Elderberry - Cipro (Ciprofloxacin) Interaction

Interaction Details

Pharmacist Analysis

Elderberry has not been shown to affect any liver CYP enzymes to a clinically significant degree. This suggests that the potential for elderberry to interact with medications that are metabolized by these enzymes (e.g., CYP3A4, CYP2D6, etc...) is generally not a concern.

Azithromycin is primarily metabolized by the liver enzyme CYP1A2 and CYP3A4, which elderberry has not been shown to affect in a clinically significant manner.

However, as with any medication or supplement, it is important to talk to your healthcare provider before combining ciprofloxacin with elderberry or any other herbal supplement to ensure that there are no potential interactions or adverse effects.

It is important to note that many elderberry supplements are combined with zinc (for immune support) and zinc administration should be separated from ciprofloxacin to avoid issues with drug absorption.

Elderberry has not been shown to affect any liver CYP enzymes to a clinically significant degree. This suggests that the potential for elderberry to interact with medications that are metabolized by these enzymes (e.g., CYP3A4, CYP2D6, etc...) is generally not a concern.

Azithromycin is primarily metabolized by the liver enzyme CYP1A2 and CYP3A4, which elderberry has not been shown to affect in a clinically significant manner.

However, as with any medication or supplement, it is important to talk to your healthcare provider before combining ciprofloxacin with elderberry or any other herbal supplement to ensure that there are no potential interactions or adverse effects.

It is important to note that many elderberry supplements are combined with zinc (for immune support) and zinc administration should be separated from ciprofloxacin to avoid issues with drug absorption.

Ciprofloxacin Overview

• Ciprofloxacin is used to treat or prevent certain infections caused by bacteria such as pneumonia; gonorrhea (a sexually transmitted disease); typhoid fever (a serious infection that is common in developing countries); infectious diarrhea (infections that cause severe diarrhea); and infections of the skin, bone, joint, abdomen (stomach area), and prostate (male reproductive gland), Ciprofloxacin is also used to treat or prevent plague (a serious infection that may be spread on purpose as part of a bioterror attack) and inhalation anthrax (a serious infection that may be spread by anthrax germs in the air on purpose as part of a bioterror attack). Ciprofloxacin may also be used to treat bronchitis, sinus infections, or urinary tract infections but should not be used for bronchitis and sinus infections, or certain types of urinary tract infections if there are other treatment options. Ciprofloxacin extended-release (long-acting) tablets are used to treat kidney and urinary tract infections; however, some types of urinary tract infections should only be treated with ciprofloxacin extended release tablets if no other treatment options are available. Ciprofloxacin is in a class of antibiotics called fluoroquinolones. It works by killing bacteria that cause infections.

• Antibiotics such as ciprofloxacin will not work for colds, flu, or other viral infections. Using antibiotics when they are not needed increases your risk of getting an infection later that resists antibiotic treatment.

Elderberry - More Interactions

Elderberry interacts with 112 drugs

Interaction Rating Key

These severity listings are for informational use only. Never start, stop or otherwise change your therapy before speaking with your provider.