Elderberry (Herb/Suppl)

Brand and Other Names:American Elder, Black Elder, more...Blueberry Elder, Canary Island Elder, Sambucus spp, Velvet Elder
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Suggested Dosing

Syrup

adult: 15 mL (1 tablespoon) PO QID x3-5day (Sambucol, Nature's Way)

children: 15 mL (1 tablespoon) PO BID x3day

Lozenge

175 mg PO QID x2d

Topical

leaves are used for bruises, sprains, wounds, & burns

Other Information

Elderberry daily value not established, see individual product

Elderberry should be started within 24-28 hours of symptom onset.

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Suggested Uses

Treatment & Prevention of

common cold, cough & flu symptoms, sinusitis, immunostimulant, mouth ulcers, tonsillitis

Elderberry Extract

reduces damaging effects of LDL & protects as an antioxidant

Leaves, Topical Application

Treatment of bruises, sprains, wounds, burns & chilblains, mouthwash for mouth ulcers

Tincture

Rheumatic conditions

Oil

Painful joints

Efficacy

Demonstrated effective in symptom reduction and prophylaxis of cold, flu, URI

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Interactions

Interaction Checker

and Elderberry

No Results

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    Contraindicated

      Serious - Use Alternative

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              Serious - Use Alternative (0)

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                  Minor (25)

                  • acarbose

                    elderberry increases effects of acarbose by pharmacodynamic synergism. Minor/Significance Unknown. Increased risk of hypoglycemia (in vitro research).

                  • chlorpropamide

                    elderberry increases effects of chlorpropamide by pharmacodynamic synergism. Minor/Significance Unknown. Increased risk of hypoglycemia (in vitro research).

                  • glimepiride

                    elderberry increases effects of glimepiride by pharmacodynamic synergism. Minor/Significance Unknown. Increased risk of hypoglycemia (in vitro research).

                  • glipizide

                    elderberry increases effects of glipizide by pharmacodynamic synergism. Minor/Significance Unknown. Increased risk of hypoglycemia (in vitro research).

                  • glyburide

                    elderberry increases effects of glyburide by pharmacodynamic synergism. Minor/Significance Unknown. Increased risk of hypoglycemia (in vitro research).

                  • insulin aspart

                    elderberry increases effects of insulin aspart by pharmacodynamic synergism. Minor/Significance Unknown. Increased risk of hypoglycemia (in vitro research).

                  • insulin detemir

                    elderberry increases effects of insulin detemir by pharmacodynamic synergism. Minor/Significance Unknown. Increased risk of hypoglycemia (in vitro research).

                  • insulin glargine

                    elderberry increases effects of insulin glargine by pharmacodynamic synergism. Minor/Significance Unknown. Increased risk of hypoglycemia (in vitro research).

                  • insulin glulisine

                    elderberry increases effects of insulin glulisine by pharmacodynamic synergism. Minor/Significance Unknown. Increased risk of hypoglycemia (in vitro research).

                  • insulin lispro

                    elderberry increases effects of insulin lispro by pharmacodynamic synergism. Minor/Significance Unknown. Increased risk of hypoglycemia (in vitro research).

                  • insulin NPH

                    elderberry increases effects of insulin NPH by pharmacodynamic synergism. Minor/Significance Unknown. Increased risk of hypoglycemia (in vitro research).

                  • insulin regular human

                    elderberry increases effects of insulin regular human by pharmacodynamic synergism. Minor/Significance Unknown. Increased risk of hypoglycemia (in vitro research).

                  • metformin

                    elderberry increases effects of metformin by pharmacodynamic synergism. Minor/Significance Unknown. Increased risk of hypoglycemia (in vitro research).

                  • miglitol

                    elderberry increases effects of miglitol by pharmacodynamic synergism. Minor/Significance Unknown. Increased risk of hypoglycemia (in vitro research).

                  • nateglinide

                    elderberry increases effects of nateglinide by pharmacodynamic synergism. Minor/Significance Unknown. Increased risk of hypoglycemia (in vitro research).

                  • pioglitazone

                    elderberry increases effects of pioglitazone by pharmacodynamic synergism. Minor/Significance Unknown. Increased risk of hypoglycemia (in vitro research).

                  • repaglinide

                    elderberry increases effects of repaglinide by pharmacodynamic synergism. Minor/Significance Unknown. Increased risk of hypoglycemia (in vitro research).

                  • rosiglitazone

                    elderberry increases effects of rosiglitazone by pharmacodynamic synergism. Minor/Significance Unknown. Increased risk of hypoglycemia (in vitro research).

                  • saxagliptin

                    elderberry increases effects of saxagliptin by pharmacodynamic synergism. Minor/Significance Unknown. Increased risk of hypoglycemia (in vitro research).

                  • sitagliptin

                    elderberry increases effects of sitagliptin by pharmacodynamic synergism. Minor/Significance Unknown. Increased risk of hypoglycemia (in vitro research).

                  • theophylline

                    elderberry increases effects of theophylline by decreasing metabolism. Minor/Significance Unknown.

                  • tolazamide

                    elderberry increases effects of tolazamide by pharmacodynamic synergism. Minor/Significance Unknown. Increased risk of hypoglycemia (in vitro research).

                  • tolbutamide

                    elderberry increases effects of tolbutamide by pharmacodynamic synergism. Minor/Significance Unknown. Increased risk of hypoglycemia (in vitro research).

                  • treosulfan

                    elderberry increases effects of treosulfan by pharmacodynamic synergism. Minor/Significance Unknown.

                  • vildagliptin

                    elderberry increases effects of vildagliptin by pharmacodynamic synergism. Minor/Significance Unknown. Increased risk of hypoglycemia (in vitro research).

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                  Adverse Effects

                  Frequency Not Defined

                  Nausea/vomiting (consumption of raw berries)

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                  Warnings

                  Contraindications

                  Consumption of all green plant parts

                  Cautions

                  Do not eat raw: mild cyanide toxicity is destroyed by cooking

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                  Pregnancy & Lactation

                  Pregnancy Category: N/A

                  Lactation: N/A

                  Pregnancy Categories

                  A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

                  B: May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

                  C: Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

                  D: Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

                  X: Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

                  NA: Information not available.

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                  Pharmacology

                  Metabolism: N/A

                  Excretion: N/A

                  Mechanism of Action

                  Antioxidant: free radical protection; anthocyanin protection against cellular aging

                  Flavonoids: therapeutic activity

                  Elderberry extract: reduces damaging effects of LDL cholesterol

                  Efficacy

                  • Treatment & reduction of symptoms & prophylaxis of cold, flu, cough & mouth ulcers
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                  Medscape prescription drug monographs are based on FDA-approved labeling information, unless otherwise noted, combined with additional data derived from primary medical literature.