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The claim

“Elderberry prevents colds or influenza.”

False
Evidence confidence Limited
The short answer

Elderberry has not been shown to prevent colds or flu, and the only prevention trial found no clear drop in colds.

What this means for you

Taking elderberry is unlikely to keep you from catching a cold or the flu. A product labeled for "immune support" has not been shown to prevent infections.

Your next step

If your goal is to avoid the flu, get the yearly flu vaccine rather than relying on elderberry.

Who should be careful?

Safety note: Raw or unripe elderberries and the leaves and stems of the plant contain substances that can cause nausea, vomiting and severe diarrhea; cooking removes them. Elderberry is not a substitute for a flu vaccine.

The evidence
Why this confidence?

The only prevention trial, in 312 air travelers, found no clear drop in colds, and no trial has tested whether elderberry prevents flu. Confidence is Limited because that single trial was small for this question and had a high risk of bias.

The facts

Elderberry has not been shown to prevent colds or flu, and the only prevention trial found no clear drop in colds. Most other elderberry studies enrolled people who were already sick and looked at symptoms, not whether infections were prevented.

The bigger picture

In the prevention trial, Australian air travelers took an elderberry extract or a placebo before and during an overseas trip. 12 of 154 people on elderberry (8%) and 17 of 158 on placebo (11%) caught a cold, a difference that could be due to chance. Colds were shorter in people taking elderberry, but only 29 people caught a cold, and that is a question about shortening colds, not preventing them. A 2021 systematic review rated this evidence low certainty and found no trials of elderberry for preventing flu.

Last reviewed 2026-10-20 We update these cards as new research comes out. When the evidence changes, our verdicts change too.
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