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Dietary supplement

Organic Liquid Elderberry Ingredients & Drug Interactions

by ChildLife Essentials

Liquid Category: Botanical
Most serious interaction: Moderate
The interaction bottom line Most serious interaction: Moderate

Organic Liquid Elderberry is a dietary supplement by ChildLife Essentials 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.

HelloPharmacist Scorecard of Organic Liquid Elderberry by ChildLife Essentials

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

What’s inside

Full disclosure
Ingredient Transparency · database check
Full

Every active ingredient lists its own amount on the label.

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

This product contains one active ingredient: elderberry, a berry extract traditionally used in cough and cold preparations. The liquid form also includes glycerin, purified water, and natural flavors as inactive ingredients to deliver the elderberry in an easy-to-take format.

Does it work?

Not established
Evidence for Intended Use · database check
By FDA rules, dietary supplements can’t claim to treat, cure, or prevent disease — so labels speak in careful marketing language. We discern each product’s intended use from its name, label claims, and label statements, then grade the clinical evidence for that use. How these ratings are computed
Not established

The graded evidence we hold for these ingredients covers different conditions than the ones this product is marketed for, so there's no established rating for its stated use — see Elderberry's own graded uses on its monograph.

Why this rating?
  • The label markets this product for: immune system support.
  • We looked for evidence on: Lower respiratory tract infections, Respiratory tract infections, Upper respiratory tract infection (URTI), Colds, Flu, Sinus infections.
  • 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 Upper respiratory tract infection (URTI), Lower respiratory tract infections.

The evidence we hold shows insufficient reliable data to rate elderberry for hay fever, cardiovascular disease, chronic fatigue, COPD, cognitive function, or respiratory tract infections. That means the science isn't yet solid enough to say whether it works for any of these purposes.

If you're considering it for a specific condition, talk with your pharmacist about what the current evidence actually supports.

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 are generally well tolerated. However, raw or unripe berries, seeds, leaves, and bark can be toxic — they contain compounds that cause nausea, vomiting, severe diarrhea, weakness, dizziness, and numbness.

Cooking eliminates this risk, and this product should be properly prepared. There isn't enough reliable safety data to recommend elderberry during pregnancy or while breastfeeding, so it's best to avoid it in those situations.

In one rare case, someone taking elderberry for years developed autoimmune liver inflammation, though this is uncommon.

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 taking this product, check with your pharmacist if you're on immunosuppressants (medications that deliberately weaken your immune system) or pazopanib. Both interactions are rated Moderate and can affect how well your medication works or increase side effects.

Check your own medication Run your meds through the checker above

The bottom line

Scorecard at a glanceFully disclosed formula with no established evidence rating for its marketed use. Moderate medication interactions have been identified, and safety information is well characterized.

Elderberry liquid may be worth considering if you're looking for immune support, but the evidence for specific conditions is thin. If you take immunosuppressants (like after a transplant) or pazopanib for cancer, this product isn't the right fit — check with your pharmacist first.

Pregnant or nursing? Skip it until you talk with your doctor.

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 Apr 24, 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 Organic Liquid Elderberry, straight from the product label.

Brand ChildLife Essentials
Barcode (UPC) 608274127005
Net contents 4 Fluid Ounce(s); 118 mL
Market status On market
Date entered into DSLD Apr 24, 2025
DSLD ID 327008
Product type Botanical
Supplement form Liquid
Dietary claims / uses All Other, Structure/Function
Intended target group(s) Children 4 or More Years of Age, Organic, Gluten Free, Dairy 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 Organic Liquid Elderberry by ChildLife Essentials, 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:
5 mL
Maximum serving Sizes:
5 mL
Servings per container
24
UPC/BARCODE
608274127005
IngredientAmount% DV
Calories15 Calorie(s)--
Total Carbohydrates3 Gram(s)2%, 1%
Added Sugars0 Gram(s)--
Total Sugars0 Gram(s)--
Elderberry1200 mg--

Other ingredients: Glycerin, Water, Purified, Natural Flavors

Tap any ingredient to jump to its full detail below.

Label statements
These statements are the manufacturer’s wording, reproduced from the product label — the label is saying it, not HelloPharmacist. We don’t verify or endorse them.
Suggested/Recommended/Usage/Directions

Suggested use: Children 1+ yrs: 1 tsp daily

Formula

Organic Liquid Elderberry by ChildLife Essentials offers powerful immune system support with 1200 mg of elderberry per 1 teaspoon serving.

100% black elderberry

For kids 1 year+

Formulation

Our doctor-developed formulas has a kid-approved taste without any added sugar or artificial flavors or sweeteners.

ChildLife uses only the highest quality ingredients.

Gluten free, alcohol free, casein free. Contains no milk, eggs, soy, wheat, or corn. No artificial colors, flavors or sweeteners.

Non GMO Project Verified nongmoproject.org

Certified organic by Oregon Tilth

NSF Certified Gluten-free

Precautions

Keep out of reach of children.

Consult physician prior to use if child is on chemotherapy.

Tamper resistant: Do not use if outer safety seal is broken or missing.

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.

Brand IP Statement(s)

ChildLife Essentials Nutrition for Kids!

FDA Statement of Identity

Dietary Supplement

Seals/Symbols

Non GMO Project Verified nongmoproject.org USDA Organic

Oregon Tilth Certified Organic (OTCO) USDA Organic NSF Certified Gluten-free

See for yourself

Organic Liquid Elderberry by ChildLife Essentials label

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

What’s inside

The Ingredients in Organic Liquid Elderberry by ChildLife Essentials

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

Serving size5 mL Dosage formLiquid Servings per container24 Amounts shown are per serving.

Elderberry

Interacts with
121 drugs
1200 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, Purified, Natural Flavors. These complete the product’s ingredient list but are not active constituents.

Interaction report

Organic Liquid Elderberry by ChildLife Essentials Drug Interactions

Want to check YOUR meds against Organic Liquid 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

Each ingredient & the kinds of drugs it affects

For each ingredient in Organic Liquid 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.

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
The maker

Brand information

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

ChildLife Essentials

See all ChildLife Essentials products
Name
ChildLife
City
Los Angeles
State
CA
ZipCode
90245
Phone Number
(800) 993-0332
Web Address
childlifenutrition.com
Pharmacist Counseling Corner

Organic Liquid Elderberry by ChildLife Essentials: Common Questions

Does Organic Liquid Elderberry by ChildLife Essentials interact with any medications?
Yes. Based on its ingredients, Organic Liquid 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?
Organic Liquid 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.
Is this safe for kids?
The product is formulated for children as ChildLife Essentials, and properly prepared elderberry is generally well tolerated. Just make sure it's been cooked — raw or unripe berries and other plant parts can cause stomach upset and dizziness. If your child is on any medications, especially immune-suppressing drugs, check with your pediatrician or pharmacist first.
What if I'm pregnant or breastfeeding?
There isn't enough safety data to recommend elderberry during pregnancy or breastfeeding, so it's best to avoid it. Talk with your doctor or pharmacist about whether it's right for you during this time.
What does elderberry actually do?
Elderberry has been used traditionally for cough and cold support and has immune-stimulating activity. However, we don't yet have solid evidence it works for hay fever, heart disease, fatigue, lung disease, brain function, or respiratory infections — the science just isn't there yet.
Can I take this if it's raw elderberry?
No. Raw or unripe elderberries, seeds, leaves, and bark can cause nausea, vomiting, severe diarrhea, weakness, and dizziness. This product should be properly cooked, which eliminates the toxins. Don't add raw berries on your own.
Are there any side effects from the supplement itself?
When the product is properly prepared from ripe cooked berries, side effects are rare. Nausea and vomiting have been reported in one case with an elderberry-echinacea blend, though it wasn't clear which ingredient caused it.

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

Not sure if Organic Liquid Elderberry 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.

Organic Liquid Elderberry label
Go deeper

The Full Monographs Behind Organic Liquid Elderberry’s Ingredients

Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.

Sources

Sources & How We Checked

Organic Liquid 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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