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Omnia Sana · Plant Monograph

Elder

Sambucus nigra

Family AdoxaceaeParts used Flower, FruitAlso known as elderberry, black elderberry, European elder, common elder, elderflower (NCCIH, 2024)

This monograph compiles 3 pharmacological actions, 6 traditional / indicated uses, supported by 13 cited sources, drawn directly from the Omnia Sana plant database.

Pharmacological Actions

Anti-inflammatory[1, 5, 7, 11, 12, 13]
Antioxidant[1, 5, 6, 7, 9, 11, 12, 13]
Antiviral[1, 2, 4, 7, 11, 12, 13]

Traditional & Indicated Uses

Arthritis / joint pain[11, 12, 13]Moderate · 5/10

inferred from anti-inflammatory action

more plants for arthritis / joint pain →detailed sources →
Cold & flu[2, 11, 12, 13]Good · 8/10

inferred from antiviral action

more plants for cold & flu →detailed sources →
Infection (general)[9, 11, 12, 13]Moderate · 5/10

inferred from antiviral action

more plants for infection (general) →detailed sources →
Inflammation (general)[5, 11, 12, 13]Moderate · 5/10

inferred from anti-inflammatory action

more plants for inflammation (general) →detailed sources →
Skin irritation[11, 12, 13]Moderate · 5/10

inferred from anti-inflammatory action

more plants for skin irritation →detailed sources →

Safety, Cautions & Contraindications

Safety note[11, 12, 13]Caution

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

Safety note[11, 12, 13]Caution

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).

References

REF-1015, REF-1016, REF-1017, REF-1018, REF-1019, REF-1020, REF-1021, REF-1022, REF-1023, REF-1024

References & Sources

  1. 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
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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
  11. European Medicines Agency (2018) 'European Union herbal monograph on Sambucus nigra L., flos'. Traditional / reference
    Find this source
  12. Royal Botanic Gardens, Kew (n.d.). Available at: https://powo.science.kew.org Traditional / reference
    https://powo.science.kew.org
  13. 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. Randomized trial
    Find this source

Record last updated 2026-06-20 · Provenance: book+pubmed · Status: verified

This fact sheet is generated automatically from the Omnia Sana plant database and reflects its latest synced data. It is provided for educational purposes only and is not medical advice. Always consult a qualified practitioner before using medicinal plants.

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