European Elder (Elderberry)
black elder, elder, elderberry, elder flower, sambucus
European elder, black elder, elder, elderberry, elder flower, sambucus
Sambucus nigra

On this page:
- Introduction
- What Elderberry Is Used For
- How Elderberry Is Used
- What the Science Says
- Side Effects and Cautions
- Sources
- For More Information
Introduction
This fact sheet provides basic information about European elder—common names, uses, potential side effects, and resources for more information. European elder is a tree native to Europe and parts of Asia and Africa, and it also grows in the United States. There are several different types of elder, such as American elder, but European elder is the type most often used as a supplement.
What Elderberry Is Used For
- Parts of the elder tree—such as the berries and flowers—have long been used for pain, swelling, infections, coughs, and skin conditions.
- Today, elderberry and elder flower are used for flu, colds, fevers, constipation, and sinus infections.
How Elderberry Is Used
The dried flowers (elder flower) and the cooked blue/black berries (elderberry) of the European elder tree are used in teas, liquid extracts, and capsules.
What the Science Says
- Although some small studies show that elderberry may relieve flu symptoms, the evidence is not strong enough to support this use of the berry.
- A few studies have suggested that a product containing elder flower and other herbs can help treat sinus infections when used with antibiotics, but further research is needed to confirm any benefit.
- No reliable information is available on the effectiveness of elderberry and elder flower for other uses.
Side Effects and Cautions
- Uncooked or unripe elderberries are toxic and cause nausea, vomiting, or severe diarrhea. Only the blue/black berries of elder are edible.
- Because of elder flower’s possible diuretic effects, use caution if taking it with drugs that increase urination.
- Tell all your health care providers about any complementary and alternative practices you use. Give them a full picture of what you do to manage your health. This helps to ensure coordinated and safe care. For tips about talking with your health care providers about CAMA group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine. Complementary medicine is used together with conventional medicine, and alternative medicine is used in place of conventional medicine., see NCCAM’s Time to Talk campaign.
Sources
- Elder (Sambucus nigra L.) Natural Standard Database Web site. Accessed at www.naturalstandard.com on May 26, 2009.
- Elder flower. In: Blumenthal M, Goldberg A, Brinckman J, eds. Herbal Medicine: Expanded Commission E Monographs. Newton, MA: Lippincott Williams & Wilkins; 2000:103–105.
- Elderberry. Natural Medicines Comprehensive Database Web site. Accessed at www.naturaldatabase.com on May 29, 2009.
- Elderflower. Natural Medicines Comprehensive Database Web site. Accessed at www.naturaldatabase.com on May 29, 2009.
For More Information
NCCAM Clearinghouse
The NCCAM Clearinghouse provides information on NCCAM and complementary health practices, including publications and searches of Federal databases of scientific and medical literature. The Clearinghouse does not provide medical advice, treatment recommendations, or referrals to practitioners.
CAM on PubMed®
Your literature search will be automatically limited to the complementary and alternative medicine (CAM) subset of PubMed.
Office of Dietary Supplements (ODS)
ODS seeks to strengthen knowledge and understanding of dietary supplements by evaluating scientific information, supporting research, sharing research results, and educating the public. Its resources include publications and the International Bibliographic Information on Dietary Supplements database.
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