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Herbal Extract

Sambucus nigra (Elder) Extract

Also known as: Elderberry extract, Black elderberry, Sambucus, Elder berry

B
Evidence

Elderberry extract from Sambucus nigra contains anthocyanins and other polyphenols with traditional use for immune and respiratory support. Modern research shows moderate evidence for reducing cold/flu duration and severity.

Primary uses

  • Immune support
  • Cold/flu symptom relief
  • Respiratory health
  • Antioxidant support

How it works

  • Anthocyanins provide antioxidant activity
  • May inhibit viral replication and reduce inflammatory response
  • Stimulates cytokine production for innate immunity
  • Supports respiratory mucosa health

Dosage

Typical range
300–1,000 mg daily (equivalent to 3,200–8,000 mg fresh berries standardized to anthocyanins)
Timing
With meals for better absorption and tolerance
With food
Recommended with food
Duration
Safe for short-term use (acute illness) and preventive use during cold/flu season (up to 3 months). May taper once viral season passes.
Special populations
Avoid in autoimmune conditions (may over-stimulate immunity); pregnant/nursing women should consult healthcare provider; pediatric dosing should be reduced (50–75% of adult dose)

Forms

  • Standardized extract· 70/100
  • Liquid concentrate· 70/100
  • Gummies· 70/100
  • Lozenges· 70/100
  • Capsules· 70/100
  • Syrup· 70/100

Safety

Common side effects

  • Mild gastrointestinal effects (nausea, constipation)
  • Allergic reactions in sensitive individuals (rare)

Contraindications

  • Autoimmune diseases (rheumatoid arthritis, lupus) — may exacerbate
  • Scheduled surgery (may interfere with immune management)
  • Hypersensitivity to Sambucaceae family

Evidence notes

Good evidence from multiple RCTs showing elderberry reduces cold/flu duration and symptom severity when taken prophylactically or within 48 hours of symptom onset. Standardization to anthocyanins strengthens product quality.

Grade B: Some human trials support key claims; further confirmation needed.

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Medical disclaimer. This page is educational and does not replace advice from a qualified healthcare provider.