimulate appetite and ease digestion, and it has been used traditionally for intestinal parasites. Some early research has looked at it for Crohn's disease, but the evidence is limited.
Is Wormwood safe to take?
Short-term use of properly prepared products may be acceptable for some people, but Wormwood contains thujone, which can be toxic in larger amounts. Avoid long-term use and the concentrated essential oil, and check with a healthcare professional first.
Can I take Wormwood while pregnant or breastfeeding?
No. Wormwood may stimulate the uterus and is considered unsafe in pregnancy, and there is not enough information to consider it safe while breastfeeding, so it should be avoided in both cases.
Does Wormwood cause the effects people associate with absinthe?
Wormwood is used to flavor absinthe and contains thujone, which was historically blamed for absinthe's reputed effects. Modern products limit thujone, and most reported effects of absinthe are now attributed mainly to its high alcohol content.

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

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