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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 23, 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 Jul 11, 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 made from the ripe fruit of the elder plant and has been used traditionally to support immune function and respiratory health.

The liquid also contains inactive ingredients — glycerin, filtered water, and ascorbic acid (vitamin C) — which are excipients that 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, Upper respiratory tract infection (URTI), Lower respiratory tract infections.

The evidence for elderberry isn't established yet for the conditions we have data on. According to our current monograph, there's insufficient reliable evidence to rate its effectiveness for allergic rhinitis (hay fever), cardiovascular disease, chronic fatigue syndrome, COPD, cognitive function, or respiratory tract infections.

That doesn't mean it doesn't work — it means the studies we have aren't strong enough to say one way or the other.

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 extracts from ripe fruit are generally well tolerated, and adverse effects are uncommon when the product is prepared correctly. The main safety concern is raw or unripe berries, leaves, bark, and seeds — these parts contain compounds that can cause nausea, vomiting, severe diarrhea, weakness, dizziness, and numbness.

Cooking eliminates this toxin, so this liquid product should be safe from that standpoint. During pregnancy, there isn't enough reliable safety information, so the data advises against using elderberry supplements.

The same applies to breastfeeding — avoid it while nursing until we have better information. One rare case report documented autoimmune hepatitis (liver inflammation) in a patient with underlying autoimmune disease who took elderberry for several years, though this is not a common occurrence.

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 this elderberry liquid, check with your pharmacist if you take immunosuppressant medications (drugs given after transplants or for certain immune conditions) or pazopanib (Votrient), a cancer drug. Both interactions are rated Moderate.

If you take any other prescription medications, use the checker on this page to be sure.

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.

This elderberry product may appeal to folks looking for traditional immune support, but the evidence for specific conditions isn't established yet. If you take immunosuppressants after a transplant, have an autoimmune condition, or are on pazopanib for cancer, talk with your pharmacist or doctor before starting — those are the interactions we're most concerned about.

Pregnant or breastfeeding? Skip it until you've spoken with your healthcare provider.

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 Sep 25, 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) 023363612000
Net contents 2 Fluid Ounce(s); 60 mL
Market status On market
Date entered into DSLD Sep 25, 2024
DSLD ID 316815
Product type Botanical
Supplement form Liquid
Dietary claims / uses All Other, Structure/Function
Intended target group(s) Children 4 or More Years of Age, Kosher, Gluten Free, Children more than 1 but less than 4
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:
10 Drop(s)
Maximum serving Sizes:
30 Drop(s)
UPC/BARCODE
023363612000
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 Kids herbal glycerite

Gluten free Non GMO Soy free

US Grown

Formula

Kids herbal glycerite

100% Kosher.

FDA Statement of Identity

Dietary Supplement

Suggested/Recommended/Usage/Directions

Suggested Use: For children over 1 year of age. Use 3 times a day mixed in water, according to body weight. Under 25 lbs 10 drops; 26-50 lbs 15 drops; 51-75 lbs 20 drops; 76-100 lbs 25 drops, over 100 lbs 30 drops. For children under 1 year consult with your health care advisor.

Precautions

For children under 1 year consult with your health care advisor.

Keep out of reach of children.

Discontinue use if unusual symptoms occur.

Consult your health care advisor about herbs with pregnancy, infants or prescription drugs.

Consult your health care advisor about herbs with pregnancy, infants or prescription drugs.

Storage

Store upright.

FDA Disclaimer Statement

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

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 size10 Drop(s) Dosage formLiquid Amounts shown are per serving.

Elderberry, Dried

Interacts with
121 drugs
0 NP 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, 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
OR
ZipCode
97030
Phone Number
503-668-4120
Web Address
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.
Can I take this if I'm pregnant or breastfeeding?
The safety data advises against elderberry supplements during pregnancy and while breastfeeding because there isn't enough reliable information. Talk with your doctor or pharmacist about whether it's right for you in either situation — they can give you personalized advice based on your health.
Is this product safe if it's a liquid and not raw berries?
Yes. This is a prepared liquid extract from ripe fruit, and properly prepared elderberry extracts from ripe fruit are generally well tolerated. The safety concern with raw or unripe berries, seeds, leaves, and bark doesn't apply to this finished product.
What should I watch for side-effect wise?
When prepared correctly from ripe fruit, adverse effects are uncommon. The main side effects historically come from raw or unripe parts of the plant and include nausea, vomiting, or diarrhea — none of which should be an issue with this liquid. A rare case of liver inflammation (hepatitis) has been reported in someone with an underlying autoimmune disease who took it long-term, but that's uncommon.
Does this actually work for colds and flu?
That's a popular use, but we don't have enough reliable evidence to say whether elderberry is effective for respiratory tract infections. The data we have isn't strong enough to rate it one way or the other.
What's the ascorbic acid in the ingredients list?
That's vitamin C — it's an inactive ingredient added to preserve the product and help stabilize the extract.

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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