
Elder (Sambucus nigra)
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- General
- 1 condition
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Overview
Elder (Sambucus nigra in Europe) is a deciduous tree that can reach 33 ft (10 m), bearing cream-colored clusters of flowers and dark blue-black berries. Rich in folklore, elder was historically believed to house a protective spirit (“Elder Mother”). Elderberry has been used in folk medicine for colds and flu; NCCIH says preliminary research suggests elderberry may relieve symptoms of flu, colds, or other upper respiratory infections.
Traditional uses & properties
Colds & Flu: NCCIH says preliminary research suggests elderberry may relieve symptoms of flu, colds, or other upper respiratory infections. Nutritive: The berries provide vitamins A and C.
Safety & precautions
Mild Toxicity in Fresh Plant: Raw stems, bark, root, and unripe berries can induce nausea, vomiting, or diarrhea. Preparation: Flowers and berries should be dried or (in the case of berries) boiled briefly before use to reduce the risk of upset. Autoimmune Conditions: Use cautiously, as elder can stimulate immune activity.
Educational reference only - not medical advice. Herbs can interact with medications. Consult a qualified healthcare provider before use. Full disclaimer.
Drug interactions
Interaction data for elderberry are limited. [1, 2]
- Immunosuppressants
- ODS says elderberry's possible immune-stimulating activity might make these drugs less effective. [1]
- Diabetes medicines
- MSK notes blood-sugar-lowering activity that could add to these drugs. Relevance to people is unconfirmed. [2]
- Diuretics and laxatives
- MSK notes that elderberry promotes urination and had laxative effects in studies, so it may add to these medicines. [2]
How to read this section: each entry is HerbMate's summary of what the cited sources report. Words such as "may", "theoretical" or "in laboratory or animal studies" mean the effect has not been confirmed in people, and "case report" means it was seen in one or a few patients. A medicine that is not listed here has not been shown to be safe with this herb. The numbers in brackets link to the sources at the foot of the page.
Habitat
Widespread in temperate regions, elder thrives in woods, hedges, and open fields. It is easily cultivated from cuttings in spring. The flowering tops are collected in late spring, and the berries in early autumn.
Sources
The interaction notes and the statements on this page that name a source were written by HerbMate from these references, which were last checked in October 2026. They are summaries, not medical advice; ask a pharmacist about your own medicines.
Traditionally used for
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Frequently asked questions
What is Elder (Sambucus nigra) traditionally used for?
Traditional sources describe Elder (Sambucus nigra) as follows: Colds & Flu: NCCIH says preliminary research suggests elderberry may relieve symptoms of flu, colds, or other upper respiratory infections. Nutritive: The berries provide vitamins A and C.
What safety cautions apply to Elder (Sambucus nigra)?
Mild Toxicity in Fresh Plant: Raw stems, bark, root, and unripe berries can induce nausea, vomiting, or diarrhea. Preparation: Flowers and berries should be dried or (in the case of berries) boiled briefly before use to reduce the risk of upset. Autoimmune Conditions: Use cautiously, as elder can stimulate immune activity.







