Elderberry for Kids: Exploring Benefits, Safety, and Potential Side Effects


Elderberry, derived from the Sambucus tree, has been used for centuries in traditional medicine to treat various ailments, including the common cold and flu. Recently, it has gained popularity as a natural remedy for children. This article explores the benefits, safety, and potential side effects of elderberry for kids, along with guidelines for its use.

elderberry for kids

In This Article:

Is Elderberry Safe for Children?

Elderberry is generally considered safe for children when used appropriately, but there are important considerations to keep in mind:

Proper Preparation:

Elderberries must be properly prepared because raw elderberries, leaves, and stems contain cyanogenic glycosides, which can cause nausea, vomiting, and diarrhea. Commercial elderberry products are typically safe as they are processed to remove these toxins​ 


Age Appropriateness:

Most healthcare providers recommend elderberries for children over the age of one. For children under one year, elderberry use is not advised due to the immature digestive system and the potential for allergic reactions. This is because infants’ digestive systems are not fully developed, and they are more susceptible to potential allergens in elderberry products​.

Consult Healthcare Providers:

It is crucial to consult with a pediatrician before introducing elderberry to children, especially if the child has underlying health conditions or is taking other medications. A healthcare provider can offer personalized advice and ensure that elderberry does not interact with any existing treatments​.


Following the recommended dosage instructions provided by the manufacturer or a healthcare provider is essential to avoid potential side effects. Overconsumption can lead to toxicity, so it is important to adhere strictly to the dosage guidelines​.

Product Quality:

Choosing high-quality, reputable elderberry products ensures safety and efficacy. Look for products that are tested for purity and free from contaminants to avoid any harmful substances​.

Monitor for Allergic Reactions:

Parents should watch for signs of allergic reactions, such as rash, itching, or swelling, and discontinue use if these occur. Allergic reactions can occur with any new supplement, so it is important to be vigilant when first introducing elderberry​.

Type of Elderberry Product:

Different elderberry products (syrups, gummies, lozenges) may be more suitable for different age groups. It is important to choose a product that is appropriate for the child’s age and preferences to ensure compliance and safety​.


When Can Children Consume Elderberries?

Determining the appropriate time and conditions for children to consume elderberry is essential:

Flu Season:

Elderberry is often used during flu season to help boost the immune system and reduce the severity and duration of symptoms. This proactive approach can help prevent the onset of flu or lessen its impact if contracted​.

Early Signs of Illness:

Some parents administer elderberries at the first sign of a cold or flu, believing it can help mitigate the symptoms and support recovery. Early intervention may shorten the duration of the illness and provide symptomatic relief​.



Elderberry can be used before and during travel to bolster the immune system, especially when exposure to new environments and germs is likely. This precaution can help prevent travel-related illnesses, which are common due to changes in climate and exposure to different pathogens​ .

Daily Use:

For ongoing immune support, elderberries can be incorporated into a child’s routine during times of high illness risk, such as during the winter months or when there are outbreaks of illness at school​.

After Consultation:

Always after consulting with a healthcare provider to ensure it is appropriate for the child’s specific health needs and circumstances. Each child is different, and a healthcare provider can provide personalized recommendations..


Product Form:

Children can consume elderberry in various forms, such as syrups, gummies, or lozenges, depending on their age and preferences. Syrups are often preferred for younger children, while older children may prefer gummies or lozenges​​.

Seasonal Changes:

Elderberry can be particularly beneficial during the transition between seasons when children are more susceptible to colds and other respiratory infections due to changing weather conditions​.

Possible Benefits of Elderberry

Elderberry offers several potential benefits for children:


Immune Support:

Elderberry is rich in antioxidants, particularly flavonoids, which can help support the immune system and protect against infections. These compounds enhance the body’s natural defenses and help in fighting off pathogens​.

Cold and Flu Relief:

Studies suggest that elderberry can reduce the duration and severity of cold and flu symptoms, providing relief from fever, headache, sore throat, and fatigue. Elderberry’s antiviral properties may inhibit the replication of viruses, helping to shorten the illness duration​.

Anti-inflammatory Properties:

Elderberry has anti-inflammatory properties that can help reduce inflammation in the respiratory system, alleviating symptoms like congestion and coughing. This can be particularly beneficial for children suffering from respiratory infections or allergies​.


Elderberries are packed with vitamins A, B, and C, as well as essential minerals like potassium and iron, contributing to overall health and well-being. These nutrients support various bodily functions, including immune health and energy production​.

Antiviral Effects:

Research indicates that elderberry has antiviral properties, potentially inhibiting the replication of viruses and preventing them from infecting cells. This can help in reducing the severity and duration of viral infections​.

Digestive Health:

Elderberry’s fiber content can aid in digestion and help maintain a healthy gut microbiome, which is crucial for overall immune function. A healthy digestive system supports better absorption of nutrients and helps in maintaining a balanced immune response​​.


Skin Health:

The antioxidants in elderberries can help protect the skin from oxidative stress and promote healthy, clear skin. This can be beneficial for children who suffer from skin conditions such as eczema or acne​.

What Are the Side Effects of Elderberry?

While elderberry is generally safe for children, there are potential side effects to be aware of:

Gastrointestinal Issues:

Consuming improperly prepared elderberry can lead to nausea, vomiting, diarrhea, and abdominal cramps due to the presence of cyanogenic glycosides. It is essential to use only properly prepared and commercial elderberry products to avoid these issues​.

Allergic Reactions:

Some children may be allergic to elderberry, experiencing symptoms such as rash, itching, swelling, and difficulty breathing. Immediate medical attention is necessary if these symptoms occur​.

Autoimmune Reactions:

Elderberry may stimulate the immune system, which could potentially exacerbate symptoms in children with autoimmune conditions. It is important to consult a healthcare provider if the child has an autoimmune disorder before using elderberry​​.


Drug Interactions:

Elderberry can interact with certain medications, including immunosuppressants and diuretics, affecting their efficacy or increasing the risk of adverse effects. Parents should consult with a healthcare provider if their child is taking any medication to ensure there are no interactions​.

Overconsumption Risks:

Taking too much elderberry can lead to toxicity. It is essential to adhere to recommended dosages to avoid potential health risks such as gastrointestinal distress and cyanide toxicity​.

Digestive Discomfort:

Some children may experience mild digestive discomfort, such as gas or bloating, when consuming elderberry products. This is usually temporary and can be managed by adjusting the dosage​.

Monitoring Symptoms:

Parents should monitor their children for any adverse reactions or side effects and discontinue use if any concerning symptoms arise. Continuous monitoring ensures that any negative effects are caught early and managed appropriately​​.

Precautions to Take While Feeding Elderberry

To ensure the safe use of elderberry for children, the following precautions should be taken:


Consult a Pediatrician: Always consult with a healthcare provider before introducing elderberry to ensure it is safe and appropriate for the child’s specific health needs​.

Use Commercial Products: Opt for commercial elderberry products that are properly prepared and tested for safety. Avoid using homemade preparations unless you are certain of their safety, as improper preparation can lead to toxicity​.

Follow Dosage Instructions: Adhere to the dosage recommendations provided by the manufacturer or healthcare provider to prevent overconsumption and potential side effects. Proper dosing ensures the child receives the benefits without the risks​.

Age Restrictions: Do not give elderberry to children under the age of one, and use caution when giving it to toddlers under the age of two. The immature digestive systems of younger children make them more susceptible to adverse effects​.

Monitor for Allergies: Watch for signs of allergic reactions and discontinue use if any symptoms occur. Seek medical attention if necessary. Allergic reactions can range from mild to severe, and prompt action is crucial​​.

Avoid Raw Elderberries: Ensure that elderberries are cooked or processed, as raw elderberries contain toxic compounds that can cause severe gastrointestinal distress. Proper preparation eliminates these harmful substances​​.



Elderberry can offer numerous benefits for children, including immune support and relief from cold and flu symptoms. However, it is essential to ensure its safe use by following proper dosage guidelines, choosing high-quality products, and consulting with healthcare providers. Monitoring for any side effects or allergic reactions is crucial to prevent potential health risks. With careful administration, elderberries can be a valuable addition to children’s health regimens, particularly during times of increased illness risk.


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  • Cochrane – “Medical Treatment for Early Fetal Death (Less Than 24 Weeks)”
  • Familydoctor.org – “Early Pregnancy Loss (Miscarriage)”