Elderberry and Zinc, a synergy.
Both target early-phase viral upper respiratory illness through distinct antiviral and immune-modulating mechanisms, supporting an additive symptom-duration benefit.
One pair, every claim cited. The two substances, the type, the mechanism, the recommendation, and the primary literature.
Same shape as the other 1,729 pairs in the public database.
From the interaction database
What the row says.
Every entry follows the same shape: what is happening, the mechanism, the recommendation, and the primary literature.
At a glance
- Substances
- Elderberry and Zinc
- Pair type
- Synergy
- Evidence (highest tier)
- Emerging
- Source citations
- 2 sources
- Stack Score effect
- +2 to your Stack Score (per scored synergy row).
- Scope
- Supplement × Supplement
- Last verified
- May 30, 2026
Synergy · Emerging evidence
Synergy
What is happening. Both target early-phase viral upper respiratory illness through distinct antiviral and immune-modulating mechanisms, supporting an additive symptom-duration benefit.
Mechanism. Zinc inhibits viral replication and supports T-cell function while elderberry flavonoids modulate cytokine release, giving complementary rather than competing effects on the immune response.
Recommendation. Reasonable to combine during the early days of a cold; take zinc with food if it causes nausea. No timing separation required.
Sources (2)
- Hawkins J et al., Black elderberry (Sambucus nigra) supplementation effectively treats upper respiratory symptoms: a meta-analysis, Complementary Therapies in Medicine, 2019
- Hemila H, Zinc lozenges and the common cold: a meta-analysis, BMC Family Practice, 2017
Stack Score
How this pair moves the number.
Effect on the composite score
If both Elderberry and Zinc are in the same stack, this pair applies +2 to your Stack Score (per scored synergy row).
The full algorithm, the clamping rules, and four worked stacks are documented at /methodology/stack-score.
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