Elderberries and Kids

In recent years, elderberries have gained popularity as a natural remedy — especially during cold and flu season. You may have seen elderberry gummies, syrups, or juices marketed as immune boosters for children. But what is the real story behind elderberries in pediatric nutrition? 

What Are Elderberries? 

Elderberries are dark purple berries from the Sambucus nigra plant, traditionally used in herbal medicine. Rich in vitamins, antioxidants, and flavonoids, elderberries are believed to help fight inflammation and support the immune system. 

They are commonly consumed in syrups, gummies, lozenges, or teas, especially during the cold and flu season. 

Nutritional Highlights of Elderberries 

Elderberries are a nutrient-dense fruit with several beneficial components: 

Vitamin C – Supports immune health and acts as an antioxidant
Dietary Fiber – Promotes healthy digestion and gut function
Anthocyanins – These plant pigments have anti-inflammatory and antiviral properties
Flavonoids and Polyphenols – Linked to heart health and immune modulation 

Can Elderberries Help Kids Fight Colds? 

Some small studies in adults and older children suggest elderberries may help reduce the duration and severity of cold and flu symptoms, due to their antiviral and antioxidant effects. 

However, the research in young children is limited, and most studies focus on standardized elderberry extract, not homemade or over-the-counter versions. 

The American Academy of Pediatrics (AAP) and FDA do not officially recommend elderberries as a treatment or prevention method for colds or flu, due to the lack of large, high-quality pediatric studies. 

Is Elderberry Safe for Children? 

Elderberries can be safe for children over 1 year if prepared and dosed appropriately. However, there are a few important cautions: 

•  Raw elderberries (or leaves and stems) are toxic and can cause nausea, vomiting, and diarrhea. 

•  Only give commercially prepared elderberry products that are clearly labeled for children. 

• Avoid in infants under 1 year, as some syrups contain honey, which can lead to infant botulism. 

• Talk to your pediatrician before starting elderberry supplements — especially if your child is on medication or has a health condition. 

How to Include Elderberries Safely 

If your pediatrician gives the green light, you might consider: 

• Elderberry syrup labeled for children (age-appropriate doses) 

• Elderberry gummies or lozenges for children 2+ 

• Elderberry tea (mildly brewed and cooled, in older children) 

Remember: Elderberry products should be part of a broader immune support routine, not a replacement for vaccines, rest, hydration, or good hygiene. 

Elderberries are rich in antioxidants and may have immune-supporting properties — but they are not a cure-all, especially in children. While elderberry supplements may be helpful for some kids, they should be used cautiously and under pediatric guidance. 

As always, the best defense against illness includes: 

• A balanced diet 

• Plenty of sleep 

• Physical activity 

• Handwashing 

 If you have concerns about your child’s health when offices are closed, book a telemedicine appointment to speak with a board-certified pediatrician.