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Dietary supplement

Super Concentrated Black Elderberry 4,250 mg Ingredients & Drug Interactions

by Windmill

Super Concentrated Black Elderberry 4,250 mg label
See full label image
Liquid Category: Botanical
Most serious interaction: Moderate
Clinical methodology reviewed by · Updated Sep 9, 2026 · Label data from the NIH DSLD
What is this page for?

First and foremost: checking Super Concentrated Black Elderberry 4,250 mg 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

Super Concentrated Black Elderberry 4,250 mg is a dietary supplement by Windmill 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.

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Check Your Meds Against Super Concentrated Black Elderberry 4,250 mg by Windmill

Ask about any prescription or over-the-counter medication and we check it for interactions with Super Concentrated Black Elderberry 4,250 mg by Windmill — and tell you which ingredient is responsible.

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HelloPharmacist Scorecard of Super Concentrated Black Elderberry 4,250 mg by Windmill

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

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 extract at a concentrated dose of 4,250 mg per serving. The inactive ingredients are purified water, vegetable glycerin, citric acid, natural flavors, steviol glycoside, potassium sorbate, xanthan gum, and sodium benzoate — these are standard excipients used in liquid supplements.

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: Supports immunity.
  • We looked for evidence on: Respiratory tract infections, Upper respiratory tract infection (URTI), Lower respiratory tract infections, Rhinosinusitis, Colds, 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 for most of the conditions it's marketed for. Our data shows insufficient reliable evidence to rate it for allergic rhinitis (hay fever), cardiovascular disease, chronic fatigue syndrome, chronic obstructive pulmonary disease, cognitive function, and respiratory tract infections.

That doesn't mean it doesn't work — it means the research so far hasn't been robust enough to say.

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. The real concern is raw or unripe berries, leaves, bark, and seeds — these contain compounds that can cause nausea, vomiting, severe diarrhea, weakness, dizziness, numbness, and even stupor.

Cooking eliminates the toxin, so a commercial extract like this should be safe from that angle. There's also one case report of a woman with an underlying autoimmune condition who developed autoimmune hepatitis after taking elderberry for years; her liver function recovered after she stopped and started steroids.

Because there isn't enough safety data, the facts advise against elderberry during pregnancy and while breastfeeding. If either applies to you, talk with your doctor or pharmacist for personalized guidance.

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.

Check with us before taking this if you're on immunosuppressants (medications after organ transplant or for autoimmune disease) or pazopanib (Votrient), a cancer drug. Both carry Moderate interaction concerns with elderberry.

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 extracts are well tolerated by most people, but if you take immunosuppressants, pazopanib, or any other prescription medication, you'll want to run them through the interaction checker before starting this. Pregnant or breastfeeding?

Discuss it with your pharmacist first. The evidence for what it's supposed to do isn't strong yet.

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 Jul 23, 2020.

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 Super Concentrated Black Elderberry 4,250 mg, straight from the product label.

Brand Windmill
Barcode (UPC) 035046007867
Net contents 8 Fluid Ounce(s); 237 mL
Market status On market
Date entered into DSLD Jul 23, 2020
DSLD ID 231130
Product type Botanical
Supplement form Liquid
Dietary claims / uses All Other, Structure/Function
Intended target group(s) Adult (18 - 50 Years), Gluten Free, Dairy Free, Sugar Free
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 Super Concentrated Black Elderberry 4,250 mg by Windmill, 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
47
UPC/BARCODE
035046007867
IngredientAmount% DV
Calories5 Calorie(s)--
Total Carbohydrates1 NP1%
Elderberry4250 mg--

Other ingredients: purified Water, Vegetable Glycerin, Citric Acid, Natural Flavors, Steviol Glycoside, Potassium Sorbate, Xanthan Gum, Sodium Benzoate

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

Directions: For adults, take 1 teaspoon (5 mL) with a meal daily as a dietary supplement or as directed by a healthcare professional. Shake well.

Storage

Refrigerate after opening. Protect from heat, light and moisture. Store in a cool, dry place.

Precautions

Keep out of reach of children.

Do not purchase if seal is broken.

Formulation

Made in the U.S.A. from globally sourced ingredients.

Supports immunity

No sugar, yeast, wheat, milk, artificial colors or preservatives Gluten free

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.

General Statements

Windmill Natural vitamins Blueprint standardized herbals

FDA Statement of Identity

Herbal Supplement

Is this label outdated? Report a formula or label change and our pharmacy team will review it.

See for yourself

Super Concentrated Black Elderberry 4,250 mg by Windmill label

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

Super Concentrated Black Elderberry 4,250 mg 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 Super Concentrated Black Elderberry 4,250 mg by Windmill

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 container47 Amounts shown are per serving.

Elderberry

Interacts with
121 drugs
4250 mg 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 monograph & interactions

Other (inactive) ingredients: Purified Water, Vegetable Glycerin, Citric Acid, Natural Flavors, Steviol Glycoside, Potassium Sorbate, Xanthan Gum, Sodium Benzoate. These complete the product’s ingredient list but are not active constituents.

Interaction report

Super Concentrated Black Elderberry 4,250 mg by Windmill Drug Interactions

Want to check YOUR meds against Super Concentrated Black Elderberry 4,250 mg?

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 121

Individual Drug Interactions

The ingredients in Super Concentrated Black Elderberry 4,250 mg interact with 121 drugs. Click any drug to see the details.

1 of the 1 ingredient in Super Concentrated Black Elderberry 4,250 mg interact with drugs. Each result below shows which ingredient is responsible. Elderberry

Each ingredient & the kinds of drugs it affects

For each ingredient in Super Concentrated Black Elderberry 4,250 mg 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
Elderberry full monograph & interactions
The maker

Brand information

Manufacturer and brand details for Super Concentrated Black Elderberry 4,250 mg, from the product label.

Windmill

Name
Windmill Health Products
Street Address
10 Henderson Drive
City
West Caldwell
State
NJ
ZipCode
07006
Web Address
www.windmillvitamins.com
Pharmacist Counseling Corner

Super Concentrated Black Elderberry 4,250 mg by Windmill: Common Questions

Does Super Concentrated Black Elderberry 4,250 mg by Windmill interact with any medications?
Yes. Based on its ingredients, Super Concentrated Black Elderberry 4,250 mg 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?
Super Concentrated Black Elderberry 4,250 mg 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 made from raw elderberries or cooked ones?
The product facts don't specify, but they do note that properly prepared (cooked) elderberry products are well tolerated, while raw or unripe berries and plant parts can be toxic. A commercial extract like this is processed, so it should be safe — but if you want to confirm the exact preparation method, reach out to the manufacturer.
Can I take this if I'm pregnant?
The safety data advises against elderberry supplements during pregnancy because there isn't enough reliable information. Talk with your doctor or pharmacist about whether it's right for you.
What about breastfeeding?
Same as pregnancy — there isn't enough reliable safety data, so it's best to avoid it while breastfeeding. Check with your pharmacist or doctor first.
Does elderberry really help with colds or the flu?
The evidence for respiratory tract infections isn't strong enough to rate. Our data shows insufficient reliable evidence, so we can't say whether it helps or by how much.
What are the most common side effects?
When properly prepared, elderberry extracts are well tolerated and most people don't report side effects. The adverse effects on record (nausea, vomiting, diarrhea) mostly come from raw or unripe berries or other parts of the plant, which contain toxins that cooking eliminates.

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

Not sure if Super Concentrated Black Elderberry 4,250 mg 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.

Super Concentrated Black Elderberry 4,250 mg label
Go deeper

The Full Monographs Behind Super Concentrated Black Elderberry 4,250 mg’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

Super Concentrated Black Elderberry 4,250 mg'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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