topicElderberry Upper Respiratory Symptoms Randomized Trial
claimShe improved with supportive care, early advancement of diet, and discontinuation of elderberry.
evidence level4
citationEspinal V (2026)
sourceBlack Elderberry Exposure in Apparent Idiopathic Mild Acute Pancreatitis: A Case Report.
topicElderberry Upper Respiratory Symptoms Randomized Trial
claimBecause occult biliary disease and medication co-exposure could not be definitively excluded, causality was conservatively classified as possible black elderberry-associated acute pancreatitis.
evidence level4
citationEspinal V (2026)
sourceBlack Elderberry Exposure in Apparent Idiopathic Mild Acute Pancreatitis: A Case Report.
topicElderberry Upper Respiratory Symptoms Randomized Trial
claimDrug-induced acute pancreatitis is uncommon and remains difficult to confirm, particularly when the suspected exposure is an herbal or over-the-counter supplement.
evidence level4
citationEspinal V (2026)
sourceBlack Elderberry Exposure in Apparent Idiopathic Mild Acute Pancreatitis: A Case Report.
topicElderberry Upper Respiratory Symptoms Randomized Trial
claimBlack elderberry, derived from Sambucus nigra, is widely marketed for immune support, but published literature linking it to acute pancreatitis is limited.
evidence level4
citationEspinal V (2026)
sourceBlack Elderberry Exposure in Apparent Idiopathic Mild Acute Pancreatitis: A Case Report.
topicElderberry Upper Respiratory Symptoms Randomized Trial
claimAs a result, common infections are becoming harder to treat, leading to prolonged illness, increased healthcare costs, higher mortality, and a growing burden on healthcare systems worldwide [,].
evidence level4
citationAlexandrova Alexandra S. (2026)
sourceA Review of the Properties of Clinically Evaluated Plant-Derived Agents in the Treatment of Respiratory Infections
topicElderberry Upper Respiratory Symptoms Randomized Trial
claimClinical decisions should be based on the quality of available evidence, safety considerations, and the individual characteristics of each patient [,,].
evidence level4
citationAlexandrova Alexandra S. (2026)
sourceA Review of the Properties of Clinically Evaluated Plant-Derived Agents in the Treatment of Respiratory Infections
topicElderberry Upper Respiratory Symptoms Randomized Trial
claimThe use of evidence-based herbal products for symptomatic relief can help reduce inappropriate antibiotic prescribing and self-medication.
evidence level4
citationAlexandrova Alexandra S. (2026)
sourceA Review of the Properties of Clinically Evaluated Plant-Derived Agents in the Treatment of Respiratory Infections
topicElderberry Upper Respiratory Symptoms Randomized Trial
claim1 2 3 4 5 6 7 8 Upper and lower respiratory tract infections (URTIs and LRTIs) are prevalent health concerns globally, accounting for a significant burden of illness and healthcare resources.
evidence level4
citationAlexandrova Alexandra S. (2026)
sourceA Review of the Properties of Clinically Evaluated Plant-Derived Agents in the Treatment of Respiratory Infections