Immune Elderberry + Zinc Ingredients & Drug Interactions
by Zemvelo
What is this page for?
First and foremost: checking Immune Elderberry + Zinc 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
Immune Elderberry + Zinc is a dietary supplement by Zemvelo with 3 active ingredients. Its ingredients are commonly taken for zinc deficiency, immune support, cold symptoms.Based on those ingredients, 187 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Black Elderberry fruit 4:1 extract, Zinc. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Immune Elderberry + Zinc by Zemvelo
Ask about any prescription or over-the-counter medication and we check it for interactions with Immune Elderberry + Zinc by Zemvelo — and tell you which ingredient is responsible.
AI summaries are generated from our interaction database for education only — always confirm with your pharmacist. How we use AI
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HelloPharmacist Scorecard of Immune Elderberry + Zinc by Zemvelo
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.
What’s inside
Full disclosure
This liquid supplement contains 3 active ingredients. Zinc is included to support immune function and fill dietary gaps.
Black elderberry fruit extract (a 4:1 concentration) and an ionic trace minerals complex round out the formula. The inactive ingredients are purified water, potassium sorbate (a preservative), and citric acid.
Does it work?
Moderate evidence
Zinc is effective for treating zinc deficiency and likely effective for Wilson disease. It's rated possibly effective for acne, a genetic skin condition called acrodermatitis enteropathica, age-related macular degeneration (AMD), and diabetes.
The evidence for black elderberry fruit extract isn't established in our data, and we have no effectiveness information on file for the ionic trace minerals complex.
How safe is it?
Well-documented data
Zinc is well tolerated in doses below 40 mg daily for adults. At higher doses, the most common side effects are stomach cramps, diarrhea, nausea, and a metallic taste — all dose-related.
There's a concern that long-term, high-dose zinc (above 40 mg daily) might deplete your copper levels and lead to anemia or low white blood cell counts. We don't have pregnancy or breastfeeding safety data on file for any of the ingredients in this product — talk with your pharmacist or doctor if you're pregnant, planning pregnancy, or nursing.
Meds to double-check
Moderate interaction found
Before you start, check with your pharmacist if you take quinolone antibiotics (like ciprofloxacin), tetracycline antibiotics (like doxycycline), cephalexin, penicillamine, ritonavir, integrase inhibitors, bictegravir-based HIV drugs, or cisplatin. All are moderately affected by zinc.
No interactions are documented for the black elderberry extract or ionic trace minerals we could verify.
The bottom line
Scorecard at a glanceFully disclosed formula with some supporting evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
This product is worth considering if you want to support your immune system with zinc and elderberry. But if you take antibiotics (especially quinolones, tetracyclines, or cephalexin), HIV medications, or chemotherapy, you'll need to time this supplement carefully or skip it — check with your pharmacist first.
Stick to the recommended dose to stay under the 40 mg daily upper limit.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 3 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Jul 27, 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
General information
Key facts about Immune Elderberry + Zinc, straight from the product label.
| Brand | Zemvelo |
|---|---|
| Barcode (UPC) | 891663002544 |
| Net contents | 2 Fluid Ounce(s); 60 mL |
| Market status | On market |
| Date entered into DSLD | Jul 27, 2021 |
| DSLD ID | 249790 |
| Product type | Other Combinations |
| Supplement form | Liquid |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Vegan, Vegetarian, Adult (18 - 50 Years), Gluten Free |
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 Immune Elderberry + Zinc by Zemvelo, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Zinc | 33 mg | 300% |
| Black Elderberry fruit 4:1 extract | 33 mg | -- |
| Ionic Trace Minerals Complex | 33 mg | -- |
Other ingredients: purified Water, Potassium Sorbate, non-GMO Citric Acid
Tap any ingredient to jump to its full detail below.
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
Supports healthy immune functions Assists the body's natural inflammatory response
Third party tested
Vegan
Gluten-free Non GMO
FDA Disclaimer Statement
These statements have not been evaluated by the FDA. This product is not intended to diagnose, treat, cure or prevent any disease.
Seals/Symbols
Manufactured in the U.S.A. cGMP
FDA Statement of Identity
Dietary Supplement
Suggested/Recommended/Usage/Directions
Directions: Adults: Using the metered dropper, take 1.0 mL into 6-8 oz. of water or juice as maintenance. Scale the serving size up or down as directed by your healthcare professional.
Precautions
Children under 4: Consult a physician.
Do not use if tamper evident seal is broken or missing.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Immune Elderberry + Zinc by Zemvelo label
The label scan from the NIH Dietary Supplement Label Database. Tap to enlarge.
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)The Ingredients in Immune Elderberry + Zinc by Zemvelo
These are the 3 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 mL Dosage formLiquid Servings per container60 Amounts shown are per serving.
Most supplement products combine several ingredients, and a medication can interact with the product through any one of them. Each ingredient below shows whether it has known drug interactions.
Zinc
Interacts with67 drugs
Zinc is an essential mineral that your body needs for immune function, wound healing, taste, and smell. Most people get enough from food, but suppleme...
Zinc monograph & interactionsBlack Elderberry fruit 4:1 extract
Interacts with121 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 sym...
Black Elderberry fruit 4:1 extract monograph & interactionsIonic Trace Minerals Complex
Other (inactive) ingredients: Purified Water, Potassium Sorbate, Non-GMO Citric Acid. These complete the product’s ingredient list but are not active constituents.
Immune Elderberry + Zinc by Zemvelo Drug Interactions
HelloPharmacist Interaction Report
Zemvelo's Immune Elderberry + Zinc has moderate interactions with several medication types, all from the zinc component.
The most serious concern is with quinolone antibiotics (like ciprofloxacin and levofloxacin), cephalexin, and tetracycline antibiotics — zinc binds to these drugs in your stomach and blocks their absorption, reducing how well they work. Space zinc at least 2 hours before or 4–6 hours after quinolones and tetracyclines; cephalexin needs similar spacing.
Read the full breakdown — every affected drug type, severity by severity
Zinc also interacts moderately with penicillamine (used for Wilson disease and heavy metal poisoning), ritonavir (an HIV medication), integrase inhibitors (another HIV drug class), and bictegravir/emtricitabine/tenofovir alafenamide (Biktarvy, a combination HIV drug). It may theoretically interfere with cisplatin, a chemotherapy drug.
All of these work the same way — zinc chelates (binds) the medication and prevents your body from absorbing it properly.
We could not check the black elderberry fruit extract or ionic trace minerals complex for interactions — our data doesn't cover those ingredients. Altogether, these interactions span 65 individual medications.
Use the medication checker on this page to verify your exact prescriptions before starting this product.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Immune Elderberry + Zinc?
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 checkerIngredients driving the most interactions
Individual Drug Interactions
The ingredients in Immune Elderberry + Zinc interact with 187 drugs. Click any drug to see the details.
2 of the 3 ingredients in Immune Elderberry + Zinc interact with drugs. Each result below shows which ingredient is responsible. Black Elderberry fruit 4:1 extract Zinc
6-mercaptopurinePurinethol
How 6-mercaptopurine interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry Fruit 4:1 ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry Fruit 4:1 Extract + 6-mercaptopurine interactionAbrocitinibCibinqo
How Abrocitinib interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry Fruit 4:1 ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry Fruit 4:1 Extract + Abrocitinib interactionAdalimumabHumira
How Adalimumab interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry Fruit 4:1 ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry Fruit 4:1 Extract + Adalimumab interactionAdalimumab-adazHyrimoz
How Adalimumab-adaz interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry Fruit 4:1 ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry Fruit 4:1 Extract + Adalimumab-adaz interactionAdalimumab-adbmCyltezo
How Adalimumab-adbm interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry Fruit 4:1 ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry Fruit 4:1 Extract + Adalimumab-adbm interactionAdalimumab-afzbAbrilada
How Adalimumab-afzb interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry Fruit 4:1 ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry Fruit 4:1 Extract + Adalimumab-afzb interactionAdalimumab-attoAmjevita
How Adalimumab-atto interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry Fruit 4:1 ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry Fruit 4:1 Extract + Adalimumab-atto interactionAdalimumab-bwwdHadlima
How Adalimumab-bwwd interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry Fruit 4:1 ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry Fruit 4:1 Extract + Adalimumab-bwwd interactionAdalimumab-fkjpHulio
How Adalimumab-fkjp interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry Fruit 4:1 ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry Fruit 4:1 Extract + Adalimumab-fkjp interactionAlefaceptAmevive
How Alefacept interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry Fruit 4:1 ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry Fruit 4:1 Extract + Alefacept interactionAlemtuzumabCampath
How Alemtuzumab interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry Fruit 4:1 ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry Fruit 4:1 Extract + Alemtuzumab interactionAmphotericin, TetracyclineMysteclin-F
How Amphotericin, Tetracycline interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
ZincTetracycline Antibiotics Moderate
Interaction Summary
Zinc might reduce levels of tetracycline antibiotics.
Read the full Zinc + Amphotericin, Tetracycline interactionAnifrolumab-fniaSaphnelo
How Anifrolumab-fnia interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry Fruit 4:1 ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry Fruit 4:1 Extract + Anifrolumab-fnia interactionAntithymocyte GlobulinThymoglobulin
How Antithymocyte Globulin interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry Fruit 4:1 ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry Fruit 4:1 Extract + Antithymocyte Globulin interactionAtezolizumabTecentriq
How Atezolizumab interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry Fruit 4:1 ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry Fruit 4:1 Extract + Atezolizumab interactionAzamuneImmunoprin
How Azamune interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry Fruit 4:1 ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry Fruit 4:1 Extract + Azamune interactionAzathioprineAzamune, Imuran
How Azathioprine interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry Fruit 4:1 ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry Fruit 4:1 Extract + Azathioprine interactionBasiliximabSimulect
How Basiliximab interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry Fruit 4:1 ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry Fruit 4:1 Extract + Basiliximab interactionBeclometasone DipropionateBecotide
How Beclometasone Dipropionate interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry Fruit 4:1 ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry Fruit 4:1 Extract + Beclometasone Dipropionate interactionBeclomethasoneBeclovent, Vanceril
How Beclomethasone interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry Fruit 4:1 ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry Fruit 4:1 Extract + Beclomethasone interactionBeclomethasone DipropionateQNASL, Qvar
How Beclomethasone Dipropionate interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry Fruit 4:1 ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry Fruit 4:1 Extract + Beclomethasone Dipropionate interactionBetamethasoneCelestone, Diprolene AF, Diprosone
How Betamethasone interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry Fruit 4:1 ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry Fruit 4:1 Extract + Betamethasone interactionBetamethasone DipropionateSernivo
How Betamethasone Dipropionate interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry Fruit 4:1 ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry Fruit 4:1 Extract + Betamethasone Dipropionate interactionBetamethasone Dipropionate, CalcipotrieneEnstilar, Wynzora
How Betamethasone Dipropionate, Calcipotriene interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry Fruit 4:1 ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry Fruit 4:1 Extract + Betamethasone Dipropionate, Calcipotriene interactionBetamethasone ValerateLuxiq
How Betamethasone Valerate interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry Fruit 4:1 ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry Fruit 4:1 Extract + Betamethasone Valerate interactionBictegravir, Emtricitabine, Tenofovir AlafenamideBiktarvy
How Bictegravir, Emtricitabine, Tenofovir Alafenamide interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
ZincBictegravir/emtricitabine/tenofovir Alafenamide (biktarvy) Moderate
Interaction Summary
Theoretically, zinc might decrease levels of bictegravir/emtricitabine/tenofovir alafenamide by reducing its absorption.
Read the full Zinc + Bictegravir, Emtricitabine, Tenofovir Alafenamide interactionBimekizumab-bkzxBimzelx
How Bimekizumab-bkzx interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry Fruit 4:1 ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry Fruit 4:1 Extract + Bimekizumab-bkzx interactionBismuth Subsalicylate, Metronidazole, TetracyclineHelidac
How Bismuth Subsalicylate, Metronidazole, Tetracycline interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
ZincTetracycline Antibiotics Moderate
Interaction Summary
Zinc might reduce levels of tetracycline antibiotics.
Read the full Zinc + Bismuth Subsalicylate, Metronidazole, Tetracycline interactionCephalexinCephalex, Keflex, Keftab, Lexin
How Cephalexin interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
ZincCephalexin (keflex) Moderate
Interaction Summary
Zinc might decrease cephalexin levels by chelating with cephalexin in the gut and preventing its absorption.
Read the full Zinc + Cephalexin interactionChlortetracyclineAureomycin
How Chlortetracycline interacts with Immune Elderberry + Zinc — through 1 ingredient. Tap an ingredient for the detail:
ZincTetracycline Antibiotics Moderate
Interaction Summary
Zinc might reduce levels of tetracycline antibiotics.
Read the full Zinc + Chlortetracycline interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Immune Elderberry + Zinc with known interactions, here are the types of medications they can affect. Open any type for the detail — or search your exact drug in the checker above.
Black Elderberry fruit 4:1 extract
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.
Pazopanib (Votrient)
Theoretically, elderberry might interact with pazopanib, potentially increasing the risk of adverse effects.
Zinc
Bictegravir/Emtricitabine/Tenofovir Alafenamide (Biktarvy)
Theoretically, zinc might decrease levels of bictegravir/emtricitabine/tenofovir alafenamide by reducing its absorption.
Advise patients that bictegravir/emtricitabine/tenofovir alafenamide should be taken at least 2 hours before or 6 hours after zinc containing products.
Cephalexin (Keflex)
Zinc might decrease cephalexin levels by chelating with cephalexin in the gut and preventing its absorption.
A pharmacokinetic study shows that zinc sulfate 250 mg taken concomitantly with cephalexin 500 mg decreases peak levels of cephalexin by 31% and reduces the exposure to cephalexin by 27%. Also, taking zinc sulfate 3 hours before cephalexin decreases peak levels of cephalexin by 11% and reduces the exposure to cephalexin by 18%. By decreasing cephalexin levels, zinc might increase the risk of treatment failure. This effect does not occur when zinc is taken 3 hours after the cephalexin dose. To avoid an interaction, advise patients take zinc sulfate 3 hours after taking cephalexin.
Cisplatin (Platinol-Aq)
Theoretically, zinc might interfere with the therapeutic effects of cisplatin.
Animal research suggests that zinc stimulates tumor cell production of the protein metallothionein, which binds and inactivates cisplatin. It is not known whether zinc supplements or high dietary zinc intake can cause clinically significant interference with cisplatin therapy. Cisplatin might also increase zinc excretion.
Integrase Inhibitors
Theoretically, taking zinc along with integrase inhibitors might decrease the levels and clinical effects of these drugs.
Zinc is a divalent cation. Pharmacokinetic studies have shown that other divalent cations such as calcium and iron can decrease blood levels of the integrase inhibitor dolutegravir through chelation.
Penicillamine (Cuprimine, Depen)
Zinc might reduce the levels and clinical effects of penicillamine.
By forming an insoluble complex with penicillamine, zinc interferes with penicillamine absorption and activity. Zinc supplements reduce the efficacy of low-dose penicillamine (0.5-1 gram/day), but do not seem to affect higher doses (1-2.75 gram/day), provided dosing times are separated. Advise patients to take zinc and penicillamine at least 2 hours apart.
Quinolone Antibiotics
Zinc can decrease the levels and clinical effects of quinolones antibiotics.
Quinolones form complexes with zinc in the gastrointestinal tract, reducing absorption of both the quinolone and zinc if taken at the same time. Advise patients to take these drugs at least 2 hours before, or 4-6 hours after, zinc supplements.
Ritonavir (Norvir)
Zinc modestly reduces levels of ritonavir.
Clinical research shows that zinc might reduce serum ritonavir levels by chelating with ritonavir in the gut and preventing its absorption. In patients with HIV, ritonavir is taken with atazanavir to prevent the metabolism and increase the effects of atazanavir. A pharmacokinetic study shows that, in patients being treated with atazanavir/ritonavir, co-administration of zinc sulfate (Solvazinc tablets) 125 mg as a single dose or as multiple daily doses for 2 weeks reduces plasma levels of ritonavir by about 16%. However, atazanavir levels still remains high enough to prevent HIV virus replication. Therefore, the decrease in ritonavir levels is not likely to be clinically significant.
Tetracycline Antibiotics
Zinc might reduce levels of tetracycline antibiotics.
Tetracyclines form complexes with zinc in the gastrointestinal tract, which can reduce absorption of both the tetracycline and zinc when taken at the same time. Taking zinc sulfate 200 mg with tetracycline reduces absorption of the antibiotic by 30% to 40%. Demeclocycline and minocycline cause a similar interaction. However, doxycycline does not seem to interact significantly with zinc. Advise patients to take tetracyclines at least 2 hours before, or 4-6 hours after, zinc supplements to avoid any interactions.
Amiloride (Midamor)
Amiloride can modestly reduce zinc excretion and increase zinc levels.
Clinical research shows that amiloride can reduce urinary zinc excretion, especially at doses of 10 mg per day or more. This zinc-sparing effect can help to counteract zinc losses caused by thiazide diuretics, but it is unlikely to cause zinc toxicity at usual amiloride doses. The other potassium-sparing diuretics, spironolactone (Aldactone) and triamterene (Dyrenium), do not seem to have a zinc-sparing effect.
Atazanavir (Reyataz)
Zinc modestly reduces levels of atazanavir, although this effect does not seem to be clinically significant.
Clinical research shows that zinc might decrease serum atazanavir levels by chelating with atazanavir in the gut and preventing its absorption. Although a single dose of zinc sulfate (Solvazinc tablets) 125 mg orally does not affect atazanavir concentrations in patients being treated with atazanavir/ritonavir, co-administration of zinc sulfate 125 mg daily for 2 weeks reduces plasma levels of atazanavir by about 22% in these patients. However, despite this decrease, atazanavir levels still remain at high enough concentrations for the prevention of HIV virus replication.
Brand information
Manufacturer and brand details for Immune Elderberry + Zinc, from the product label.
Zemvelo
See all Zemvelo products- Name
- Zemvelo by MINERALIFE "Love & Gratitude"
- Street Address
- 1435 Woolsey Hts
- City
- Colorado Springs
- State
- CO
- ZipCode
- 80915
- Phone Number
- 8003031376
- Web Address
- zemvelo.com
Immune Elderberry + Zinc by Zemvelo: Common Questions
Does Immune Elderberry + Zinc by Zemvelo interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
What does zinc do in this product?
Can I take this if I'm on an antibiotic?
What are the side effects of zinc at the recommended dose?
Is it safe to take this long-term?
Is black elderberry proven to work?
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Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Immune Elderberry + Zinc is safe with your meds?
Our pharmacists answer your medication & supplement questions — free.
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.
The Full Monographs Behind Immune Elderberry + Zinc’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Zinc
Interacts with 67 drugsZinc is an essential mineral that your body needs for immune function, wound healing, taste, and smell. Most people get enough from food, but supplements can help correct or prevent a defici...
Read the full Zinc monograph → Herb & supplement monographElderberry
Interacts with 121 drugsElderberry 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 & How We Checked
Immune Elderberry + Zinc'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.
- NIH Dietary Supplement Label Database (DSLD) — The official product label on file for this supplement.
- Natural Medicines (Therapeutic Research Center) — Evidence-graded clinical reference behind the ingredient interaction data.
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 94 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.
Zinc 88 references
- Barceloux DG. Zinc. J Toxicol Clin Toxicol 1999;37:279-92.
- Eby GA, Davis DR, Halcomb WW. Reduction in duration of common colds by zinc gluconate lozenges in a double-blind study. Antimicrob Agents Chemother 1984;25:20-4. DOI
- Smith DS, Helzner EC, Nuttall CE Jr, et al. Failure of zinc gluconate in treatment of acute upper respiratory tract infections. Antimicrob Agents Chemother 1989;33:646-8. PubMed
- Blondeau JM. Expanded activity and utility of the new fluoroquinolones: a review. Clin Ther 1999;21:3-40. PubMed
- Reyes AJ, Olhaberry JV, Leary WP, et al. Urinary zinc excretion, diuretics, zinc deficiency and some side-effects of diuretics. S Afr Med J 1983;64:936-41.
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