Standardized Sambucus Sambucus nigra + Probiotic Ingredients & Drug Interactions
What is this page for?
First and foremost: checking Standardized Sambucus Sambucus nigra + Probiotic 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
Standardized Sambucus Sambucus nigra + Probiotic is a dietary supplement by Nature's Answer with 5 active ingredients. Its ingredients are commonly taken for colds, flu (influenza), other respiratory infections.Based on those ingredients, 302 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Lactobacillus acidophilus, Black Elderberry (Sambucus nigra) concentrated fruit extract. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.
Check Your Meds Against Standardized Sambucus Sambucus nigra + Probiotic by Nature's Answer
Ask about any prescription or over-the-counter medication and we check it for interactions with Standardized Sambucus Sambucus nigra + Probiotic by Nature's Answer — 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 Standardized Sambucus Sambucus nigra + Probiotic by Nature's Answer
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 formula contains 5 active ingredients: three Lactobacillus strains (acidophilus, paracasei, and rhamnosus GG), Bifidobacterium animalis lactis, and a standardized Black Elderberry fruit extract. The probiotics are live beneficial bacteria intended to support digestive and immune health, while the elderberry is a concentrated plant extract.
The capsules also contain three inactive ingredients — glycerin, hypromellose, and water — which serve as a base and binding agent.
Does it work?
Moderate evidence
For Lactobacillus acidophilus, the evidence shows it's possibly effective for irritable bowel syndrome, Helicobacter pylori infection, antibiotic-associated diarrhea, and bacterial vaginosis. It's rated possibly ineffective for atopic disease, and we don't have enough reliable evidence to rate it for acute respiratory distress syndrome.
For Black Elderberry, the data we hold does not establish effectiveness for any of the conditions tested — allergic rhinitis, cardiovascular disease, chronic fatigue syndrome, COPD, cognitive function, or respiratory tract infections are all rated insufficient evidence. The effectiveness of the specific probiotic blends isn't established in our data.
How safe is it?
Well-documented data
Lactobacillus acidophilus is generally well tolerated in healthy adults and children. It can rarely cause gastrointestinal side effects like bloating, gas, abdominal pain, or diarrhea, though these are uncommon.
In very rare cases, the live bacteria have been reported in serious infections like sepsis or bloodstream infection, mostly in patients with compromised immune systems or underlying conditions. Black Elderberry prepared from ripe fruit is generally well tolerated when properly cooked, but raw or unripe berries, seeds, and leaves contain toxins that can cause nausea, vomiting, severe diarrhea, weakness, and dizziness — cooking eliminates this risk.
Safety data for elderberry in pregnancy and breastfeeding are not sufficient, so the recommendation is to avoid it during those periods. Talk with your doctor or pharmacist about whether this product is right for you.
Meds to double-check
Moderate interaction found
Before taking this product, check with your doctor or pharmacist if you take immunosuppressants (used after organ transplant or for autoimmune conditions) — elderberry may reduce their effect. If you're on antibiotic therapy, time your doses several hours apart from the probiotic so the antibiotics don't kill the beneficial bacteria.
If you take pazopanib (Votrient) for cancer, do not combine it with this product without your oncologist's approval — there's a documented case of severe liver injury. Use the medication checker below for your complete medication list.
The bottom line
Scorecard at a glanceFormula with limited ingredient disclosure with some supporting evidence for its stated purpose. Moderate medication interactions have been identified, and safety information is well characterized.
This combination may appeal to you if you're interested in supporting digestive health with probiotics and immune function with elderberry, but check with your doctor first if you take immunosuppressants, antibiotics, or cancer medications like pazopanib. The probiotics are generally well tolerated, though the live organisms mean antibiotics can interfere with them.
Avoid this product during pregnancy and breastfeeding. Talk it over with your doctor or pharmacist to make sure it fits your situation.
Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI
Assessment coverage: 2 of 5 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Jul 24, 2019.
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 Standardized Sambucus Sambucus nigra + Probiotic, straight from the product label.
| Brand | Nature's Answer |
|---|---|
| Barcode (UPC) | 083000262654 |
| Net contents | 60 Vegan DuoCap Capsules |
| Market status | On market |
| Date entered into DSLD | Jul 24, 2019 |
| DSLD ID | 204353 |
| Product type | Other Combinations |
| Supplement form | Capsule |
| Dietary claims / uses | All Other, Structure/Function |
| Intended target group(s) | 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 Standardized Sambucus Sambucus nigra + Probiotic by Nature's Answer, sourced from the NIH Dietary Supplement Label Database.
Supplement Facts
| Ingredient | Amount | % DV |
|---|---|---|
| Lactobacillus paracasei | 0 NP | -- |
| Bifidobacterium animalis lactis | 0 NP | -- |
| Lactobacillus acidophilus | 0 NP | -- |
| Lactobacillus rhamnosus GG | 0 NP | -- |
| Black Elderberry (Sambucus nigra) concentrated fruit extract | 100 mg | -- |
| Immunity Probiotic Blend containing | 0 NP | -- |
Other ingredients: Glycerin, Hypromellose, Water
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.
General Statements
2 in 1 DuoCap technology
Moisture defense maintains the integrity of the Immune Probiotic
Internal + external barrier for enhanced probiotic stability Immune probiotic protected inside inner capsule
New Since 1972
Formula
Elderberry extract + Immune Probiotic
Liquid Elderberry extract in outer capsule
Per serving 32,000 mg (32 g) fresh Elderberry 10 billion CFU Probiotic
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
Holistically Balanced
Cruelty Free Not Tested On Animals
Non GMO
Gluten Free
Formulation
Non GMO Gluten Free
Absolutely no preservatives
FDA Statement of Identity
Dietary Supplement
Suggested/Recommended/Usage/Directions
Suggested use: As a dietary supplement, take 2 capsules per day with food or water.
Brand IP Statement(s)
VCaps and DuoCap are trademarks of Lonza or its affiliates.
Precautions
Warning: Keep out of reach of children.
Do not use if safety seal is damaged or missing.
If you are pregnant, nursing, taking any medications, planning any medical procedure or have a medical condition, consult with your healthcare practitioner before use.
Storage
Store in a cool, dry place.
Is this label outdated? Report a formula or label change and our pharmacy team will review it.
Standardized Sambucus Sambucus nigra + Probiotic by Nature's Answer 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 Standardized Sambucus Sambucus nigra + Probiotic by Nature's Answer
These are the 5 active ingredients this product is made of. Select any to open its full monograph.
Serving size2 VCaps Plus Capsule(s) Dosage formCapsule 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.
Black Elderberry (Sambucus nigra) concentrated fruit 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 (Sambucus nigra) concentrated fruit extract monograph & interactionsImmunity Probiotic Blend containing
- › Lactobacillus paracasei
- › Bifidobacterium animalis lactis
- › Lactobacillus acidophilus
- › Lactobacillus rhamnosus GG
Other (inactive) ingredients: Glycerin, Hypromellose, Water. These complete the product’s ingredient list but are not active constituents.
Standardized Sambucus Sambucus nigra + Probiotic by Nature's Answer Drug Interactions
HelloPharmacist Interaction Report
Standardized Sambucus Sambucus nigra + Probiotic by Nature's Answer has documented interactions through its Lactobacillus acidophilus and Black Elderberry content.
The most serious concern is a Moderate interaction with immunosuppressants — elderberry stimulates immune activity, which may interfere with medications that deliberately suppress your immune system.
Read the full breakdown — every affected drug type, severity by severity
Lactobacillus acidophilus can interact with antibiotic drugs (Moderate severity). Since these probiotics contain live organisms, antibiotics taken at the same time may kill many of them, reducing the probiotic's potential effect.
Your doctor or pharmacist can help you time the doses several hours apart. Elderberry also carries a Moderate interaction with pazopanib, a cancer medication — there's a case report of severe liver injury when the two were combined.
We couldn't check three other probiotic strains in this formula — Lactobacillus paracasei, Bifidobacterium animalis lactis, and Lactobacillus rhamnosus GG — because we hold no interaction data for them. Altogether, these interactions span 302 individual medications.
Use the medication checker on this page to look up your exact drugs before you start.
Check your own medications below · Editorial policy · How we use AI
Want to check YOUR meds against Standardized Sambucus Sambucus nigra + Probiotic?
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 Standardized Sambucus Sambucus nigra + Probiotic interact with 302 drugs. Click any drug to see the details.
2 of the 5 ingredients in Standardized Sambucus Sambucus nigra + Probiotic interact with drugs. Each result below shows which ingredient is responsible. Lactobacillus acidophilus Black Elderberry (Sambucus nigra) concentrated fruit extract
6-mercaptopurinePurinethol
How 6-mercaptopurine interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry (sambucus Nigra) Concentrated Fruit ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry (sambucus Nigra) Concentrated Fruit Extract + 6-mercaptopurine interactionAbrocitinibCibinqo
How Abrocitinib interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry (sambucus Nigra) Concentrated Fruit ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry (sambucus Nigra) Concentrated Fruit Extract + Abrocitinib interactionAdalimumabHumira
How Adalimumab interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry (sambucus Nigra) Concentrated Fruit ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry (sambucus Nigra) Concentrated Fruit Extract + Adalimumab interactionAdalimumab-adazHyrimoz
How Adalimumab-adaz interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry (sambucus Nigra) Concentrated Fruit ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry (sambucus Nigra) Concentrated Fruit Extract + Adalimumab-adaz interactionAdalimumab-adbmCyltezo
How Adalimumab-adbm interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry (sambucus Nigra) Concentrated Fruit ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry (sambucus Nigra) Concentrated Fruit Extract + Adalimumab-adbm interactionAdalimumab-afzbAbrilada
How Adalimumab-afzb interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry (sambucus Nigra) Concentrated Fruit ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry (sambucus Nigra) Concentrated Fruit Extract + Adalimumab-afzb interactionAdalimumab-attoAmjevita
How Adalimumab-atto interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry (sambucus Nigra) Concentrated Fruit ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry (sambucus Nigra) Concentrated Fruit Extract + Adalimumab-atto interactionAdalimumab-bwwdHadlima
How Adalimumab-bwwd interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry (sambucus Nigra) Concentrated Fruit ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry (sambucus Nigra) Concentrated Fruit Extract + Adalimumab-bwwd interactionAdalimumab-fkjpHulio
How Adalimumab-fkjp interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry (sambucus Nigra) Concentrated Fruit ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry (sambucus Nigra) Concentrated Fruit Extract + Adalimumab-fkjp interactionAlefaceptAmevive
How Alefacept interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry (sambucus Nigra) Concentrated Fruit ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry (sambucus Nigra) Concentrated Fruit Extract + Alefacept interactionAlemtuzumabCampath
How Alemtuzumab interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry (sambucus Nigra) Concentrated Fruit ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry (sambucus Nigra) Concentrated Fruit Extract + Alemtuzumab interactionAmikacinAmikin, Arikayce
How Amikacin interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Lactobacillus AcidophilusAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus + Amikacin interactionAmoxicillinAmix, Amoram, Amoxident, Amoxil Capsules, Amoxil Injection, Galenamox +3 more
How Amoxicillin interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Lactobacillus AcidophilusAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus + Amoxicillin interactionAmoxicillin VeterinaryBiomox
How Amoxicillin Veterinary interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Lactobacillus AcidophilusAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus + Amoxicillin Veterinary interactionAmoxicillin, Clavulanate PotassiumAugmentin, Augmentin '125/31 SF', Augmentin '250/62 SF', Augmentin XR, Augmentin-Duo 400/57, Clavulin
How Amoxicillin, Clavulanate Potassium interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Lactobacillus AcidophilusAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus + Amoxicillin, Clavulanate Potassium interactionAmoxicillin, Omeprazole Magnesium, RifabutinTalicia
How Amoxicillin, Omeprazole Magnesium, Rifabutin interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Lactobacillus AcidophilusAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus + Amoxicillin, Omeprazole Magnesium, Rifabutin interactionAmphotericin, TetracyclineMysteclin-F
How Amphotericin, Tetracycline interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Lactobacillus AcidophilusAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus + Amphotericin, Tetracycline interactionAmpicillinOmnipen, Omnipen-N, Penbritin, Principen, Rimacillin
How Ampicillin interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Lactobacillus AcidophilusAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus + Ampicillin interactionAmpicillin, SulbactamUnasyn
How Ampicillin, Sulbactam interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Lactobacillus AcidophilusAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus + Ampicillin, Sulbactam interactionAnifrolumab-fniaSaphnelo
How Anifrolumab-fnia interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry (sambucus Nigra) Concentrated Fruit ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry (sambucus Nigra) Concentrated Fruit Extract + Anifrolumab-fnia interactionAntithymocyte GlobulinThymoglobulin
How Antithymocyte Globulin interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry (sambucus Nigra) Concentrated Fruit ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry (sambucus Nigra) Concentrated Fruit Extract + Antithymocyte Globulin interactionAtezolizumabTecentriq
How Atezolizumab interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry (sambucus Nigra) Concentrated Fruit ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry (sambucus Nigra) Concentrated Fruit Extract + Atezolizumab interactionAvibactam Sodium, CeftazidimeAvycaz
How Avibactam Sodium, Ceftazidime interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Lactobacillus AcidophilusAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus + Avibactam Sodium, Ceftazidime interactionAzamuneImmunoprin
How Azamune interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry (sambucus Nigra) Concentrated Fruit ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry (sambucus Nigra) Concentrated Fruit Extract + Azamune interactionAzathioprineAzamune, Imuran
How Azathioprine interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry (sambucus Nigra) Concentrated Fruit ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry (sambucus Nigra) Concentrated Fruit Extract + Azathioprine interactionAzithromycinAzasite, Zithromax, Zmax
How Azithromycin interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Lactobacillus AcidophilusAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus + Azithromycin interactionAztreonamAzactam
How Aztreonam interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Lactobacillus AcidophilusAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus + Aztreonam interactionBacampicillinPenglobe
How Bacampicillin interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Lactobacillus AcidophilusAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus + Bacampicillin interactionBacitracinBaci-IM, Baciguent, Bacitracin Ointment
How Bacitracin interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Lactobacillus AcidophilusAntibiotic Drugs Moderate
Interaction Summary
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L.
Read the full Lactobacillus Acidophilus + Bacitracin interactionBasiliximabSimulect
How Basiliximab interacts with Standardized Sambucus Sambucus nigra + Probiotic — through 1 ingredient. Tap an ingredient for the detail:
Black Elderberry (sambucus Nigra) Concentrated Fruit ExtractImmunosuppressants Moderate
Interaction Summary
Theoretically, elderberry might interfere with immunosuppressant therapy due to its immunostimulant activity.
Read the full Black Elderberry (sambucus Nigra) Concentrated Fruit Extract + Basiliximab interactionEach ingredient & the kinds of drugs it affects
For each ingredient in Standardized Sambucus Sambucus nigra + Probiotic 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.
Lactobacillus acidophilus
Antibiotic Drugs
Theoretically, taking Lactobacillus acidophilus with antibiotic drugs might decrease the effectiveness of L. acidophilus.
L. acidophilus preparations usually contain live and active organisms. Therefore, simultaneously taking antibiotics might kill a significant number of the organisms. Tell patients to separate administration of antibiotics and L. acidophilus preparations by at least two hours.
Black Elderberry (Sambucus nigra) concentrated fruit 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.
Brand information
Manufacturer and brand details for Standardized Sambucus Sambucus nigra + Probiotic, from the product label.
Nature's Answer
See all Nature's Answer products- Name
- Nature's Answer
- Street Address
- 85 Commerce Drive
- City
- Hauppauge
- State
- NY
- ZipCode
- 11788
- Phone Number
- (800) 439-2324
- Web Address
- www.naturesanswer.com
Standardized Sambucus Sambucus nigra + Probiotic by Nature's Answer: Common Questions
Does Standardized Sambucus Sambucus nigra + Probiotic by Nature's Answer interact with any medications?
How can one product interact with so many drugs?
Where does this information come from?
Can I take this if I'm pregnant or breastfeeding?
What are the probiotics in this formula supposed to do?
I just started antibiotics. Should I take this probiotic at the same time?
Is the elderberry in this product raw or cooked?
What adverse effects might I experience?
Does this product work for colds or the flu?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
Not sure if Standardized Sambucus Sambucus nigra + Probiotic is safe with your meds?
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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.
The Full Monographs Behind Standardized Sambucus Sambucus nigra + Probiotic’s Ingredients
Every ingredient we hold a full HelloPharmacist monograph for — uses, evidence, safety, and the complete interaction list.
Elderberry
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 → Herb & supplement monographLactobacillus Acidophilus
Interacts with 182 drugsLactobacillus acidophilus is a 'friendly' bacterium used as a probiotic to support gut and vaginal health. It is generally well tolerated in healthy people, and there is reasonable evidence...
Read the full Lactobacillus Acidophilus monograph →Sources & How We Checked
Standardized Sambucus Sambucus nigra + Probiotic'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 21 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.
Lactobacillus Acidophilus 15 references
- Pierce A. The American Pharmaceutical Association Practical Guide to Natural Medicines. New York: The Stonesong Press, 1999:19.
- Begtrup LM, de Muckadell OB, Kjeldsen J, Christensen RD, Jarbøl DE. Long-term treatment with probiotics in primary care patients with irritable bowel syndrome--a randomised, double-blind, placebo controlled trial. Scand J Gastroenterol 2013;48(10):1127-35 PubMed
- Chatterjee S, Kar P, Das T, Ray S, Gangulyt S, Rajendiran C, Mitra M. Randomised placebo-controlled double blind multicentric trial on efficacy and safety of Lactobacillus acidophilus LA-5 and Bifidobacterium BB-12 for prevention of antibiotic-associated
- Shavakhi A, Tabesh E, Yaghoutkar A, Hashemi H, Tabesh F, Khodadoostan M,Minakari M, Shavakhi S, Gholamrezaei A. The effects of multistrain probiotic compound on bismuth-containing quadruple therapy for Helicobacter pylori infection: a randomized placebo-c
- Karamali M, Dadkhah F, Sadrkhanlou M, et al. Effects of probiotic supplementation on glycaemic control and lipid profiles in gestational diabetes: a randomized, double-blind, placebo-controlled trial. Diabetes Metab 2016;42(4):234-41. PubMed
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See these in context on the Lactobacillus Acidophilus monograph →
Elderberry 6 references
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- 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).
- 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).
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