Elderberry

Over-the-counter

What is Elderberry?

Elderberry is a dark purple berry that comes from the European elder tree, scientifically known as Sambucus nigra. People have used elderberry for centuries to support immune health and reduce symptoms of colds and flu. The berries contain natural compounds called anthocyanins that give them their deep color and health benefits.

Today, elderberry is available as a dietary supplement in many forms, including syrups, gummies, capsules, and lozenges. Many people turn to elderberry during cold and flu season to help their bodies fight off illness. While research shows promising results, elderberry is not a medicine and cannot cure or prevent disease.

Rite Aid offers various elderberry products to fit your needs and preferences. You can find elderberry supplements in our wellness section year-round. As with any supplement, talk to your pharmacist or doctor before starting elderberry, especially if you take other medications.

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Common uses

  • Supporting immune system function during cold and flu season
  • Reducing duration and severity of cold symptoms
  • Shortening flu symptoms when taken early
  • Providing antioxidant support for overall wellness
  • Supporting respiratory health during seasonal changes

How it works

Elderberry works by providing your body with powerful antioxidants called anthocyanins and flavonoids. These compounds help support your immune system by reducing inflammation and protecting cells from damage. Research suggests that elderberry may help prevent viruses from entering your cells and multiplying.

The antioxidants in elderberry may also stimulate your body's production of cytokines, which are proteins that help coordinate immune responses. This immune support can help your body respond more effectively when exposed to cold and flu viruses. Studies show that people who take elderberry may experience shorter and less severe illness compared to those who do not.

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Dosage information

Elderberry dosing varies based on the product form and concentration. For syrup, adults typically take 1 tablespoon, or 15 milliliters, up to 4 times daily during illness. For capsules, the common dose is 300 to 600 milligrams daily. Gummies usually contain 50 to 100 milligrams per serving, with directions to take 2 to 4 gummies daily. Always follow the specific directions on your product label. Start elderberry at the first sign of cold or flu symptoms for best results.

Side effects

  • Mild nausea or upset stomach
  • Diarrhea or loose stools
  • Stomach cramps or discomfort
  • Headache
  • Dizziness

Serious side effects are rare with elderberry supplements. Raw or uncooked elderberries, leaves, and stems contain toxic compounds and should never be eaten. Stop taking elderberry and contact your doctor if you develop severe allergic reactions such as rash, itching, swelling, or difficulty breathing. People with autoimmune conditions should talk to their doctor before using elderberry, as it may stimulate the immune system.

Drug interactions

  • Immunosuppressant medications such as cyclosporine, tacrolimus, or prednisone may work less effectively
  • Diabetes medications may interact with elderberry, potentially lowering blood sugar too much
  • Diuretics or water pills may have increased effects when combined with elderberry
  • Theophylline for asthma or breathing problems may be reduced in effectiveness
  • People with autoimmune diseases such as lupus or rheumatoid arthritis should use caution
  • Pregnant or breastfeeding women should avoid elderberry due to lack of safety data

Blood test monitoring

While elderberry is generally safe, monitoring your white blood cell count can help you understand how well your immune system is functioning. White blood cells are your body's main defense against infection and illness. Rite Aid offers blood testing that measures over 200 biomarkers, including white blood cell counts, for $349 per year with 2 tests annually. Tracking your immune markers over time helps you see whether your immune support routine is working. If you take elderberry regularly or have frequent infections, monitoring white blood cells provides valuable information about your immune health.

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Frequently asked questions

Yes, elderberry is an over-the-counter dietary supplement available without a prescription. You can find it in the wellness and supplement section of Rite Aid stores. Elderberry comes in various forms including syrups, gummies, capsules, and lozenges to suit your preference.

Research suggests elderberry works best when started within 24 to 48 hours of first symptoms. Some people notice symptom relief within 2 to 4 days of starting elderberry. Taking elderberry at the very first sign of illness gives you the best chance of reducing symptom duration and severity.

Some people take elderberry daily during cold and flu season for immune support. Studies on daily preventive use show mixed results. Most research focuses on taking elderberry when symptoms start rather than long-term daily use, so talk to your pharmacist about the best approach for you.

Elderberry supplements are generally considered safe for children over 5 years old when used as directed. Always use products specifically formulated for children and follow age-appropriate dosing on the label. Talk to your pediatrician before giving elderberry to children under 5 or if your child has any health conditions.

Monitoring your white blood cell count helps you understand your immune system health. White blood cells fight infections and respond to illness. Rite Aid offers blood testing that includes white blood cell counts along with over 200 other biomarkers for $349 per year with 2 tests annually.

No supplement, including elderberry, can prevent or cure COVID-19 or any specific viral infection. While elderberry may support immune function and reduce cold and flu symptoms, it is not a substitute for vaccination or other preventive measures. Always follow public health guidelines for preventing infectious diseases.

Elderberry syrup is a liquid extract that often contains added honey or sugar for taste. Capsules contain dried elderberry extract in powder form without added sweeteners. Both forms provide elderberry's beneficial compounds, so choose based on your preference and whether you want to avoid sugar.

Talk to your doctor before taking elderberry if you have an autoimmune condition such as lupus, rheumatoid arthritis, or multiple sclerosis. Elderberry may stimulate immune system activity, which could potentially worsen autoimmune symptoms. Your doctor can help you weigh the risks and benefits based on your specific condition.

Elderberry may lower blood sugar levels, which could cause blood sugar to drop too low when combined with diabetes medications. If you take insulin or diabetes pills, monitor your blood sugar closely and talk to your doctor before starting elderberry. You may need to adjust your medication dose.

Most studies on elderberry look at use for 5 to 10 days during acute illness. Safety data for long-term daily use beyond a few months is limited. If you want to take elderberry for extended periods, discuss this with your healthcare provider to ensure it remains safe and appropriate for you.