Interactions on record — worth a quick check against your medications. Based on 1 of 2 ingredients. Check your meds →
Dietary supplement

Tiny Voices Elderberry Ingredients & Drug Interactions

by Wellements Baby

Tiny Voices Elderberry label
See full label image
Liquid Category: Botanical
Most serious interaction: Moderate
Clinical methodology reviewed by · Updated Sep 16, 2026 · Label data from the NIH DSLD
What is this page for?

First and foremost: checking Tiny Voices Elderberry against your medications. The heart of this page is the interaction checker and the full interaction report — how this product’s ingredients may interact with prescription and over-the-counter medicines you may be taking.

Around that, we add a pharmacist’s high-level view of the product as a whole — what’s inside, the evidence for its stated use, how transparent the label is, and what safety data exists — so you can see the full picture in one place. It’s educational information from our licensed clinical databases and the clinical staff at HelloPharmacist — not medical advice — and we don’t sell or endorse products. Our editorial policy

The interaction bottom line Most serious interaction: Moderate

Tiny Voices Elderberry is a dietary supplement by Wellements Baby with 2 active ingredients. Its ingredients are commonly taken for cough and sore throat, dry mouth and throat irritation, digestive upset and heartburn.Based on those ingredients, 2,040 medications have a known interaction with it, the most serious rated moderate. The ingredients most likely to interact are Marshmallow. Use the checker below to test your specific medication, or read the full HelloPharmacist Interaction Report.

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Check Your Meds Against Tiny Voices Elderberry by Wellements Baby

Ask about any prescription or over-the-counter medication and we check it for interactions with Tiny Voices Elderberry by Wellements Baby — and tell you which ingredient is responsible.

Pharmacist-reviewed data Checks every ingredient Answer in seconds
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HelloPharmacist Scorecard of Tiny Voices Elderberry by Wellements Baby

Our pharmacy team’s full take, with four database checks built into the cards below — a summary of what is known, not a grade of the product itself.

From our pharmacy team — supplement deep dive

Generated from HelloPharmacist’s pharmacist-curated databases and editorial rules · Last generated Jul 11, 2026

What’s inside

Low disclosure
Ingredient Transparency · database check
Low

Most active ingredients don't disclose an individual amount — you can't tell how much of each you're getting.

Why this rating?
  • The label discloses an exact amount for 0 of its 2 active ingredients.
  • “Proprietary Herbal Blend” is a proprietary blend — the label gives one combined amount (2,250 mg) without saying how much of each component you get.

Wellements Baby Tiny Voices Elderberry is a liquid with 2 active herbal ingredients: marshmallow and European elder. The product also contains a proprietary herbal blend (we can't assess interactions with it without knowing its full contents).

Beyond the actives, it has inactive ingredients including purified water, glycerin, and citrus bioflavonoids, which are fillers and preservatives that help deliver and stabilize the formula.

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 Marshmallow's own graded uses on its monograph.

Why this rating?
  • The label markets this product for: immune support for children.
  • We looked for evidence on: Respiratory tract infections, Fever, Immune function, Common cold, Upper respiratory infection.
  • The closest evidence on file: Marshmallow is rated "Insufficient Reliable Evidence To Rate" for Respiratory tract infections (Natural Medicines).
  • Also on file: Marshmallow is rated "Insufficient Reliable Evidence To Rate" for Fever.

The evidence on marshmallow for the conditions listed — including respiratory tract infections, diarrhea, and skin irritation — is currently insufficient in the data we hold to rate how well it works. European elder's effectiveness isn't established in our data either, as we have no monograph for it.

If you're considering this for a specific concern, talk with your pediatrician or pharmacist about what the current research shows.

The evidence, ingredient by ingredient Marshmallow

How safe is it?

Some data gaps
Safety Information · database check
Some gaps

Safety data exists for these ingredients, but with some important gaps.

Why this rating?
  • We hold adverse-effect (side-effect) data for 0 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.

Marshmallow is generally well tolerated for short-term use, though human safety data are limited. There isn't enough reliable information to recommend it during pregnancy or while breastfeeding — you should avoid it at those times.

No adverse effects are documented in our data for marshmallow, but the safety profile of this product for infants and young children specifically isn't established here. Always discuss with your child's doctor before starting any supplement.

Side effects, ingredient by ingredient Marshmallow

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 — Marshmallow.
  • The most serious interaction on file is rated Moderate.
  • Some involve high-stakes drug classes: anticoagulant / antiplatelet drugs; lithium.
  • For scale: 2,041 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.

If your child takes lithium, do not use this product without checking with their doctor first — marshmallow may raise lithium levels. Also double-check any oral medications; take them 30 to 60 minutes away from this supplement to avoid reduced absorption.

If your child is on blood thinners (anticoagulants) or antiplatelet drugs, mention this product to their pharmacist. We couldn't assess the proprietary herbal blend or European elder for drug interactions.

Check your own medication Run your meds through the checker above

The bottom line

Scorecard at a glanceFormula with limited ingredient disclosure with no established evidence rating for its marketed use. Moderate medication interactions have been identified, and some safety-information gaps remain.

This product pairs marshmallow and European elder in a liquid form for young children. Marshmallow has known interactions with lithium and oral medications, so if your child takes any prescriptions, run them through our checker first.

The safety and effectiveness in babies and small children aren't fully established — talk with your pediatrician before use.

Educational only — not medical advice; always confirm with your pharmacist. Our editorial policy · How we use AI

Assessment coverage: 1 of 2 active ingredients matched to our full ingredient reviews (monographs). Based on the product label dated Oct 27, 2014.

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 Tiny Voices Elderberry, straight from the product label.

Brand Wellements Baby
Barcode (UPC) 729609019885
Net contents 4 fl. Oz.; 120 mL
Market status On market
Date entered into DSLD Oct 27, 2014
DSLD ID 38230
Product type Botanical
Supplement form Liquid
Dietary claims / uses All Other, Structure/Function
Intended target group(s) Children 4 or More Years of Age, Vegan, Vegetarian, 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 Tiny Voices Elderberry by Wellements Baby, 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:
1 tsp
Maximum serving Sizes:
2 tsp
Servings per container
24
UPC/BARCODE
729609019885
IngredientAmount% DV
Marshmallow0 NP--
Proprietary Herbal Blend2250 mg--
European Elder0 NP--

Other ingredients: purified Water, Glycerin, Citrus Bioflavonoids

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: Not suitable for children under 2 years Children 2-3 years: 1 tsp. (5 ml) Children 4 years & older: 2 tsp. (10 ml)

DIRECTIONS: May be taken every 6 hours up to 4 times in a 24 hour period as needed.

Precautions

Not suitable for children under 2 years

WARNINGS: Keep this and all supplements out of the reach of children.

Do not exceed dosage.

Do not give to child if they are allergic to any of the ingredients. Since infants and children have immature immune systems a possibility exists that a rare allergic reaction may occur.

Do not give to child if they are allergic to any of the ingredients. Since infants and children have immature immune systems a possibility exists that a rare allergic reaction may occur.

Always consult your health care provider prior to giving this or any supplement to an infant.

Always consult your health care provider prior to giving this or any supplement to an infant.

TAMPER EVIDENT: Do not use if the safety seal is broken or missing.

General Statements

IMMUNE

OUR COMMITMENT We promise to provide products that are safe, natural and effective. All of our products are made with simple, natural and organic ingredients, leaving out all of the unnecessary preservatives, chemicals and additives. We know that a healthy foundation makes for a healthy life, and that's why we believe in wellness from the beginning, naturally.

It is designed to support the upper respiratory and immune systems, as well as soothe and comfort tiny voices.

SAFE & EFFECTIVE EVERYDAY & SEASONAL IMMUNE SUPPORT

ALL NATURAL INGREDIENTS

BERRY FLAVOR KIDS LOVE

for respiratory & immune support

Wash and dry dispenser thoroughly after each use. We recommend discarding 4 weeks after opening.

V0413TV

Formulation

All of our products are made with simple, natural and organic ingredients, leaving out all of the unnecessary preservatives, chemicals and additives.

100% DRUG FREE

NO ALCOHOL OR PARABENS GLUTEN, DAIRY OR SOY ARTIFICIAL INGREDIENTS

Seals/Symbols

f

Gluten Free

CERTIFIED VEGAN

W wellements(R) baby wellness from the beginning, naturally.(TM)

Made in the United States

Formula

Wellements Tiny Voices is an all natural herbal formula made with elderberry and marshmallow root.

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.

FDA Statement of Identity

DIETARY SUPPLEMENT

Storage

To preserve quality and freshness, keep tightly sealed and store in a cool, dry place.

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

See for yourself

Tiny Voices Elderberry by Wellements Baby label

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

Tiny Voices Elderberry label

Label images are published by the NIH Dietary Supplement Label Database for the version of this product on file. Always read your actual product label.

View the full label (PDF)
What’s inside

The Ingredients in Tiny Voices Elderberry by Wellements Baby

These are the 2 active ingredients this product is made of. Select any to open its full monograph.

Serving size1 tsp Dosage formLiquid Servings per container24 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.

Proprietary Herbal Blend

2250 mg per serving

Other (inactive) ingredients: Purified Water, Glycerin, Citrus Bioflavonoids. These complete the product’s ingredient list but are not active constituents.

Interaction report

Tiny Voices Elderberry by Wellements Baby Drug Interactions

Want to check YOUR meds against Tiny Voices 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
2,040Drugs
1 Moderate 2,039 Minor

Ingredients driving the most interactions

Marshmallow 2,040

Individual Drug Interactions

The ingredients in Tiny Voices Elderberry interact with 2,040 drugs. Click any drug to see the details.

1 of the 2 ingredients in Tiny Voices Elderberry interact with drugs. Each result below shows which ingredient is responsible. Marshmallow

Each ingredient & the kinds of drugs it affects

For each ingredient in Tiny Voices 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.

Marshmallow3 drug types · 2,040 drugs

Lithium

Theoretically, due to potential diuretic effects, marshmallow might reduce excretion and increase levels of lithium.
Marshmallow is thought to have diuretic properties. To avoid lithium toxicity, the dose of lithium might need to be decreased when used with marshmallow.

Likelihood Probable Evidence D
Anticoagulant/Antiplatelet Drugs

Theoretically, marshmallow flower might have antiplatelet effects.
Animal research suggests that marshmallow flower extract has antiplatelet effects. However, the root and leaf of marshmallow, not the flower, are the plant parts most commonly found in dietary supplements. Theoretically, use of marshmallow flower with anticoagulant/antiplatelet drugs can have additive effects, and might increase the risk for bleeding in some patients.

Likelihood Unlikely Evidence D
Oral Drugs

Theoretically, mucilage in marshmallow might impair absorption of oral drugs.
Marshmallow contains mucilage which can affect oral drug absorption. To avoid changes in absorption, take marshmallow 30-60 minutes after oral medications.

Likelihood Possible Evidence D
Marshmallow full monograph & interactions
The maker

Brand information

Manufacturer and brand details for Tiny Voices Elderberry, from the product label.

Wellements Baby

See all Wellements Baby products
Name
Wellements(R)
Street Address
P.O. Box 6398
City
Scottsdale
State
AZ
ZipCode
85261
Pharmacist Counseling Corner

Tiny Voices Elderberry by Wellements Baby: Common Questions

Does Tiny Voices Elderberry by Wellements Baby interact with any medications?
Yes. Based on its ingredients, Tiny Voices Elderberry has a known interaction with 2,040 medications. Use the checker to see how it interacts with a specific drug.
How can one product interact with so many drugs?
Tiny Voices Elderberry contains 2 active ingredients, and an interaction can come from any of them. We check every ingredient, combine the results into one list per medication, and show which ingredient and mechanism is 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 babies?
Marshmallow is generally well tolerated for short-term use, though human safety data in infants are limited. There isn't enough information to say it's safe or unsafe specifically for your baby — you should talk with your pediatrician before giving it.
Can I give this to my child if they're on other medicines?
You need to check first. Marshmallow interacts with several drug types, most seriously with lithium. Use the medication checker on this page with your child's exact prescriptions, or call your pharmacist before starting.
What does marshmallow do?
Marshmallow is used traditionally to support respiratory health and soothe irritation, but we don't have enough reliable evidence in our data to confirm how well it works for specific conditions in children.
What's the proprietary herbal blend?
The label doesn't list what's in it — it's proprietary. Without knowing the individual ingredients, we can't assess how it might interact with medications. Contact the manufacturer for a full list, or ask your pharmacist.
Can I use this while pregnant or breastfeeding?
There isn't enough reliable safety information for marshmallow during pregnancy or breastfeeding, so it's best avoided at those times. Talk with your doctor or pharmacist for personalized advice.
What are the inactive ingredients?
The inactive ingredients are purified water, glycerin, and citrus bioflavonoids — these are fillers and preservatives that help stabilize the liquid formula.

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

Not sure if Tiny Voices 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.

Tiny Voices Elderberry label
Go deeper

The Full Monographs Behind Tiny Voices Elderberry’s Ingredients

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

Herb & supplement monograph

Marshmallow

Interacts with 2,040 drugs

Marshmallow root is a traditional herb rich in soothing, gel-like fibers called mucilage, which is why it has long been used for coughs, sore throats, and stomach irritation. Evidence for th...

Read the full Marshmallow monograph →
Sources

Sources & How We Checked

Tiny Voices 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 5 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.

Marshmallow 5 references
  1. Monographs on the medicinal uses of plant drugs. Exeter, UK: European Scientific Co-op Phytother, 1997.
  2. Leung AY, Foster S. Encyclopedia of Common Natural Ingredients Used in Food, Drugs and Cosmetics. 2nd ed. New York, NY: John Wiley & Sons, 1996.
  3. McGuffin M, Hobbs C, Upton R, Goldberg A, eds. American Herbal Products Association's Botanical Safety Handbook. Boca Raton, FL: CRC Press, LLC 1997.
  4. Brinker F. Herb Contraindications and Drug Interactions. 2nd ed. Sandy, OR: Eclectic Medical Publications, 1998.
  5. Hage-Sleiman R, Mroueh M, Daher CF. Pharmacological evaluation of aqueous extract of Althaea officinalis flower grown in Lebanon. Pharm Biol 2011;49(3):327-33.

See these in context on the Marshmallow 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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