Primidone lowers 
serum ethosuximide levels and possibly shortens its 
half-life. Similarly, 
phenobarbital has been reported both to reduce and not affect the 
half-life of 
ethosuximide. 
Phenobarbital levels (from primidone) do not appear to be affected by 
ethosuximide. 
 The 
clinical significance of these effects is unclear.