Organic Elderberry Whole-Food Gummies Ingredients & Drug Interactions
by New Chapter
What is this page for?
First and foremost: checking Organic Elderberry Whole-Food Gummies 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
Organic Elderberry Whole-Food Gummies is a dietary supplement by New Chapter with 3 active ingredients. Its ingredients are commonly taken for general nutrition and fiber intake, heart and cholesterol health, blood sugar and weight management.Based on those ingredients, 300 medications have a known interaction with it, the most serious rated major. The ingredients most likely to interact are organic Apple juice & puree concentrate. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Organic Elderberry Whole-Food Gummies by New Chapter
Ask about any prescription or over-the-counter medication and we check it for interactions with Organic Elderberry Whole-Food Gummies by New Chapter — 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 Organic Elderberry Whole-Food Gummies by New Chapter
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
Low disclosure
This gummy has 3 active ingredients: organic apple juice and puree concentrate, organic elderberry juice concentrate, and organic ElderCraft European elderberry extract. The apple provides some fruit base and natural sweetness, while the two elderberry components are the main botanical actives.
The product also contains inactive ingredients — pectin (for texture), organic rice flour, and organic lemon juice concentrate — which are fillers and binders that give the gummy its form.
Does it work?
Couldn't assess
The evidence for elderberry itself isn't established in our data for the conditions typically claimed — we hold no effectiveness ratings for these ingredients against Alzheimer's disease, cancer, dental plaque, diabetes, or diarrhea. For the apple juice component, we also have insufficient reliable evidence to rate it for any health condition.
If you're considering this gummy for a specific health goal, talk with your pharmacist about what the research actually supports.
How safe is it?
Well-documented data
Apple as a food is generally well tolerated in normal amounts. The most common side effects are bloating and flatulence.
Rarely, people allergic to other fruits in the Rosaceae family — apricot, almond, plum, peach, pear, or strawberry — may also react to apples, and in rare cases this can be severe (anaphylaxis). Whole apples are considered safe in pregnancy and while breastfeeding, but we don't have enough study of concentrated apple extracts in these situations, so talk with your doctor if you're pregnant or nursing.
We have no safety data on file for the elderberry ingredients.
Meds to double-check
Major interaction found
Check before taking this if you use OATP substrates (fexofenadine, aliskiren, and others in that class) — apple juice can cut their blood levels sharply. Also double-check antihypertensive drugs (blood pressure medications), diabetes medications, atenolol (Tenormin), and lithium.
If you take any of these, talk to your pharmacist or doctor before starting.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with no assessable stated purpose. Major medication interactions have been identified, and safety information is well characterized.
If you take fexofenadine, atenolol, aliskiren, lithium, or other blood pressure or diabetes medications, you'll want to check your exact drugs before using this product — the apple juice can significantly lower how much medication gets into your bloodstream. Even if you're just using it for general wellness, run any prescription through our checker first.
Your pharmacist can tell you whether the timing or dose needs adjusting.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 1 of 3 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Dec 18, 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 Organic Elderberry Whole-Food Gummies, straight from the product label.
| Brand | New Chapter |
|---|---|
| Barcode (UPC) | 727783902993 |
| Net contents | 60 Vegan Gummy(ies) |
| Market status | On market |
| Date entered into DSLD | Dec 18, 2021 |
| DSLD ID | 257135 |
| Product type | Botanical |
| Supplement form | Gummy Or Jelly |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | Children 4 or More Years of Age, Vegan, Vegetarian, Kosher, Organic, 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 Organic Elderberry Whole-Food Gummies by New Chapter, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Calories | 15 Calorie(s) | -- |
| Total Carbohydrates | 3 Gram(s) | 2%, 1% |
| Total Sugars | 2 Gram(s) | -- |
| Organic Fruit Blend | 4700 mg | -- |
| added Sugars | 1 Gram(s) | 4%, 2% |
| organic Apple juice & puree concentrate | 0 NP | -- |
| organic Elderberry juice concentrate | 0 NP | -- |
| organic ElderCraft European Elderberry extract | 150 mg | -- |
Other ingredients: Pectin, organic Rice Flour, organic Lemon juice concentrate
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.
Suggested/Recommended/Usage/Directions
Suggested use: Ages 2-12: Chew one gummy daily. Ensure child chews thoroughly. Ages 12 years and above, chew 2 gummies daily.
Formulation
Great-tasting immune booster Support your healthy immune system every day with clinically studied Black Elderberry (Sambucus nigra). Our potent, superior-quality fruit is sustainably grown in Austria, then highly concentrated in a solvent-free process. Inspired by tradition, grounded in science. Boost immunity Activate your immune defenses with the force of pure Black Elderberry. Superfood Antioxidant Powerful antioxidant action from super-dark elderberry flavonoids for immune support.
Nutrition crafted for: Immune support
Great-tasting Elderberry gummies, made with real fruit & no cane sugar
USDA Organic
Non GMO Project Verified nongmoproject.org Certified NSF Gluten-free
Certified Vegan vegan.org
Certified Organic by International Certification Services, Inc.
Certified B Corporation This company meets the highest standards of social and environmental impact.
No artificial flavors or colors.
Formula
Potency unlocked Made with potent elderberry extract, concentrated 64x for optimal benefit.
The magic inside: Great-tasting Elderberry gummies, made with real fruit & no cane sugar
OU (Kosher)
General Statements
New look
Please recycle this BPA-Free bottle.
The New Chapter Money-Back Guarantee We proudly stand behind every product we make. However, if you are not satisfied, please visit www.newchapter.com/guarantee for refund details.
Join us at newchapter.com!
FDA Statement of Identity
Dietary Supplement
Brand IP Statement(s)
Copyright 2020 New Chapter, Inc.
Precautions
Caution: As with any dietary supplement, advise your healthcare professional of the use of this product if you have a medical condition or are taking medication. If you are nursing, pregnant, or considering pregnancy, consult your healthcare professional prior to using this product.
Discontinue use and contact your healthcare professional if your children experience a side effect or an allergic reaction.
Do not exceed suggested use.
Keep out of reach of children.
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.
Seals/Symbols
Certified B Corporation
USDA Organic Non GMO Project Verified nongmoproject.org Certified NSF Gluten-free Certified Vegan vegan.org OU (Kosher)
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Organic Elderberry Whole-Food Gummies by New Chapter 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 Organic Elderberry Whole-Food Gummies by New Chapter
These are the 3 active ingredients this product is made of. Select any to open its full monograph.
Serving size1 Gummy(ies) Dosage formGummy Or Jelly Servings per container30 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.
Organic Fruit Blend
- › Organic Apple juice & puree concentrate
- › Organic Elderberry juice concentrate
Organic ElderCraft European Elderberry extract
Other (inactive) ingredients: Pectin, Organic Rice Flour, Organic Lemon juice concentrate. These complete the product’s ingredient list but are not active constituents.
Organic Elderberry Whole-Food Gummies by New Chapter Drug Interactions
HelloPharmacist Interaction Report
New Chapter's Organic Elderberry Whole-Food Gummies contain apple juice concentrate, which has documented interactions with medications.
The most serious concern is with a group of drugs called OATP substrates (organic anion-transporting polypeptide substrates) — medications like fexofenadine (Allegra) and aliskiren (Tekturna) — where apple juice can cut blood levels by up to 78%, potentially making them much less effective.
Read the full breakdown — every affected drug type, severity by severity
Apple juice in this product also interacts with blood pressure medications (antihypertensives) and may interfere with blood glucose control if you take diabetes drugs. It can decrease absorption of atenolol (Tenormin), a common heart and blood pressure medication, by 58% to 82%.
There's also a case report of apple juice lowering lithium levels in someone taking it for mood disorders.
We couldn't check the organic elderberry juice concentrate or the ElderCraft European elderberry extract — we hold no interaction data for those ingredients. Altogether, these interactions span 297 individual medications.
Use the medication checker on this page to look up any prescriptions you take before starting.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Organic Elderberry Whole-Food Gummies?
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 Organic Elderberry Whole-Food Gummies interact with 300 drugs. Click any drug to see the details.
1 of the 3 ingredients in Organic Elderberry Whole-Food Gummies interact with drugs. Each result below shows which ingredient is responsible. organic Apple juice & puree concentrate
AtorvastatinAtorvaliq
How Atorvastatin interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Organic Apple Juice & Puree Concentrate + Atorvastatin interactionAtorvastatin CalciumLipitor
How Atorvastatin Calcium interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Organic Apple Juice & Puree Concentrate + Atorvastatin Calcium interactionBosentanTracleer
How Bosentan interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateAntihypertensive Drugs, Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming apple juice with antihypertensive drugs might interfere with blood pressure control.
Read the full Organic Apple Juice & Puree Concentrate + Bosentan interactionBrincidofovirTembexa
How Brincidofovir interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Organic Apple Juice & Puree Concentrate + Brincidofovir interactionCeliprololCelicard
How Celiprolol interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateAntihypertensive Drugs, Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Consuming apple juice with antihypertensive drugs might interfere with blood pressure control.
Read the full Organic Apple Juice & Puree Concentrate + Celiprolol interactionCerivastatin SodiumBaycol
How Cerivastatin Sodium interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Organic Apple Juice & Puree Concentrate + Cerivastatin Sodium interactionCinoxacinCinobac
How Cinoxacin interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Organic Apple Juice & Puree Concentrate + Cinoxacin interactionCiprofloxacinCiloxan, Cipro, Cipro IV, Cipro XR, Ciprobay, Otiprio
How Ciprofloxacin interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Organic Apple Juice & Puree Concentrate + Ciprofloxacin interactionCiprofloxacin, HydrocortisoneCipro HC Otic
How Ciprofloxacin, Hydrocortisone interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Organic Apple Juice & Puree Concentrate + Ciprofloxacin, Hydrocortisone interactionClinafloxacinClinafloxacin
How Clinafloxacin interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Organic Apple Juice & Puree Concentrate + Clinafloxacin interactionEnoxacinPenetrex
How Enoxacin interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Organic Apple Juice & Puree Concentrate + Enoxacin interactionEtoposideEtopophos, VePesid, VP16
How Etoposide interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Organic Apple Juice & Puree Concentrate + Etoposide interactionEzetimibe, AtorvastatinLiptruzet
How Ezetimibe, Atorvastatin interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Organic Apple Juice & Puree Concentrate + Ezetimibe, Atorvastatin interactionFexofenadineAllegra
How Fexofenadine interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateOrganic Anion-transporting Polypeptide Substrates (oatp), Fexofenadine (allegra) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Organic Apple Juice & Puree Concentrate + Fexofenadine interactionFexofenadine, PseudoephedrineAllegra D
How Fexofenadine, Pseudoephedrine interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateFexofenadine (allegra), Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of fexofenadine.
Read the full Organic Apple Juice & Puree Concentrate + Fexofenadine, Pseudoephedrine interactionFluvastatinLescol, Lescol XL
How Fluvastatin interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Organic Apple Juice & Puree Concentrate + Fluvastatin interactionGatifloxacinTequin, Tequin Injection
How Gatifloxacin interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Organic Apple Juice & Puree Concentrate + Gatifloxacin interactionGemifloxacinFactive
How Gemifloxacin interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Organic Apple Juice & Puree Concentrate + Gemifloxacin interactionGlyburideAlbert Glyburide, Diabeta, Glycron, Glynase, Glynase PresTab, Micronase +1 more
How Glyburide interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateAntidiabetes Drugs, Organic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Theoretically, consuming apple juice with antidiabetes drugs might interfere with blood glucose control.
Read the full Organic Apple Juice & Puree Concentrate + Glyburide interactionGlyburide, MetforminGlucovance
How Glyburide, Metformin interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateOrganic Anion-transporting Polypeptide Substrates (oatp), Antidiabetes Drugs Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Organic Apple Juice & Puree Concentrate + Glyburide, Metformin interactionGrepafloxacinRaxar
How Grepafloxacin interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Organic Apple Juice & Puree Concentrate + Grepafloxacin interactionIrinotecanCamptosar, Onivyde
How Irinotecan interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Organic Apple Juice & Puree Concentrate + Irinotecan interactionIrinotecan Hydrochloride
How Irinotecan Hydrochloride interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Organic Apple Juice & Puree Concentrate + Irinotecan Hydrochloride interactionIsoniazid, Pyrazinamide, RifampinRifater
How Isoniazid, Pyrazinamide, Rifampin interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Organic Apple Juice & Puree Concentrate + Isoniazid, Pyrazinamide, Rifampin interactionIsoniazid, RifampinRifamate
How Isoniazid, Rifampin interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Organic Apple Juice & Puree Concentrate + Isoniazid, Rifampin interactionLevofloxacinLeva-pak, Levaquin, Levaquin Injection
How Levofloxacin interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Organic Apple Juice & Puree Concentrate + Levofloxacin interactionLevofloxacin (ophthalmic)Levofloxacin
How Levofloxacin (ophthalmic) interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Organic Apple Juice & Puree Concentrate + Levofloxacin (ophthalmic) interactionLomefloxacinMaxaquin
How Lomefloxacin interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Organic Apple Juice & Puree Concentrate + Lomefloxacin interactionLovastatinAltocor, Mevacor
How Lovastatin interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Organic Apple Juice & Puree Concentrate + Lovastatin interactionMethotrexateOtrexup, Rasuvo, Reditrex, Rheumatrex
How Methotrexate interacts with Organic Elderberry Whole-Food Gummies — through 1 ingredient. Tap an ingredient for the detail:
Organic Apple Juice & Puree ConcentrateOrganic Anion-transporting Polypeptide Substrates (oatp) Major
Interaction Summary
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Read the full Organic Apple Juice & Puree Concentrate + Methotrexate interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Organic Elderberry Whole-Food Gummies 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.
organic Apple juice & puree concentrate
Organic Anion-Transporting Polypeptide Substrates (Oatp)
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of OATP substrates.
Research shows that consuming apple juice inhibits OATP, which reduces bioavailability of oral drugs that are substrates of OATP. Fexofenadine, atenolol, and aliskiren are substrates of OATP. Clinical research shows that coadministration of apple juice decreases bioavailability of fexofenadine by up to 78%, aliskiren by 63%, and atenolol by up to 82%. These effects appear to increase with larger quantities of apple juice. It is thought that apple juice might affect OATP for only a short time. Therefore, separating drug administration and consumption of apple juice by at least 4 hours might avoid this interaction.
Aliskiren (Tekturna, Rasilez)
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of aliskiren.
Pharmacokinetic research shows that coadministration of apple juice 200 mL along with aliskiren 150 mg decreases the bioavailability of aliskiren by 63%. Apple juice seems to inhibit organic anion transporting polypeptide (OATP), which is involved in drug uptake in the gut, liver, and kidney. It is thought that apple juice might affect OATP for only a short time. Therefore, separating drug administration and consumption of apple juice by at least 4 hours might avoid this interaction.
Antidiabetes Drugs
Theoretically, consuming apple juice with antidiabetes drugs might interfere with blood glucose control.
Clinical research suggests that consuming apples or drinking apple juice can raise blood glucose levels, with the effects of drinking apple juice being more significant than consuming apples.
Antihypertensive Drugs
Consuming apple juice with antihypertensive drugs might interfere with blood pressure control.
Some clinical evidence suggests that consuming apple and cherry juice can increase blood pressure in elderly patients.
Atenolol (Tenormin)
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of atenolol.
Pharmacokinetic research shows that coadministration of apple juice 600-1200 mL decreases levels of atenolol by 58% to 82% in a dose-dependent manner. Apple juice seems to inhibit organic anion transporting polypeptide (OATP), which is involved in drug uptake in the gut, liver, and kidney. It is thought that apple juice might affect OATP for only a short time. Therefore, separating drug administration and consumption of apple juice by at least 4 hours might avoid this interaction.
Fexofenadine (Allegra)
Concomitant consumption of apple juice can significantly decrease oral absorption and blood levels of fexofenadine.
Pharmacokinetic research shows that coadministration of apple juice 400-1200 mL along with fexofenadine 60-120 mg decreases bioavailability of fexofenadine by up to 78%. Coadministration with smaller quantities of apple juice (150 mL or less) does not appear to affect the bioavailability of fexofenadine. Apple juice seems to inhibit organic anion transporting polypeptide (OATP), which is involved in drug uptake in the gut, liver, and kidney. It is thought that apple juice might affect OATP for only a short time. Therefore, separating drug administration and consumption of apple juice by at least 4 hours might avoid this interaction.
Lithium
There is some concern that concomitant consumption of apple juice might decrease oral absorption and blood levels of lithium.
In one case report, a patient had an undetectable serum lithium level when lithium citrate was administered with apple juice. When lithium was administered with an alternative beverage, the lithium level became detectable and the patient demonstrated clinical improvement.
Brand information
Manufacturer and brand details for Organic Elderberry Whole-Food Gummies, from the product label.
New Chapter
See all New Chapter products- Name
- New Chapter, Inc.
- Street Address
- 90 Technology Drive
- City
- Brattleboro
- State
- VT
- ZipCode
- 05301
- Phone Number
- 888-874-4461
- Web Address
- www.newchapter.com
Organic Elderberry Whole-Food Gummies by New Chapter: Common Questions
Does Organic Elderberry Whole-Food Gummies by New Chapter interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take this with my blood pressure or heart medication?
What's the difference between the two elderberry ingredients?
Does this have a lot of fillers?
Is it safe to take while pregnant?
Can I take this if I'm allergic to other fruits?
What side effects should I watch for?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Organic Elderberry Whole-Food Gummies 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 Organic Elderberry Whole-Food Gummies’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Sources & How We Checked
Organic Elderberry Whole-Food Gummies'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.
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The 16 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.
Apple 16 references
- The Review of Natural Products by Facts and Comparisons. St. Louis, MO: Wolters Kluwer Co., 1999.
- Bailey DG, Dresser GK, Munoz C, et al. Reduction of fexofenadine bioavailability by fruit juices. Clin Pharmacol Ther 2001;69:P21.
- Rodriguez J, Crespo JF, Lopez-Rubio A, et al. Clinical cross-reactivity among foods of the Rosaceae family. J Allergy Clin Immunol 2000;106:183-189. PubMed
- Greenblatt DJ. Analysis of drug interactions involving fruit beverages and organic anion-transporting polypeptides. J Clin Pharmacol 2009;49:1403-7. PubMed
- Bailey DG. Fruit juice inhibition of uptake transport: a new type of food-drug interaction. Br J Clin Pharmacol 2010;70:645-55. PubMed
- Kamath AV, Yao M, Zhang Y, Chong S. Effect of fruit juices on the oral bioavailability of fexofenadine in rats. J Pharm Sci 2005;94:233-9. PubMed
- Tapaninen T, Neuvonen PJ, Niemi M. Orange and apple juice greatly reduce the plasma concentrations of the OATP2B1 substrate aliskiren. Br J Clin Pharmacol 2011;71:718-26. PubMed
- Jeon H, Jang IJ, Lee S, et al. Apple juice greatly reduces systemic exposure to atenolol. Br J Clin Pharmacol 2012 May 11. doi: 10.1111/j.1365-2125.2012.04324.x. [Epub ahead of print]. PubMed
- Visvanathan, R., Chen, R., Horowitz, M., and Chapman, I. Blood pressure responses in healthy older people to 50 g carbohydrate drinks with differing glycaemic effects. Br J Nutr 2004;92(2):335-340. PubMed
- Asp, N. G., Agardh, C. D., Ahren, B., Dencker, I., Johansson, C. G., Lundquist, I., Nyman, M., Sartor, G., and Schersten, B. Dietary fibre in type II diabetes. Acta Med Scand Suppl 1981;656:47-50. PubMed
- Akamine Y, Miura M, Komori H, et al. Effects of one-time apple juice ingestion on the pharmacokinetics of fexofenadine enantiomers. Eur J Clin Pharmacol. 2014 Sep;70(9):1087-95. PubMed
- Luo J, Imai H, Ohyama T, et al. The Pharmacokinetic Exposure to Fexofenadine is Volume-Dependently Reduced in Healthy Subjects Following Oral Administration With Apple Juice. Clin Transl Sci. 2016 Aug;9(4):201-6. PubMed
- Tsiougkos N, Vovolis V. Repeated anaphylactic episodes to orange and apple. Eur Ann Allergy Clin Immunol. 2013 May;45(3):113-5.
- Rubido S, García-Caballero L, Abeleira MT, Limeres J, García M, Diz P. Effect of chewing an apple on dental plaque removal and on salivary bacterial viability. PLoS One. 2018;13(7):e0199812. PubMed
- Krishnasamy S, Lomer MCE, Marciani L, et al. Processing apples to puree or juice speeds gastric emptying and reduces postprandial intestinal volumes and satiety in healthy adults. J Nutr 2020;150(11):2890-9. PubMed
- Awan S, Abelleira A, Khehra L, Hieber R. Undetectable serum lithium concentrations after coadministration of liquid lithium citrate and apple juice: A case report. Ment Health Clin. 2021;11(1):27-30. PubMed
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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.
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