Omnia SanaPlant Comparison
Lemon balm vs Elder
A side-by-side comparison of two medicinal plants — every documented constituent, action, use, safety note and cited source, assembled automatically from the Omnia Sana database.
At a glance
Lemon balm and Elder: they share 5 indicated uses (arthritis / joint pain, cold & flu, infection (general), …); 3 pharmacological actions in common.
Evidence face-off — shared uses
| Condition | Lemon balm | Elder | Verdict |
|---|---|---|---|
| Arthritis / joint pain | 5/10 | 5/10 | Comparable evidence |
| Cold & flu | 8/10 | 8/10 | Comparable evidence |
| Infection (general) | 8/10 | 5/10 | Stronger for Lemon balm |
| Inflammation (general) | 5/10 | 5/10 | Comparable evidence |
| Skin irritation | 5/10 | 5/10 | Comparable evidence |
Evidence scores (1–10) are computed from the tier of each cited source. “Comparable” means the two scores are within one point. Follow a score to its detailed sources.
Key Constituents
The principal phenolic acid of lemon balm, associated with much of its antioxidant and antiviral activity.
The volatile oil (geranial and neral, together called citral, plus citronellal) gives the characteristic lemon scent and has demonstrated anxiolytic activity.
Minor constituents studied for anti-inflammatory activity.
Give the ripe berries their deep colour and much of their antioxidant activity.
Found in both flower and berry, contributing antioxidant and anti-inflammatory activity.
Present in raw berries, leaves, bark and stems; the basis for the caution to always cook berries before eating and avoid raw plant material.
Pharmacological Actions
Traditional & Indicated Uses
inferred from anti-inflammatory action
inferred from antiviral action
inferred from anti-inflammatory action
inferred from sedative action
inferred from antispasmodic action
inferred from antispasmodic action
inferred from anti-inflammatory action
inferred from antiviral action
inferred from anti-inflammatory action
Safety, Cautions & Contraindications
Generally very safe for adults. Theoretically may interact with thyroid medications and sedatives. Avoid high therapeutic doses during pregnancy. Long-term safety data beyond a few months is limited.
The dark blue or purple berries are mildly poisonous in their raw state, but are edible after cooking.https://en.wikipedia.org/wiki/Sambucus_nigra#cite_note-nccih-26https://en.wikipedia.org/wiki/Sambucus_nigra#cite_note-Fagan-2019-28 Components of the elderberry plant, including its fruit, contain diverse https://en.wikipedia.org/wiki/Phytochemical, such as https://en.wikipedia.org/wiki/Alkaloid, https://en.wikipedia.org/wiki/Lectin, and cyanogenic glycosides, which may be toxic if consumed raw.https://en.wikipedia.org/wiki/Sambucus_nigra#cite_note-drugs-8 Consumption of berries, leaves, bark or stems, if not properly prepared, may cause https://en.wikipedia.org/wiki/Nausea, vomiting, and severe https://en.wikipedia.org/wiki/Diarrhea.https://en.wikipedia.org/wiki/Sambucus_nigra#cite_note-nccih-26https://en.wikipedia.org/wiki/Sambucus_nigra#cite_note-drugs-8https://en.wikipedia.org/wiki/Sambucus_nigra#cite_note-msk-27 Elderberry plant constituents or products should not be consumed during pregnancy or by people with https://en.wikipedia.org/wiki/Allergy or https://en.wikipedia.org/wiki/Gastrointestinal_disease.https://en.wikipedia.org/wiki/Sambucus_nigra#cite_note-drugs-8https://en.wikipedia.org/wiki/Sambucus_nigra#cite_note-msk-27 Elderberry products may cause https://en.wikipedia.org/wiki/Adverse_effect when used with https://en.wikipedia.org/wiki/Prescription_drug.https://en.wikipedia.org/wiki/Sambucus_nigra#cite_note-drugs-8https://en.wikipedia.org/wiki/Sambucus_nigra#cite_note-msk-27
Duke (2002) rates elderflower and elderberry as +++ with clinical evidence (score 2) for bronchostimulant, diaphoretic, and secretagogue activities, consistent with Commission E approval. Clinical use for colds, bronchitis, and fever is well-supported. Dose: dried flower: 3–5 g as tea three times daily. Important safety consideration: raw elderberries and elder bark contain sambunigrin (cyanogenic glycoside) and lectins — always cook berries before consumption, and avoid bark preparations for medicinal use without expert guidance (Duke, 2002).
External Ids
Botanical Description
Perennial herb, 30-70 (up to 150) cm tall, with square, branched, hairy stems typical of the mint family. Leaves are opposite, ovate to heart-shaped with a toothed margin, wrinkled and softly hairy, releasing a strong lemon scent when crushed. Small, pale yellow to white, two-lipped flowers are borne in loose whorls in the leaf axils. The fruit splits into four small nutlets.[6]
Deciduous shrub or small tree (Adoxaceae), 3-10 m tall (occasionally larger), with corky, furrowed grey-brown bark. Leaves are pinnate with 5-7 toothed leaflets. Abundant flat-topped clusters (corymbs) of small, fragrant, creamy-white flowers are followed by drooping clusters of small, glossy, purple-black berries.[11]
Habitat
Native to southern Europe, the Mediterranean and western Asia, widely cultivated and naturalised in gardens, hedgebanks and waste ground across temperate regions, favouring sunny to lightly shaded, well-drained soils.[6]
Native throughout Europe, western Asia and North Africa, extremely common in hedgerows, woodland edges, waste ground and disturbed sites, tolerating a wide range of soils.[11]
Harvesting
Leaves and flowering tops are cut just before or at the start of flowering (summer), when the volatile-oil content is highest, and dried quickly at low temperature away from direct light, since the aromatic oil is heat- and light-sensitive.[6]
Flowers are picked in full bloom (late spring/early summer), ideally on a dry day, and dried quickly. Berries are picked in late summer/early autumn once fully ripe (deep purple-black) and always cooked before use, as raw berries - and all other parts of the plant - contain cyanogenic glycosides and should not be eaten raw.[11]
Traditional Uses
Lemon balm has a long European tradition as a calming, 'cheering' herb for nervous tension, poor sleep and mild anxiety, and as a carminative for indigestion, bloating and cramping; topically it has traditionally been applied to cold sores. Modern clinical trials support anxiolytic and mood-related benefits and antiviral activity against herpes simplex virus, consistent with these traditional uses.[4, 6, 9]
Elder has one of the most celebrated European folk-medicine reputations, described as a 'medicine chest' of the countryside. The flowers have official European herbal-monograph use for symptoms of the common cold, and the berries - cooked, or as a standardised extract - are widely used and clinically studied for upper respiratory and flu-like symptoms.[2, 11]
Preparations
Dried leaf steeped in hot water, the classic way of taking lemon balm for calming and digestive support.
Encapsulated dry extract, the form used in clinical trials studying lemon balm for anxiety and mood; follow product-specific dosing.
Concentrated leaf extract cream applied to cold sores (herpes labialis) at the earliest sign of an outbreak.
Tincture of the dried leaf, 2-6 ml one to three times daily per the EU herbal monograph. Educational reference only, not a prescription.
Dried flower steeped in hot water - the classic cold and flu remedy.
Cooked, sweetened berry preparation - the most widely used commercial and traditional form for immune and cold support.
The concentrated form used in influenza clinical trials.
Dosage
The EU herbal monograph gives 1.5-4.5 g of the comminuted leaf in 150 mL of boiling water as an infusion, 1-3 times daily, in adolescents over 12, adults and elderly; a liquid extract at 2-4 mL and a tincture at 2-6 mL, both 1-3 times daily, are also listed. If symptoms persist longer than 2 weeks a healthcare practitioner should be consulted. Not recommended under 12 years. Educational reference only, not a prescription.
References
Drug Class Interactions
Not documented
Pairings
Lemon balm and passionflower are both gentle, GABA-acting calming herbs often blended together in anti-anxiety and sleep formulas; combined use may deepen relaxation but also add to drowsiness.[17, 19]
Not documented
Lookalikes Review
Dangerous Lookalikes
Not documented
References & Sources
- Mathews, I.M., Eastwood, J., Lamport, D.J., Cozannet, R.L. and others (2024) 'Clinical Efficacy and Tolerability of Lemon Balm (Melissa officinalis L.) in Psychological Well-Being: A Review', Nutrients, 16(20), pp. 3545. doi:10.3390/nu16203545 Meta-analysis / review
https://doi.org/10.3390/nu16203545 - Ghazizadeh, J., Sadigh-Eteghad, S., Marx, W., Fakhari, A. and others (2021) 'The effects of lemon balm (Melissa officinalis L.) on depression and anxiety in clinical trials: A systematic review and meta-analysis', Phytotherapy Research, 35(12), pp. 6690-6705. doi:10.1002/ptr.7252 Meta-analysis / review
https://doi.org/10.1002/ptr.7252 - Shahsavari, K., Shams Ardekani, M.R., Khanavi, M., Jamialahmadi, T. and others (2024) 'Effects of Melissa officinalis (lemon balm) consumption on serum lipid profile: a meta-analysis of randomized controlled trials', BMC Complementary Medicine and Therapies, 24(1), pp. 146. doi:10.1186/s12906-024-04442-0 Meta-analysis / review
https://doi.org/10.1186/s12906-024-04442-0 - Petrisor, G., Motelica, L., Craciun, L.N., Oprea, O.C. and others (2022) 'Melissa officinalis: Composition, Pharmacological Effects and Derived Release Systems-A Review', International Journal of Molecular Sciences, 23(7), pp. 3591. doi:10.3390/ijms23073591 Meta-analysis / review
https://doi.org/10.3390/ijms23073591 - Heshmati, J., Morvaridzadeh, M., Sepidarkish, M., Fazelian, S. and others (2020) 'Effects of Melissa officinalis (Lemon Balm) on cardio-metabolic outcomes: A systematic review and meta-analysis', Phytotherapy Research, 34(12), pp. 3113-3123. doi:10.1002/ptr.6744 Meta-analysis / review
https://doi.org/10.1002/ptr.6744 - Shakeri, A., Sahebkar, A. and Javadi, B (2016) 'Melissa officinalis L. - A review of its traditional uses, phytochemistry and pharmacology', Journal of Ethnopharmacology, 188, pp. 204-228. doi:10.1016/j.jep.2016.05.010 Meta-analysis / review
https://doi.org/10.1016/j.jep.2016.05.010 - Zam, W., Quispe, C., Sharifi-Rad, J., Lopez, M.D. and others (2022) 'An Updated Review on The Properties of Melissa officinalis L.: Not Exclusively Anti-anxiety', Frontiers in Bioscience (Scholar Edition), 14(2), pp. 16. doi:10.31083/j.fbs1402016 Meta-analysis / review
https://doi.org/10.31083/j.fbs1402016 - Chang, J.Y., Balch, C., Puccio, J. and Oh, H.S (2023) 'A Narrative Review of Alternative Symptomatic Treatments for Herpes Simplex Virus', Viruses, 15(6), pp. 1314. doi:10.3390/v15061314 Meta-analysis / review
https://doi.org/10.3390/v15061314 - Ulbricht, C., Brendler, T., Gruenwald, J., Kligler, B. and others (2005) 'Lemon balm (Melissa officinalis L.): an evidence-based systematic review by the Natural Standard Research Collaboration', Journal of Herbal Pharmacotherapy, 5(4), pp. 71-114. doi:10.1080/j157v05n04_08 Meta-analysis / review
https://doi.org/10.1080/j157v05n04_08 - Stojanovic, N.M., Mladenovic, M.Z., Maslovaric, A., Stojiljkovic, N.I. and others (2021) 'Lemon balm (Melissa officinalis L.) essential oil and citronellal modulate anxiety-related symptoms - In vitro and in vivo studies', Journal of Ethnopharmacology, 284, pp. 114788. doi:10.1016/j.jep.2021.114788 Preclinical
https://doi.org/10.1016/j.jep.2021.114788 - European Medicines Agency (HMPC) (2013) 'Community herbal monograph on Melissa officinalis L., folium'. Available at: https://www.ema.europa.eu/en/documents/herbal-monograph/final-community-herbal-monograph-melissa-officinalis-l-folium_en.pdf Traditional / reference
https://www.ema.europa.eu/en/documents/herbal-monograph/final-community-herbal-monograph-melissa-officinalis-l-folium_en.pdf - Hoffmann, D (2003) 'Medical Herbalism'. Traditional / reference
https://scholar.google.com/scholar?q=Medical%20Herbalism - Kennedy, D.O. et al (2002) 'Modulation of mood and cognitive performance following acute administration of Melissa officinalis', 27(2), pp. 256--261. doi:10.1016/s0091-3057(02)00777-3 Randomized trial
https://doi.org/10.1016/s0091-3057(02)00777-3 - Petersen, M. and Simmonds, M.S.J (2003) 'Rosmarinic acid', 62(2), pp. 121--125. Traditional / reference
https://scholar.google.com/scholar?q=Rosmarinic%20acid - Duke, J.A (2002) 'Handbook of Medicinal Herbs, Second Edition'. Traditional / reference
https://scholar.google.com/scholar?q=Handbook%20of%20Medicinal%20Herbs%2C%20Second%20Edition - Ghasemzadeh Rahbardar, M. and Hosseinzadeh, H (2024) 'Therapeutic potential of hypnotic herbal medicines: A comprehensive review', Phytotherapy Research, 38(6), pp. 3037-3059. doi:10.1002/ptr.8201 Meta-analysis / review
https://doi.org/10.1002/ptr.8201 - Block, K.I., Gyllenhaal, C. and Mead, M.N (2004) 'Safety and efficacy of herbal sedatives in cancer care', Integrative Cancer Therapies, 3(2), pp. 128-148. doi:10.1177/1534735404265003 Meta-analysis / review
https://doi.org/10.1177/1534735404265003 - Haybar, H., Javid, A.Z., Haghighizadeh, M.H., Valizadeh, E., Mohaghegh, S.M. and Mohammadzadeh, A (2018) 'The effects of Melissa officinalis supplementation on depression, anxiety, stress, and sleep disorder in patients with chronic stable angina', Clinical Nutrition ESPEN, 26, pp. 47-52. doi:10.1016/j.clnesp.2018.04.015 Randomized trial
https://doi.org/10.1016/j.clnesp.2018.04.015 - Keck, M.E., Nicolussi, S., Spura, K., Blohm, C., Zahner, C. and Drewe, J (2020) 'Effect of the fixed combination of valerian, lemon balm, passionflower, and butterbur extracts (Ze 185) on the prescription pattern of benzodiazepines in hospitalized psychiatric patients', Phytotherapy Research, 34(6), pp. 1436-1445. doi:10.1002/ptr.6618 Clinical study
https://doi.org/10.1002/ptr.6618
- Liu, D., He, X.Q., Wu, D.T., Li, H.B. and others (2022) 'Elderberry (Sambucus nigra L.): Bioactive Compounds, Health Functions, and Applications', Journal of Agricultural and Food Chemistry, 70(14), pp. 4202-4220. doi:10.1021/acs.jafc.2c00010 Traditional / reference
https://doi.org/10.1021/acs.jafc.2c00010 - Hawkins, J., Baker, C., Cherry, L. and Dunne, E (2018) 'Black elderberry (Sambucus nigra) supplementation effectively treats upper respiratory symptoms: A meta-analysis of randomized, controlled clinical trials', Complementary Therapies in Medicine, 42, pp. 361-365. doi:10.1016/j.ctim.2018.12.004 Meta-analysis / review
https://doi.org/10.1016/j.ctim.2018.12.004 - Uhl, K. and Mitchell, A.E (2024) 'Elderberry, an Ancient Remedy: A Comprehensive Study of the Bioactive Compounds in Three Sambucus nigra L. Subspecies', Annual Review of Food Science and Technology, 15(1), pp. 27-51. doi:10.1146/annurev-food-072023-034423 Traditional / reference
https://doi.org/10.1146/annurev-food-072023-034423 - Asgary, S. and Pouramini, A (2022) 'The Pros and Cons of Using Elderberry (Sambucus nigra) for Prevention and Treatment of COVID-19', Advanced Biomedical Research, 11, pp. 96. doi:10.4103/abr.abr_146_21 Traditional / reference
https://doi.org/10.4103/abr.abr_146_21 - Ferreira, S.S., Martins-Gomes, C., Nunes, F.M. and Silva, A.M (2022) 'Elderberry (Sambucus nigra L.) extracts promote anti-inflammatory and cellular antioxidant activity', Food Chemistry: X, 15, pp. 100437. doi:10.1016/j.fochx.2022.100437 Preclinical
https://doi.org/10.1016/j.fochx.2022.100437 - Dominguez, R., Pateiro, M., Munekata, P.E.S., Santos Lopez, E.M. and others (2021) 'Potential Use of Elderberry (Sambucus nigra L.) as Natural Colorant and Antioxidant in the Food Industry. A Review', Foods, 10(11), pp. 2713. doi:10.3390/foods10112713 Traditional / reference
https://doi.org/10.3390/foods10112713 - Sanlier, N., Ejder, Z.B. and Irmak, E (2024) 'Are the Effects of Bioactive Components on Human Health a Myth?: Black Elderberry (Sambucus nigra L.) from Exotic Fruits', Current Nutrition Reports, 13(4), pp. 815-827. doi:10.1007/s13668-024-00572-6 Traditional / reference
https://doi.org/10.1007/s13668-024-00572-6 - Ulbricht, C., Basch, E., Cheung, L., Goldberg, H. and others (2014) 'An evidence-based systematic review of elderberry and elderflower (Sambucus nigra) by the Natural Standard Research Collaboration', Journal of Dietary Supplements, 11(1), pp. 80-120. doi:10.3109/19390211.2013.859852 Meta-analysis / review
https://doi.org/10.3109/19390211.2013.859852 - Has, I.M., Teleky, B.E., Szabo, K., Simon, E. and others (2023) 'Bioactive Potential of Elderberry (Sambucus nigra L.): Antioxidant, Antimicrobial Activity, Bioaccessibility and Prebiotic Potential', Molecules, 28(7), pp. 3099. doi:10.3390/molecules28073099 Preclinical
https://doi.org/10.3390/molecules28073099 - Kim, J., An, J., Song, Y., Jang, M. and others (2024) 'Effect of Elderberry (Sambucus nigra L.) Extract Intake on Normalizing Testosterone Concentration in Testosterone Deficiency Syndrome Rat Model Through Regulation of 17beta-HSD, 5alpha-Reductase, and CYP19A1 Expression', Nutrients, 16(23), pp. 4169. doi:10.3390/nu16234169 Preclinical
https://doi.org/10.3390/nu16234169 - European Medicines Agency (2018) 'European Union herbal monograph on Sambucus nigra L., flos'. Traditional / reference
https://scholar.google.com/scholar?q=European%20Union%20herbal%20monograph%20on%20Sambucus%20nigra%20L.%2C%20flos - Royal Botanic Gardens, Kew (n.d.). Available at: https://powo.science.kew.org Traditional / reference
https://powo.science.kew.org - Zakay-Rones, Z., Thom, E., Wollan, T. and Wadstein, J (2004) 'Randomized study of the efficacy and safety of oral elderberry extract in the treatment of influenza A and B virus infections', 32(2), pp. 132--140. doi:10.1177/147323000403200205 Randomized trial
https://doi.org/10.1177/147323000403200205 - Duke, J.A (2002) 'Handbook of Medicinal Herbs, Second Edition'. Traditional / reference
https://scholar.google.com/scholar?q=Handbook%20of%20Medicinal%20Herbs%2C%20Second%20Edition - Jimenez, P. and Gayoso, M. and Tejero, J. and Cabrero, P. and Cordoba-Diaz, D. and Basterrechea, J.E. and Girbes, T (2012) 'Toxicity in mice of lectin ebulin f present in dwarf elderberry (Sambucus ebulus L.)', Toxicon, 61, pp. 26-9. doi:10.1016/j.toxicon.2012.10.009 Preclinical
https://doi.org/10.1016/j.toxicon.2012.10.009 - Botanical Society of Britain and Ireland (2023) 'Sambucus ebulus L., dwarf elder (Fermanagh species accounts)'. Available at: https://bsbi.org/in-your-area/local-botany/co-fermanagh/fermanagh-species-accounts/sambucus-ebulus-l Traditional / reference
https://bsbi.org/in-your-area/local-botany/co-fermanagh/fermanagh-species-accounts/sambucus-ebulus-l - Botanical-online (2024) 'Differences between elder and dwarf elder (Sambucus nigra vs Sambucus ebulus)'. Available at: https://www.botanical-online.com/en/botany/differences-sambucus-nigra-ebulus Traditional / reference
https://www.botanical-online.com/en/botany/differences-sambucus-nigra-ebulus
Generated automatically from the Omnia Sana plant database and its cited sources. For educational purposes only — not medical advice. Always consult a qualified practitioner before using medicinal plants.