can you take a multivitamin and elderberry together

Complement Ther Med. Some research suggests it reduces the severity and duration of symptoms associated with the flu or common cold. Further studies found that rats that were fed foods containing polyphenols extracted from elderberry had reductions in blood pressure (25). Taking a multivitamin that includes niacin, or vitamin B3, is typically safe in combination with other nutrients. As a general rule, the best time to take a probiotic is on an empty stomach, about 30 minutes before you eat. View abstract. Cunha S, Meireles D, Machado J. Sambucus nigra - a promising natural source for human health. We study millions of patients and 5,000 more each day. Randomized study of the efficacy and safety of oral elderberry extract in the treatment of influenza A and B virus infections. Elderberry has active ingredients of american elder. You might turn to the mineral for help in staving off or shortening the duration of common colds, but you should know that zinc interferes with copper absorption. Results of our real-world drug study have been referenced on 600+ medical publications, including The Lancet, Mayo Clinic Proceedings, and Nature. Older adults, those following a vegan diet and individuals with gastrointestinal disorders are encouraged to take a B12 supplement. While elderberry has shown promising results in the lab, research in humans and animals is still limited. Advanced research on the antioxidant and health benefit of elderberry (Sambucus nigra) in food a review. Inflammatory cytokines, An evidence-based systematic review of elderberry and elderflower (, Chemical profiling and UHPLC-QToF analysis for the simultaneous determination of anthocyanins and flavonoids in Sambucus berries and authentication and detection of adulteration in elderberry dietary supplements using UHPLC-PDA-MS, 2021 US open forum: elderberry standards development, A 2020 study did not find black elderberry to improve symptoms or reduce the amount of time of illness. If you must take copper and also take zinc, space the two out by at least two hours, Dr. Cooperman says. The common side effects of taking raw elderberry plant products, such as fruit, flower, leaves, bark, or root include: Stomach problems. In combination with blood pressure medications, this can cause dangerously low blood pressure, he says. However, if you take niacin supplements and medications to help control your cholesterol specifically, simvastatin there are a few combinations that you should avoid. 2020;9(4):83. doi: 10.3390/biology9040083. Both vitamin C and zinc are essential for the body for protection from covid-19 or coronavirus. You may have side effects when combining certain supplements with antidepressants and anti-anxiety medications. Elderberry has been shown to reduce symptoms of the flu. 1996-2023 MedicineNet, Inc. An Internet Brands company. Extremely high doses of vitamin D over a long period of time can lead to the build up of excess calcium in soft tissue in the body, including in the arteries and valves of the heart, as well as kidney stones that can block the urinary tract. View abstract. The phase IV clinical study analyzes what interactions people who take Vitamin d and Elderberry have. Localized reduction of gingival inflammation using site-specific therapy with a topical gingival patch. And keep in mind that you should never consume more than 1,000 micrograms of folic acid from fortified foods or supplements unless directed by your doctor. Taking large amounts of minerals with other minerals will reduce absorption, he says. Avula B, Katragunta K, Wang YH, et al. Eur J Clin Nutr 2004;58:244-9. Last medically reviewed on March 9, 2021. 2004;32(2):132-140. doi:10.1177/147323000403200205, Appenteng MK, Krueger R, Johnson MC, et al. Commercially made elderberry supplements shouldnt contain cyanide, so theyre considered safe for daily use. Our phase IV clinical studies alone cannot establish cause-effect relationship. Dont miss these signs youre not getting enough zinc. Check out our favorite recovery essentials. They contain a chemical that produces cyanide. Elderberry may reduce the effectiveness of immune suppressants, which are common medications for people who have undergone organ transplant procedures. These include melatonin, valerian, ashwagandha, kava, and St. Johnss Wort: When taken together, they can cause too much sleepiness, Dr. Cooperman says. Eur Cytokine Netw. Did UAB Medicine have a positive impact on you or a loved one? High cholesterol. J Funct Foods. Further large-scale studies are required to confirm these results and determine if elderberry may also play a role in preventing influenza (9). Many people take them to help prevent or treat colds. Dosage of drugs is not considered in the study. So, you have to pay attention to which supplements you are taking, when you take them, and how much you take. When prescription cholesterol-lowering drugs are added to the mix, your risks can increase. But when taking individual supplements, such as niacin or vitamin K, you may need to be cautious about potential interactions with other nutrients. There isn't enough reliable information to know if it is safe to use for longer than 12 weeks. It is well documented that vitamin E supplementation can lead to increased bleeding in some people. The use of the eHealthMe site and its content is at your own risk. If you use denture cream and experience neurological problems, you may have a copper deficiency. Taking both minerals together can result in a decreased absorption of magnesium if you take very high doses of calcium (2600mg daily). Exp Pathol Health Sci. All rights reserved. WebMD does not provide medical advice, diagnosis or treatment. It is created by eHealthMe based on reports of 25 people who take Elderberry and Multivitamin from the FDA, and is updated regularly. Bitsch I, Janssen M, Netzel M, et al. Two possible pills that lower cholesterol levelsred yeast rice and niacindont play well together. Elderberry is one of the most commonly used medicinal plants in the world. In a 2019 study on elderberry for cold and flu, elderberry appeared to reduce the duration of upper airway symptoms caused by the flu when taken at the onset of symptoms. 500 22nd Street South, Birmingham, AL 35233. Additionally, one study found that antioxidant status improved in people 1 hour after drinking 400 mL of elderberry juice. Vitamin K, for example, can make blood thinners less effective. Elderberry flavonoids bind to and prevent H1N1 infection in vitro. While taking folate and vitamin B12 at the same time is not problematic in general, higher folate levels can mask a B12 deficiency. For professional medical information on natural medicines, see Natural Medicines Comprehensive Database Professional Version. Use government or non-profit organization websites to research supplement claims. 2023 eHealthMe.com. Kong F. Pilot clinical study on a proprietary elderberry extract: efficacy in addressing influenza symptoms. Deficiencies in either can cause extreme exhaustion. American Family Physician: "Common Herbal Dietary SupplementDrug Interactions," "Herbal and Dietary SupplementDrug Interactions in Patients with Chronic Illnesses.". 2023 Healthline Media LLC. But if you mix it with green tea, black tea, or curcumin supplements, your body wont absorb the mineral. Vitamin C is found in strawberries, potatoes, and citrus. Folate and B12 is another such combination. 2016;8(4):182. doi:10.3390/nu8040182, Zakay-Rones Z, Thom E, Wollan T, Wadstein J. Randomized study of the efficacy and safety of oral elderberry extract in the treatment of influenza A and B virus infections. Elderberry refers to several varieties of the Sambucus tree, which has clusters of white flowers and black or blue-black berries. Elderberries are: The exact nutritional composition of elderberries depends on: Therefore, servings can vary in their nutrition (4, 8). Vitamin K plays a critical role in your body's ability to properly clot your blood. Multivitamin has active ingredients of ascorbic acid; biotin; cyanocobalamin; dexpanthenol; ergocalciferol; folic acid; niacinamide; pyridoxine hydrochloride; riboflavin phosphate sodium; thiamine hydrochloride; vitamin a; vitamin e. It is often used in vitamin supplementation. Elderberry is native to Europe, Africa and parts of Asia, but it's become common in the U.S. The flowers are particularly rich in flavonols. A phase II trial of a transmucosal herbal patch for the treatment of gingivitis. Some vitamins that should not be taken together, or have dosage limitations, include vitamin C with vitamin B-12, vitamin A supplement with vitamin A-rich foods, folic acid (vitamin B9) and vitamin B12, and vitamin E with vitamin K. Vitamin D Deficiency: How Much Vitamin D Is Enough? View abstract. Your body needs adequate doses of vitamins A, B-complex, C, D, E and K every day for optimum health. Clin Exp Allergy 2003;33:1703-10. Not only are they nutritious, but they may also help address cold and flu symptoms, support heart health, and fight inflammation and infections, among other benefits. If you have eaten an unknown berry and develop concerning symptoms, get immediate medical attention. However, with or without vitamins, when you take a probiotic does matter. Information from this source is evidence-based and objective, and without commercial influence. However, the branches, bark, or leaves should not be used in cooking or juicing (2). 2012;33:204-11. There are many reported benefits of elderberries. SheKnows is a part of Penske Media Corporation. Your body depends on magnesium to allow it to absorb vitamin D. Enzymes in your liver and kidneys need magnesium to break down the vitamin and convert it into a form your body can work with. Supplement use should be individualized and vetted by a healthcare professional, such as a registered dietitian, pharmacist, or healthcare provider. While elderberry has some promising potential benefits, there are also some dangers associated with its consumption. Elderberry is safe to take all year round. Also, it may support heart health, improve antioxidant status, and have a variety of anti-cancer, anti-diabetes, and anti-inflammatory effects. Its never safe to eat unknown berries in nature, as they may have dangerous effects. Allergol Immunopathol (Madr) 2022;50(3):8-14. Its still gathered and used in folk medicine across many parts of Europe. Since there is no recommended dosage, follow the instructions on the product label or ask your provider how much you should use. 2021 US open forum: elderberry standards development. In some clinical trials, adults took 3 teaspoons (1 tablespoon) of elderberry extract in syrup form four times daily for five days. The most common type is Sambucus nigra, also known as the European elderberry or black elder. Its advised that you take these vitamins at least 2 hours apart to maximize your absorption.. Supplements (the high quality ones that really work) will act in your body exactly like a drug and the timing impacts efficacy. That's because high doses of vitamin C can reduce the amount of vitamin B-12 that's absorbed and metabolized by the body, she says. View abstract. Before you embark on any supplement regimen, I suggest you ask a holistic-minded practitioner what is right for you with consideration to your allergies, your liver, kidney function and even genetic mutations.. By learning all you can about vitamins and minerals you . So, you don't need to take vitamin A every single day. S. nigra grows up to 30 feet (9 meters) tall and has clusters of small white- or cream-colored flowers known as elderflowers. High doses of zinc taken over the long term (50 mg or more per day for 10 weeks or longer) can also cause copper deficiency. Eur Cytokine Netw 2001;12:290-6.. View abstract. The effect of Sambucol, a black elderberry-based, natural product, on the production of human cytokines: I. A 2016 study on airline passengers suggested using elderberry extract for 10 days before and five days after a flight led to milder symptoms and 50% fewer sick days from cold illnesses. Speak with a, Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, Multi-Country Hepatitis Outbreak in Children, Needle-Free Epinephrine Options Are On The Horizon, Longer Vaccine Interval May Boost Antibodies 9 Times, How Walmart Is Rethinking Health (Medscape video), Dr. Whyte's Book: Take Control of Your Diabetes Risk. Primary care experience on Stimunex gocce in children with recurrent respiratory infections: a real-world study during the COVID-19 pandemic era. Elderberry products are available in syrups, gummies, lozenges, and capsules. Denise Mann is a freelance health writer whose articles regularly appear in WebMD, HealthDay, and other consumer health portals. Featuring vitamin C, zinc, and 50 mg of black elderberry extract per serving, these gummies are a great option for adults looking for extra immune support. Inflammation is one of the leading drivers of many common diseases. Taking too much of this vitamin can cause neurological symptoms. CONDITIONS OF USE AND IMPORTANT INFORMATION: This information is meant to supplement, not replace advice from your doctor or healthcare provider and is not meant to cover all possible uses, precautions, interactions or adverse effects. Avoid any elderberry products with unsubstantiated claims of effectiveness for COVID-19. What is elderberry most commonly used for? Note that most research has only been performed on commercial products. View abstract. You can discuss the study with your doctor, to ensure that all drug risks and benefits are fully discussed and understood. Elderberry use is considered safe for up to 12 weeks. How long should I wait between different vitamins? A review of the antiviral properties of black elder (Sambucus nigraL.) products. Research shows you can prevent, halt, and even reverse type 2 diabetes with proper diet and lifestyle. A study found that elderberry flowers inhibit the enzyme alpha-glucosidase (-glucosidase), which may help lower blood sugar levels. Barak V, Halperin T, Kalickman I. Our original studies have been referenced on 600+ medical publications including The Lancet, Mayo Clinic Proceedings, and Nature. You need iron to help distribute oxygen to cellsits vital for your energy. There is no defined, standard dose of elderberry, so the amounts given differ among studies. Here are six vitamin combinations you definitely shouldnt take together. This lessens the positive effects of consuming green tea. All rights reserved. But only about 25% of people who take herbal supplements tell their health care providers. In vitro inhibition of CYP3A4 by the multiherbal commercial product Sambucus Force and its main constituents Echinacea purpurea and Sambucus nigra. But a July 2019 review published in the Annals of Internal Medicine indicates that there is a slight increase in the risk for stroke when these two supplements are taken together. In the evenings, try vitamin E. Vitamin E has been shown to prevent memory impairment caused by chronic sleep deprivation. BMC Complement Med Ther. So whether it's vitamin D or a targeted nr supplement, you are in the clear on taking it with your probiotic supplement, in most cases. 2020 Sep 14. doi: 10.1007/s11606-020-06170-w. View abstract. It can also be harmful to unborn babies. This copyrighted material is provided by Natural Medicines Comprehensive Database Consumer Version. Online Journal of Pharmacology and Pharmacokinetics 2009;5:32-43. In addition, the processing of elderberries, such as extraction, heating, or juicing, can reduce their antioxidant activity (4). Constipation. Traditionally, Indigenous people used it to treat fever and rheumatism, while the ancient Egyptians used it to improve their complexions and heal burns. It is marketed for several other conditions as well, but research is lacking. Vitamin B6 can also be dangerous in excess. Here are 10 supplements that can reduce inflammation, backed by science. Thank you, {{form.email}}, for signing up. One cup (145 grams) of fresh berries contain 106 calories, 26.7 grams of carbs, and less than 1 gram each of fat and protein (3). However, if the underlying B12 deficiency is not addressed and corrected, permanent nerve damage can result, according to the National Institutes of Health (NIH). Antidepressants and St Johns wort both increase levels of the feel-good brain chemical serotonin. It is a rich source of antioxidants known as anthocyanins and is often used to support the immune system. Always read the labels to find out what you can expect from supplements. Another study in rats found that elderberry extract helped reduce inflammation and oxidative tissue damage (20, 21). While these results are promising, further large-scale human studies are. However, their protective effects on humans appear to be insignificant. Skip green tea on days when youre taking your iron supplement and decrease your weekly consumption. When we eat food, usually there is an array of vitamins, antioxidants, minerals, fats, and flora (the good germs that live in our digestive tract). View abstract. These Vitamins & Supplements Might Interact With Your Birth Control, How to Help Kids with Eco-Anxiety When Fire Season Is A Thing, How to Talk to Relatives Who Dont Get Your Mental Health Needs, Real Couples Therapy Exercises That Could Help Your Relationship, turn to food for our vitamin and mineral intake, New Study Findings Highlight the High Cost of Ignoring Menopause in the Workplace, Meghan Trainor Says She Thought Every Woman Was Always in Pain During & After Sex, I Swapped Alcohol for This Adaptogen Drink & Its My Moment of Zen, How Your Vagina & Vulva Change As You Age 30s, 40s, 50s & Beyond. Inhibition of several strains of influenza virus in vitro and reduction of symptoms by an elderberry extract (Sambucus nigra L.) during an outbreak of influenza B Panama. Believe it or not, vitamin K is one of the nutrients even nutritionists dont get enough of. The phase IV clinical study analyzes what interactions people who take Elderberry and Multivitamin have. Her work is regularly featured in media such as First For Women, Woman's World, and Natural Health. In the case of these two supplements, zinc wins. If you must take both, take them at least two hours apart.. The problem? Personalize this study to your gender and age, Propranolol Hydrochloride vs. Escitalopram Oxalate, Fludrocortisone Acetate and Bromocriptine Mesylate drug interaction, Simvastatin and Dasatinib drug interaction. The flowers have a delicate muscat aroma and can be eaten raw or cooked (1). Taking large amounts of folate can correct the anemia, making you think that you are good to go. View abstract. People who take a lot of zinc supplements may develop a copper deficiency. Phytother Res 2012;26(11):1606-13. Chemical profiling and UHPLC-QToF analysis for the simultaneous determination of anthocyanins and flavonoids in Sambucus berries and authentication and detection of adulteration in elderberry dietary supplements using UHPLC-PDA-MS. Journal of Food Composition and Analysis. J Int Med Res 2004;32:132-40. Different minerals can compete for absorption in your digestive system when taken at the same time. View abstract. By using this site you agree to our Privacy Policy. Elderberry & Echinacea. This is just 3% of the estimated fatal dose for a 130-pound (60-kg) person (2, 35). Despite these promising results, a direct reduction in heart attacks or other symptoms of heart disease has not yet been demonstrated, and further studies in humans are needed. And, while we should always turn to food for our vitamin and mineral intake, sometimes vitamin supplementation can help us fill the gaps in our diet. Dehydration and excess thirst. So, experts recommend taking these supplements at least two hours apart. Calcium and vitamin D are commonly recommended as tandem supplements for their beneficial role in bone health. CoQ10 can also lower blood pressure. Taking vitamin E at the same time can counteract the effects of vitamin K. Both copper and zinc are important minerals. Vlachojannis JE, Cameron M, Chrubasik S. A systematic review on the sambuci fructus effect and efficacy profiles. Symptoms of eating uncooked berries, leaves, bark, or roots of the elderberry include nausea, vomiting, and diarrhea (2). Elder is commonly found growing in woodlands and hedgerows. Eating fat as part of your meal will help transport these vitamins where your body needs them most. Taking antibioticsespecially those in the tetracycline familyalong with iron supplements can dampen the effects of the antibiotics, making them less likely to work, Dr. Glatter says. A 2013 article published in Current Atherosclerosis Reports indicated that the original findings of the WHI showed no association between the two supplements and stroke risk. The following are some of the findings from elderberry research: When evaluating the limited research available to date, it is important to keep in mind that: Elderberry may reduce the symptoms associated with the common cold or the flu if taken early, but there is no evidence to suggest that elderberry can prevent infection. View abstract. Various parts of the elderberry tree have been used throughout history for medicinal and culinary purposes (2). Therapeutic Research Faculty 2018. Always follow your doctor's advice about any dietary supplements if you take blood thinning medication. 2005;25(2):47-56. As with several other fruits, eating a lot of elderberry fruit can cause: Diarrhea Stomachache Abdominal cramping Elderberries should always be cooked and processed before they're consumed. They also claim that elderberries contain active chemicals which may boost immune function. Canadian Poisonous Plants Information System. Drug interactions are reported among people who take Elderberry and Multivitamin. This means they do not come with strict instructions to follow or warnings about interactions like prescription medications. Two supplements that have shown some benefit in your circumstance are fish oil and garlic. Some vitamins and supplements can interfere with blood-thinning blood pressure drugs, Dr. Glatter says. It can cause bleeding episodes after a fall or injury, and theres a high risk of internal bleeding, he says. It has many health benefits, and may help protect against several chronic conditions. One of the most important things is consistency. Barak V, Halperin T, Kalickman I. Use of this site constitutes acceptance of eHealthMe.com's terms of service and privacy policy. Keep your supplements stored according to the instructions on the product label. Absorption and metabolism of anthocyanins in elderly women after consumption of elderberry or blueberry. However, no large studies have proven its effectiveness in humans when sick. Theres little information about the safety or efficacy of homemade remedies (9). Given that type 2 diabetes is a major risk factor for heart and vascular disease, blood sugar management is important in preventing these conditions (4, 9). 2005 - 2023 WebMD LLC, an Internet Brands company. In addition to having interactions with other supplements, some prescriptions interact with supplements. Will We Ever See an End to Alzheimers? Never delay or disregard seeking professional medical advice from your doctor or other qualified health care provider because of something you have read on WebMD. The heart benefits seem strongest when eating fatty fish twice a week. Next, be sure to check out these vitamin mistakes you might not know youre making. eHealthMe is studying from 243 Elderberry users for its effectiveness, alternative drugs and more. You can safely take elderberry daily as long as you follow the recommended dosage instructions. However, these claims have limited evidence, and further research is needed. Some people like to make their own syrup from the dried berries, but these homemade . Berberine is a compound extracted from several plants. Other proposed uses of elderberry have not been supported by research. Nutrition experts agree: A balanced diet provides all the necessary nutrients for most healthy people. The reason is that they can be energizing, and some people may feel a bit too energized taking these just before bed. Follow these tips to stay safe with supplements. They can cause nausea and vomiting and, at high doses, more. Cooked elderberry fruit is safe, but raw elderberry may cause nausea, vomiting, or severe diarrhea. Have a conversation with your doctor about the risks associated with taking these two supplements together, to ensure the benefits outweigh the risks. Cooked elderberry fruit is safe, but raw elderberry may cause nausea, vomiting, or severe diarrhea. Phytother Res. Studies have shown elderberry juice may reduce the level of fat in the blood and decrease cholesterol. Even ripe berries can contain trace amounts, so you must cook elderberries before consumption. The most tested product in research (Sambucol) is now sold in different formulations that are not consistent with the original form that was studied. There is one report of eight people falling ill after drinking the juice from freshly picked berries, including the leaves and branches, from the S. mexicana elder variety. But taking too many fat-soluble vitamins means the excess is stored in your body's cells, making it harder to flush out and get rid of. See additional information. How to Determine if a Vitamin or Supplement Is Actually Right for You, Journal of the American Heart Association, Vitamin K: Why You Need It and Where to Find It, Confused About Multivitamins? Forster-Waldl E, Marchetti M, Scholl I, Focke M, et al. Dietary supplements are not regulated like conventional food products or drugs in the United States. J Gen Intern Med. Fresh elderberries may last longer when refrigerated. Some supplements can have powerful effects. The stories you care about, delivered daily. * Approximation only. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. If your doctor prescribes a dosage higher than the daily value of a particular nutrient, disclose any other vitamin and herbal supplements that you take so problematic combinations can be avoided. Some participants also took. The bark was used as a diuretic, a laxative, and to induce vomiting (1). And a 2017 article published in the Journal of the American Heart Association actually found that calcium supplements increase the risk of stroke, but combining them with vitamin D seemed to offset this result. Jennifer Lefton, MS, RD/N-AP, CNSC, FAND is a Registered Dietitian/Nutritionist and writer with over 20 year of experience in clinical nutrition. Generally, consuming it in the diet has only a small effect on antioxidant status (19). Or you can use it only during an acute illness like cold and flu. 2015;18(B):941-958. doi:10.1016/j.jff.2014.07.012. 2021;21(1):112. doi:10.1186/s12906-021-03283-5, Macknin M, Wolski K, Negrey J, Mace S. Elderberry extract outpatient influenza treatment for emergency room patients ages 5 and above: a randomized, double-blind, placebo-controlled trial. What is elderberry used for? Neostigmine Methylsulfate and Multivitamin drug interaction, Ticlopidine Hydrochloride and Heparin drug interaction, Multiple Myeloma (cancer of the plasma cells): 9 people, 36.00%. Elderberry has some benefits for heart health, such as reducing cholesterol, uric acid, and blood sugar levels. Taking elderberry along with these medications might decrease the effects of these medications. Nutrients. All rights reserved. Patients in the study may take other drugs besides Elderberry and Multivitamin. Other parts of the plant should be avoided as they contain a naturally occurring chemical compound called cyanogenic glycoside, which releases the poison hydrogen cyanide. Plus, they have many nutritional benefits. Among zincs many benefits, enhanced immunity ranks high. You can use the study as a second opinion to make health care decisions. It has deciduous leaves, white flowers (elderflowers) and berries that turn from green to red to black when ripe.
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