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Dietary supplement

Elderberry Syrup Ingredients & Drug Interactions

by Nutriana

Elderberry Syrup label
See full label image
Liquid Category: Botanical
Most serious interaction: Moderate
Clinical methodology reviewed by · Updated Sep 9, 2026 · Label data from the NIH DSLD
What is this page for?

First and foremost: checking Elderberry Syrup 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 Syrup is a dietary supplement by Nutriana 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. 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 Syrup by Nutriana

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

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HelloPharmacist Scorecard of Elderberry Syrup by Nutriana

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 Jul 23, 2026

What’s inside

Full disclosure
Ingredient Transparency · database check
Full

Every active ingredient lists its own amount on the label.

Why this rating?
  • The label discloses an exact amount for 1 of its 1 active ingredient.
  • No proprietary blends here — you can verify the dose of every single component.

This product contains one active ingredient: elderberry, a dark purple berry used traditionally to support immune and respiratory health. The syrup form includes inactive ingredients—purified water, glycerine, sodium benzoate, and potassium sorbate—that serve as a liquid base and preservatives.

Does it work?

Couldn't assess
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
Not assessable

This is a single-ingredient Elderberry product and its label doesn't state a use — see Elderberry's own graded uses on its monograph.

Why this rating?
  • We looked at the product name, claims, and label statements and couldn't find a stated purpose to grade.

The evidence for elderberry isn't yet established in the data we hold. The product claims to support allergic rhinitis (hay fever), cardiovascular health, fatigue, breathing, thinking, and respiratory infections, but all of these have insufficient reliable evidence to rate at this time.

That doesn't mean it doesn't work—it means more research is needed to know.

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.

A properly cooked elderberry product like this one is generally well tolerated. The real risk comes from raw or unripe berries, seeds, leaves, and bark, which contain a toxin that causes nausea, vomiting, severe diarrhea, weakness, and dizziness—but cooking eliminates it, so a prepared syrup should be safe on that front.

During pregnancy, there isn't enough reliable safety information, so it's best to avoid elderberry supplements. The same holds for breastfeeding.

If you're pregnant or nursing and want to take this, talk with your doctor or pharmacist about whether it's right for you. There's also one case report of autoimmune hepatitis (liver inflammation) in someone with an underlying autoimmune disease who took elderberry for several years, so if you have an autoimmune condition, mention this product to your healthcare provider.

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.

Before you take this, double-check with your doctor or pharmacist if you're on pazopanib (Votrient) for cancer or any immunosuppressant medication—these are the documented concerns. Because elderberry stimulates immune activity, it may reduce how well these drugs work.

Check your own medication Run your meds through the checker above

The bottom line

Scorecard at a glanceFully disclosed formula with no assessable stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.

Elderberry syrup is generally well tolerated when properly prepared, but it isn't the right choice if you take pazopanib or any immunosuppressant medication. Avoid it during pregnancy and breastfeeding unless your doctor or pharmacist says otherwise.

If you have an autoimmune condition or take any prescription drugs, check with your doctor or pharmacist before starting.

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 Feb 25, 2021.

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 Syrup, straight from the product label.

Brand Nutriana
Barcode (UPC) X002I1W89B
Net contents 2 Oz(s); 60 mL
Market status On market
Date entered into DSLD Feb 25, 2021
DSLD ID 244087
Product type Botanical
Supplement form Liquid
Dietary claims / uses All Other, Structure/Function
Intended target group(s) Adult (18 - 50 Years)
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 Syrup by Nutriana, 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:
2 Dropper(s) full
Maximum serving Sizes:
2 Dropper(s) full
Servings per container
30
UPC/BARCODE
X002I1W89B
IngredientAmount% DV
Elderberry200 mg--

Other ingredients: purified Water, Glycerine, Sodium Benzoate, Potassium Sorbate

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.
Suggested/Recommended/Usage/Directions

Suggested use: Shake well before each use. Take 2 droppers full daily. Place in mouth and swallow. Alternatively, drops can be added to water or juice.

Storage

Storage: Keep away from heat, light, and humidity to preserve freshness.

Store in a cool, dry place.

Precautions

Caution: Do not exceed recommended dose.

Pregnant or nursing mothers, children under the age of 18 and individuals with a known medical condition should consult a physician before using this or any dietary supplement.

Pregnant or nursing mothers, children under the age of 18 and individuals with a known medical condition should consult a physician before using this or any dietary supplement. Keep out of reach of children.

Do not use if safety seal is damaged or missing.

Seals/Symbols

Made in USA quality guaranteed

Formulation

Healthy immune support

FDA Statement of Identity

Dietary Supplement

FDA Disclaimer Statement

These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.

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

See for yourself

Elderberry Syrup by Nutriana label

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

Elderberry Syrup 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 Syrup by Nutriana

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

Serving size2 Dropper(s) full Dosage formLiquid Servings per container30 Amounts shown are per serving.

Elderberry

Interacts with
121 drugs
200 mg per serving

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 monograph & interactions

Other (inactive) ingredients: Purified Water, Glycerine, Sodium Benzoate, Potassium Sorbate. These complete the product’s ingredient list but are not active constituents.

Interaction report

Elderberry Syrup by Nutriana Drug Interactions

Want to check YOUR meds against Elderberry Syrup?

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 121

Individual Drug Interactions

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

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

Each ingredient & the kinds of drugs it affects

For each ingredient in Elderberry Syrup 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.

Elderberry2 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 full monograph & interactions
The maker

Brand information

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

Nutriana

See all Nutriana products
Name
Nutriana
Street Address
312 SW Greenwich Drive #319
City
Lee's Summit
State
MO
ZipCode
64082
Phone Number
1-888-243-4068
Web Address
www.shopnutriana.com
Pharmacist Counseling Corner

Elderberry Syrup by Nutriana: Common Questions

Does Elderberry Syrup by Nutriana interact with any medications?
Yes. Based on its ingredients, Elderberry Syrup 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 Syrup 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 if I'm pregnant or breastfeeding?
No—there isn't enough reliable safety information about elderberry during pregnancy or breastfeeding, so it's best to avoid it. Talk with your doctor or pharmacist before taking it if you're pregnant, planning to become pregnant, or nursing.
What are the side effects?
When properly prepared, elderberry extracts are well tolerated and rarely cause problems. Side effects are most likely if you consume raw or unripe berries, seeds, or leaves—which can cause nausea, vomiting, diarrhea, weakness, and dizziness. This syrup is cooked, so that risk is eliminated.
Does elderberry actually work for colds or the flu?
The evidence isn't established yet in the data we hold. Many people use it for respiratory infections, but we don't have enough reliable research to say for certain whether it helps.
Can I take this with my immunosuppressant medication?
Not without checking first. Elderberry stimulates your immune system, which might interfere with immunosuppressants. Talk with your doctor or pharmacist before combining them.
Is there anything else in this syrup besides elderberry?
The active ingredient is elderberry. The syrup also contains purified water, glycerine, sodium benzoate, and potassium sorbate as a liquid base and preservatives.
What if I have an autoimmune disease?
There's one case report of liver inflammation in someone with an autoimmune disease who took elderberry long-term. If you have an autoimmune condition, mention this product to your doctor or pharmacist before starting it.

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

Not sure if Elderberry Syrup is safe with your meds?

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Ask a pharmacist

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 Syrup label
Go deeper

The Full Monographs Behind Elderberry Syrup’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 Syrup'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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