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Dietary supplement

Elderberry Ingredients & Drug Interactions

by Eclectic Herb

Elderberry label
See full label image
Liquid Category: Botanical
Most serious interaction: Moderate
Clinical methodology reviewed by · Updated Sep 30, 2026 · Label data from the NIH DSLD
What is this page for?

First and foremost: checking Elderberry against your medications. The heart of this page is the interaction checker and the full interaction report — how this product’s ingredients may interact with prescription and over-the-counter medicines you may be taking.

Around that, we add a pharmacist’s high-level view of the product as a whole — what’s inside, the evidence for its stated use, how transparent the label is, and what safety data exists — so you can see the full picture in one place. It’s educational information from our licensed clinical databases and the clinical staff at HelloPharmacist — not medical advice — and we don’t sell or endorse products. Our editorial policy

The interaction bottom line Most serious interaction: Moderate

Elderberry is a dietary supplement by Eclectic Herb with 1 active ingredient. Its ingredients are commonly taken for colds, flu (influenza), other respiratory infections.Based on those ingredients, 121 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Elderberry, Dried. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.

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Check Your Meds Against Elderberry by Eclectic Herb

Ask about any prescription or over-the-counter medication and we check it for interactions with Elderberry by Eclectic Herb — and tell you which ingredient is responsible.

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HelloPharmacist Scorecard of Elderberry by Eclectic Herb

Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.

From our pharmacy team — supplement deep dive

Generated from HelloPharmacist’s pharmacist-curated databases and editorial rules · Last generated Oct 1, 2026

What’s inside

Low disclosure
Ingredient Transparency · database check
Low

Most active ingredients don't disclose an individual amount — you can't tell how much of each you're getting.

Why this rating?
  • The label discloses an exact amount for 0 of its 1 active ingredient.

This product contains one active ingredient: dried elderberry. Elderberry is a traditional herbal remedy that's been used to support immune and respiratory health, though how well it actually works for specific conditions isn't well established in the research we hold.

The liquid also contains glycerin, filtered water, and ascorbic acid (vitamin C) as inactive ingredients — these help preserve and deliver the elderberry extract.

Does it work?

Insufficient evidence
Evidence for Intended Use · database check
By FDA rules, dietary supplements can’t claim to treat, cure, or prevent disease — so labels speak in careful marketing language. We discern each product’s intended use from its name, label claims, and label statements, then grade the clinical evidence for that use. How these ratings are computed
Insufficient

There isn't enough reliable clinical evidence to rate this product's ingredients for its stated purpose.

Why this rating?
  • The label markets this product for: Respiratory and immune support.
  • We looked for evidence on: Upper respiratory tract infection (URTI), Lower respiratory tract infections, Respiratory tract infections, Rhinosinusitis, Common cold, Influenza — and 1 related terms.
  • The closest evidence on file: Elderberry is rated "Insufficient Reliable Evidence To Rate" for Respiratory tract infections (Natural Medicines).
  • Also on file: Elderberry is rated "Insufficient Reliable Evidence To Rate" for Rhinosinusitis, Lower respiratory tract infections.

The evidence for elderberry's effectiveness isn't established in our data. We hold insufficient reliable evidence to rate it for hay fever, heart disease, chronic fatigue, COPD, cognitive function, or respiratory tract infections.

That doesn't mean it doesn't work — it means larger, better-designed studies are needed to know for sure.

The evidence, ingredient by ingredient Elderberry

How safe is it?

Well-documented data
Safety Information · database check
Well characterized

Adverse-effect, pregnancy, and general safety data are on file for most of these ingredients.

Why this rating?
  • We hold adverse-effect (side-effect) data for 1 of the 1 matched ingredient.
  • Pregnancy & breastfeeding safety ratings cover 1 of 1.
  • General safety write-ups exist for 1 of 1.
  • Remember: this measures how much safety information exists. Thin data is not the same as being safe.

Properly cooked or prepared elderberry extracts are generally well tolerated. The main safety concern is raw or unripe berries, seeds, leaves, and bark — these contain compounds that can cause nausea, vomiting, severe diarrhea, weakness, dizziness, numbness, and even confusion, though cooking eliminates this risk.

Since this is a prepared liquid product from Eclectic Herb, it should be safe from that standpoint. One case report described liver inflammation in a person taking elderberry long-term alongside an autoimmune condition.

Because there isn't enough safety data, the facts advise against using elderberry supplements during pregnancy or while breastfeeding — talk with your doctor or pharmacist for personalized guidance if you're in either situation.

Side effects, ingredient by ingredient Elderberry

Meds to double-check

Moderate interaction found
Known Interaction Concern · database check
Moderate identified

The most serious documented interaction for these ingredients is Moderate. Check your medications for a personalized result.

Why this rating?
  • 1 of the 1 matched ingredient can interact with medications — Elderberry.
  • The most serious interaction on file is rated Moderate.
  • Some involve high-stakes drug classes: immunosuppressants / transplant drugs.
  • For scale: 121 individual medications appear in the full list. A big number alone doesn't make a product dangerous — what matters is whether YOUR medication is on it, so run yours through the interaction checker on this page.

Two medication types need checking: immunosuppressants (drugs that calm down your immune system, used after transplants or for autoimmune conditions) and pazopanib (Votrient, a cancer medication). Both carry Moderate-severity interaction concerns.

Use the search tool below to verify your exact medications before you start.

Check your own medication Run your meds through the checker above

The bottom line

Scorecard at a glanceFormula with limited ingredient disclosure with insufficient evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.

Elderberry might be worth considering if you're interested in immune support, but know that the evidence for specific health claims is limited. If you take an immunosuppressant medication, cancer drug like pazopanib, or have an autoimmune condition, check with your doctor or pharmacist before starting — the interaction risks are real.

For most people, properly prepared elderberry is generally well tolerated.

Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI

Assessment coverage: 1 of 1 active ingredient matched to our full ingredient reviews (monographs). Based on the product label dated Aug 22, 2024.

This Scorecard evaluates available label information, ingredient evidence, and known medication-safety considerations. It does not independently verify product identity, purity, potency, contamination, or manufacturing quality. How these ratings are computed

At a glance

General information

Key facts about Elderberry, straight from the product label.

Brand Eclectic Herb
Barcode (UPC) 023363322633
Net contents 2 Fluid Ounce(s); 60 mL
Market status On market
Date entered into DSLD Aug 22, 2024
DSLD ID 316772
Product type Botanical
Supplement form Liquid
Dietary claims / uses All Other, Structure/Function
Intended target group(s) Adult (18 - 50 Years), Kosher
From the label
Everything in this section is reproduced from the manufacturer’s own product label — it’s the label speaking, not HelloPharmacist. We show it so you can see exactly what the maker states; we don’t verify or endorse those statements.

Supplement Facts

The label details for Elderberry by Eclectic Herb, sourced from the NIH Dietary Supplement Label Database.

Supplement Facts

Daily Value (DV) Target Group(s):
Adults and children 4 or more years of age
Minimum serving Sizes:
1 Dropper(s)
Maximum serving Sizes:
1 Dropper(s)
UPC/BARCODE
023363322633
IngredientAmount% DV
Elderberry, Dried0 NP--

Other ingredients: Glycerin, Water, Filtered, Ascorbic Acid

Tap any ingredient to jump to its full detail below.

Label statements
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Formulation

Respiratory & immune support

Herbal glycerite

FDA Statement of Identity

Dietary Supplement

Suggested/Recommended/Usage/Directions

Suggested use: Shake well; Mix 1 full dropper in water; take 5 times daily.

Storage

Store upright.

Precautions

Keep out of reach of children.

Discontinue use if unusual symptoms occur.

Consult your health care advisor regarding the use of herbs during pregnancy, with infants or prescription drugs.

Formula

100% Kosher

FDA Disclaimer Statement

These statements have not been evaluated by the FDA. This product is not intended to diagnose, treat, cure or prevent disease.

General Statements

@eclecticherb

Is this label outdated? Report a formula or label change and our pharmacy team will review it.

See for yourself

Elderberry by Eclectic Herb label

The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.

Elderberry label

Label images are published by the NIH Dietary Supplement Label Database for the version of this product on file. Always read your actual product label.

View the full label (PDF)
What’s inside

The Ingredients in Elderberry by Eclectic Herb

This is the 1 active ingredient this product is made of. Select it to open its full monograph.

Serving size1 Dropper(s) Dosage formLiquid Amounts shown are per serving.

Elderberry, Dried

Interacts with
121 drugs
0 NP per serving Form: Sambucus nigra, Dried

Elderberry is a popular herbal supplement, mainly taken to help with colds and flu. Some small studies suggest it may modestly shorten cold or flu sym...

Elderberry, Dried monograph & interactions

Other (inactive) ingredients: Glycerin, Water, Filtered, Ascorbic Acid. These complete the product’s ingredient list but are not active constituents.

Interaction report

Elderberry by Eclectic Herb Drug Interactions

Want to check YOUR meds against Elderberry?

Ask about interactions with your drugs in plain English — “Can I take it with lisinopril?” — and we find you the answer in seconds, ingredient by ingredient.

 Go to the checker
121Drugs
121 Moderate

Ingredients driving the most interactions

Elderberry, Dried 121

Individual Drug Interactions

The ingredients in Elderberry interact with 121 drugs. Click any drug to see the details.

1 of the 1 ingredient in Elderberry interact with drugs. Each result below shows which ingredient is responsible. Elderberry, Dried

Each ingredient & the kinds of drugs it affects

For each ingredient in Elderberry with known interactions, here are the types of medications it can affect. Open any type for the detail — or search your exact drug in the checker above.

Elderberry, Dried2 drug types · 121 drugs

Immunosuppressants

Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Elderberry has immunostimulant activity, increasing the production of cytokines, including interleukin and tumor necrosis factor.

Likelihood Possible Evidence B
Pazopanib (Votrient)

Theoretically, elderberry might interact with pazopanib, potentially increasing the risk of adverse effects.
In one case, a 65-year-old patient taking pazopanib for 4 weeks for soft-tissue sarcoma developed severe nausea, loose stools, and elevated alanine transaminase and aspartate transaminase levels and was diagnosed with grade 3 liver injury. The patient reported taking elderberry supplements for 2 years, dose unspecified, and was also taking a multivitamin and a calcium supplement. The patient's symptoms and liver enzyme levels improved upon discontinuation of pazopanib and all supplements. Pazopanib treatment was re-initiated, at a lower dose, with no further evidence of liver injury. It was unclear in this case report if the elderberry supplements were derived from the berry, the flower, or the combination.

Likelihood Possible Evidence D
Elderberry, Dried full monograph & interactions
The maker

Brand information

Manufacturer and brand details for Elderberry, from the product label.

Eclectic Herb

See all Eclectic Herb products
Name
Eclectic Herb
Street Address
755 NE 6th St.
City
Gresham
State
Oregon
ZipCode
97030
Phone Number
503.668.4120
Web Address
www.eclecticherb.com
Pharmacist Counseling Corner

Elderberry by Eclectic Herb: Common Questions

Does Elderberry by Eclectic Herb interact with any medications?
Yes. Based on its ingredients, Elderberry has a known interaction with 121 medications. Use the checker to see how it interacts with a specific drug.
How can one product interact with so many drugs?
Elderberry contains a single active ingredient, and that one ingredient can interact with many different medications on its own. We check it against each medication and show the mechanism responsible.
Where does this information come from?
The product label data comes from the NIH Dietary Supplement Label Database (DSLD); the interaction data is built on the Natural Medicines database and reviewed by HelloPharmacist pharmacists.
Is this safe to take if I'm pregnant or breastfeeding?
There isn't enough reliable safety information to recommend elderberry supplements during pregnancy or breastfeeding. Talk with your doctor or pharmacist about what's right for your situation — they can weigh the specific risks and benefits for you.
What are the side effects of elderberry?
When properly prepared, elderberry is generally well tolerated with few side effects. If you were to ingest raw or unripe berries, seeds, or leaves, you could experience nausea, vomiting, severe diarrhea, weakness, or dizziness — but cooking eliminates that risk. One case report linked long-term elderberry use to liver inflammation in someone with an underlying autoimmune disease.
Will elderberry help with colds or the flu?
The evidence for elderberry's effectiveness against respiratory infections isn't established in our data. We don't have enough reliable research to say whether it actually works for colds, flu, or similar illnesses — larger studies would be needed.
What's in this liquid besides the elderberry?
The liquid contains glycerin (a preservative and sweetener), filtered water, and ascorbic acid (vitamin C). These are inactive ingredients — only the dried elderberry is the active component.
Can I take this with my immunosuppressant medication?
Elderberry can interfere with immunosuppressants by boosting immune activity, which could reduce how well your medication works. This is a Moderate concern — talk with your doctor or pharmacist before combining them, and don't stop either medication without medical guidance.

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

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Label information is sourced from the NIH Dietary Supplement Label Database and reflects the product version on file; always read your actual product label. This page is for education only and is not a substitute for professional medical advice. Confirm with your pharmacist or doctor before combining supplements and medications.

Elderberry label
Go deeper

The Full Monographs Behind Elderberry’s Ingredients

Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.

Herb & supplement monograph

Elderberry

Interacts with 121 drugs

Elderberry is a popular herbal supplement, mainly taken to help with colds and flu. Some small studies suggest it may modestly shorten cold or flu symptoms, but the evidence is limited and n...

Read the full Elderberry monograph →
Sources

Sources & How We Checked

Elderberry's label data comes from the NIH Dietary Supplement Label Database; the ingredient interaction data is from the Natural Medicines database, reviewed by our pharmacists.

Content is written and reviewed by licensed HelloPharmacist pharmacists. See our data sources and editorial standards for how this information is built and checked.

The 6 references behind this product’s interaction data

Every citation that drives the interaction findings for this product’s ingredients, from the evidence-graded Natural Medicines (TRC Healthcare) database. Open an ingredient to browse its citations — links open the study on PubMed or the publisher’s site.

Elderberry 6 references
  1. Barak V, Halperin T, Kalickman I. The effect of Sambucol, a black elderberry-based, natural product, on the production of human cytokines: I. Inflammatory cytokines. Eur Cytokine Netw 2001;12:290-6..
  2. Elderberry (Sambucus species). The Poison Plant Patch, Novia Scotia Museum, 2007. Available at: http://museum.gov.ns.ca/poison/?section=species&id=117 (Accessed 16 October 2009).
  3. European elder. Canadian Poisonous Plants Information System. Available at: http://www.cbif.gc.ca/pls/pp/ppack.jump?p_null=all&p_psn=121&p_type=all&p_sci=comm&p_x=px (Accessed 16 October 2009).
  4. Raus K, Pleschka S, Klein P, Schoop R, Fisher P. Effect of an echinacea-based hot drink versus oseltamivir in Influenza treatment: a randomized, double-blind, double-dummy, multicenter, noninferiority clinical trial. . Curr Ther Res Clin Exp. 2015;20;77:6 PubMed
  5. Ramachandran A, Antala D, Pudasainee P, Panginikkod S, Gupta H. A Plausible Association Between the Use of Elderberry and Autoimmune Hepatitis. Cureus 2022;14(4):e24250. PubMed
  6. Agarwal N, Mangla A. Elderberry interaction with pazopanib in a patient with soft-tissue sarcoma: A case report and literature review. Mol Clin Oncol 2024;20(5):36. PubMed

See these in context on the Elderberry monograph →

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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