Interactions on record — worth a quick check against your medications. Check your meds →
Dietary supplement

Elderberry Syrup Ingredients & Drug Interactions

by Revive

Elderberry Syrup label
See full label image
Liquid Category: Botanical
Most serious interaction: Moderate
Clinical methodology reviewed by · Updated Sep 16, 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 Revive 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.

Jump to a section

Check Your Meds Against Elderberry Syrup by Revive

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

Pharmacist-reviewed data Checks every ingredient Answer in seconds
Prefer a human? Send your question to our licensed pharmacists — free, answered by email within 24 hours.

HelloPharmacist Scorecard of Elderberry Syrup by Revive

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 12, 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.

Revive Elderberry Syrup is a single-ingredient product: elderberry extract in a liquid form. The inactive ingredients are glycerin and deionized water, which help create the syrup base.

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: immune support and respiratory health.
  • We looked for evidence on: Upper respiratory tract infection (URTI), Respiratory tract infections, Lower respiratory tract infections, Rhinosinusitis, colds, flu — 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, Upper respiratory tract infection (URTI), Lower respiratory tract infections.

The evidence for elderberry isn't established in our data for most of the conditions it's marketed for — hay fever, heart disease, chronic fatigue, COPD, cognitive function, and respiratory tract infections all fall into insufficient evidence to rate. That doesn't mean it doesn't work; it means the data we hold doesn't show us strong proof either way.

If you're considering it for one of these uses, talk to your pharmacist about what the broader research landscape looks like.

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 elderberry products (like this syrup) are generally well tolerated. The main risk comes from raw or unripe berries, seeds, leaves, and bark, which contain a compound that breaks down into something toxic — that can cause nausea, vomiting, diarrhea, weakness, dizziness, and in severe cases, numbness or confusion.

Cooking eliminates this toxin, and a prepared syrup should be safe on that front. There's one case report of autoimmune hepatitis in someone with an underlying autoimmune condition who took elderberry long-term; that patient recovered after stopping the product.

Avoid elderberry supplements during pregnancy and breastfeeding — there isn't enough safety data to know either way.

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 start, use the checker below to verify your medications — especially immunosuppressants (drugs to prevent transplant rejection or treat autoimmune disease) and pazopanib (a cancer drug). These are the medication types with documented moderate-severity interactions to this product.

Check your own medication Run your meds through the checker above

The bottom line

Scorecard at a glanceFully disclosed formula with insufficient evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.

Revive Elderberry Syrup may be worth a try if you're looking for immune support or cold season help, but you must check it against any immunosuppressants or cancer medications you're on — those are the main concerns. Because the effectiveness evidence is thin, talk with your pharmacist about whether it's the right fit for what you're hoping to use it for.

Don't take it if you're pregnant or breastfeeding.

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 Jun 25, 2025.

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 Revive
Barcode (UPC) 810069875194
Net contents 4 Fluid Ounce(s); 118 Milliliter(s)
Market status On market
Date entered into DSLD Jun 25, 2025
DSLD ID 331392
Product type Botanical
Supplement form Liquid
Dietary claims / uses All Other, Structure/Function
Intended target group(s) Children 4 or More Years of Age, Vegan, Vegetarian, Adult (18 - 50 Years), Gluten Free, Dairy Free
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 Revive, 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:
0.6 mL, 10 mL
Maximum serving Sizes:
0.6 mL, 10 mL
Servings per container
12
UPC/BARCODE
810069875194
IngredientAmount% DV
Calories25 Calorie(s), 0 Calorie(s)--
Total Carbohydrates6 Gram(s), 0 Gram(s)2%
Elderberry6400 mg, 400 mg--

Other ingredients: Glycerin, Water, Deionized

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.
General Statements

Servings per container: about 189, about 12

Made with love #GoRevive

Formula

Made from real elderberries

Real elderberries

Suggested/Recommended/Usage/Directions

Directions: Shake well before use. Adults and children 4 yrs and older, take 2 tsp once per day. Can increase up to four times daily when needed. Children 1-3 yrs, take 1/8 tsp once per day. Can increase up to twice daily when needed.

Precautions

Warning: Keep out of reach of children.

Consult with a health care provider if pregnant or nursing, taking medications, or have a medical condition.

Do not use if the safety seal is damaged or missing

Storage

Store in a cool, dry place.

FDA Disclaimer Statement

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

Formulation

Immune boosting

Gluten free Non-GMO No added sugar

Vegan

Free from: No artificial preservatives, flavors, sweeteners or colors. No high fructose corn syrup or added sugar. No dairy, gluten and soy.

Bottled in the USA

FDA Statement of Identity

Dietary Supplement

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

See for yourself

Elderberry Syrup by Revive 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 Revive

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

Serving size0.6 mL Dosage formLiquid Servings per container12 Amounts shown are per serving.

Elderberry

Interacts with
121 drugs
6400 mg per serving Form: Sambucus nigra

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: Glycerin, Water, Deionized. These complete the product’s ingredient list but are not active constituents.

Interaction report

Elderberry Syrup by Revive 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.

Revive

See all Revive products
Name
Revive Essential Oils
City
San Francisco
State
CA
ZipCode
94111
Phone Number
(415) 340-2851
Web Address
www.revive-eo.com
Pharmacist Counseling Corner

Elderberry Syrup by Revive: Common Questions

Does Elderberry Syrup by Revive 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 syrup safe if I'm pregnant or nursing?
There isn't enough reliable safety information to know either way. The safety data advises against it during pregnancy and breastfeeding. Talk with your doctor or pharmacist about whether it's right for you.
What's actually in this — is it just elderberry?
Yes, the active ingredient is elderberry. It's mixed with glycerin and deionized water to make the syrup — those are inactive ingredients that help create the liquid form.
Can raw elderberries make you sick?
Yes. Raw, unripe berries and parts like seeds and leaves contain a compound that can cause nausea, vomiting, severe diarrhea, and in bad cases, dizziness or numbness. But cooking breaks that down, and this syrup is made from ripe fruit, so it should be fine.
Does elderberry actually work for colds or the flu?
The evidence in our data isn't strong enough to say it does or doesn't. We rate it as insufficient evidence for respiratory tract infections and other common uses. Your pharmacist can tell you more about what the broader research shows.
I have an autoimmune condition — is elderberry safe for me?
There's one case report of someone with an underlying autoimmune disease who developed hepatitis after taking elderberry for years. Because elderberry can stimulate immune activity, it may not be a good fit for your condition — talk with 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?

Our pharmacists answer your medication & supplement questions — free.

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

Keep exploring
Supplement interaction checker › Check any supplement or product against your medications Drug–drug interactions › Check two or more of your medications against each other Browse medications A–Z › Every drug we've checked against herbs & supplements NDC & pricing lookup › Find a drug’s NDCs, packaging and costs Ask a pharmacist › Free, personal answer from our licensed team