In addition to the many benefits of the compounds contained in the plant, it is a plant whose raw fruits, leaves and stem are poisonous and can cause serious stomach problems when eaten raw. There are many food supplement products that are easily accessible from pharmacies that are frequently consumed today, both to reach the quality active ingredient and to avoid such reliability concerns. You can use these supplements as needed by consulting your physicians and pharmacists.

There are tablets, sachets, syrups, drops and chewable forms of supplement foods that have been produced in pharmacies in milligrams suitable for an individual's use by obtaining the necessary approvals.

There are not enough studies in children under the age of 12 for raw consumption of fruits, but syrup and jelly-style products containing elderberry extract sold in pharmacies can be used reliably from the age of 3.

Its use is not recommended because the studies conducted on pregnant women are not sufficient.

Elderberry could theoretically interact with drugs designed to suppress the immune system and therefore affect efficient work results. Elderberries can stimulate the immune system. For this reason, individuals with autoimmune disorders should not use it without a physician's recommendation. Also, due to the potential of elderberry to inhibit xanthine oxidase and affect its levels, patients taking theophylline are recommended to use it with caution.

It has been reported in some studies that foods rich in caffeine and anthocyanins, such as raspberries, plums, black cabbage and radishes, increase the effectiveness of elderberries; caution should be exercised when using them together.

There are no side effects used at the recommended doses. Pollen, flowers and fruits of the plant have allergic potential. When its fruits are consumed raw or flower extract is used in high doses, it can cause nausea, vomiting or diarrhea.

The root, bark and leaves of elderberry contain sambunigrin, which is toxic and can lead to cyanide poisoning. 60 mg of hydrogenation (HCN) is enough to kill a person. That is why flowers containing HCN below 25 ppm are suitable for consumption. However, when subjected to heat treatment, HCN decomposes and loses its toxic effect. However, there are reports of gastrointestinal discomfort, diarrhea, vomiting, abdominal cramps and weakness in individuals who drink elderberry juice made from crushed leaves, stems or fruits of black elderberry that have not been heat treated in the literature.