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Can I take cranberry and elderberry together?

4 min read

According to a 2019 clinical trial, combining cranberry and elderberry extracts improved symptoms in patients with urinary tract irritation. These two popular berries are often used together in supplements and drinks.

Quick Summary

This article explores the combined advantages, potential risks, and safe consumption methods for cranberry and elderberry, emphasizing their support for the immune system and urinary health.

Key Points

  • Synergistic Benefits: Cranberry and elderberry work together to support both urinary tract health and the immune system.

  • Safety Precautions: Consult a doctor if you take blood thinners (warfarin), have a history of kidney stones, or are pregnant/breastfeeding.

  • Watch the Dosage: Follow manufacturer recommendations to avoid stomach upset or diarrhea from high doses.

  • Forms of Consumption: The berries can be combined in supplements, juices, concentrates, or water infusions.

  • Avoid Raw Elderberry: Ensure elderberry products are properly prepared, as the raw plant contains a toxic substance.

In This Article

Understanding the Individual Benefits

It's helpful to understand the individual health properties of cranberries and elderberries before looking at their combined effect. Cranberries are associated with urinary tract health, while elderberries are known for their immune-boosting capabilities.

The Health Perks of Cranberry

Cranberries are rich in proanthocyanidins (PACs). These compounds prevent certain bacteria, like E. coli, from adhering to the urinary tract walls. This is why cranberries are often used to prevent urinary tract infections (UTIs). Cranberries also provide antioxidants to protect the body from cell damage.

The Immune Support of Elderberry

Elderberries contain strong anti-viral properties and antioxidants, including a significant amount of vitamin C. They are a traditional remedy for cold and flu symptoms and have anti-inflammatory effects. Research shows elderberry extract exhibits strong antibacterial effects against bacteria like E. coli. However, it is important to use properly prepared elderberry supplements, as the raw berries, leaves, and stems contain a toxic substance that must be removed through cooking or processing.

The Complementary Effect: Why They Work Well Together

Cranberry and elderberry create a powerful combination with complementary effects. Cranberry focuses on blocking bacterial adhesion in the urinary tract, while elderberry provides immune support and combats bacterial growth. This approach is helpful for those seeking to support their immune system and urinary health, especially when UTIs can be more common, such as during the summer due to dehydration.

Safety Considerations and Potential Risks

Certain individuals should exercise caution or avoid taking cranberry and elderberry together. Always consult a healthcare professional before starting any new supplement, especially if you have existing health conditions or are taking medication.

Potential Drug Interactions

  • Blood Thinners (Warfarin): Cranberry can increase the effect of anticoagulants like warfarin, increasing the risk of bleeding. Those taking blood thinners should avoid cranberry products.
  • Other Medications: Cranberry may interact with medications broken down by the liver, including certain cholesterol and blood pressure drugs, such as atorvastatin and nifedipine.

Health Conditions

  • Kidney Stones: Cranberries contain a significant amount of oxalate, which can increase the risk of kidney stones in predisposed individuals. If you have a history of kidney stones, consult your doctor.
  • Pregnancy and Breastfeeding: There is insufficient reliable information on the safety of taking large amounts of cranberry or elderberry during pregnancy or breastfeeding. It is best to stick to food amounts or consult a doctor.
  • Allergies: Individuals with a salicylate allergy should be cautious, as cranberries contain salicylic acid.

Risk of High Doses

Exceeding the recommended dosage can lead to adverse effects. Very large doses of cranberry can cause mild stomach upset or diarrhea. Stick to the guidelines provided by the product manufacturer.

Comparison Table: Cranberry vs. Elderberry

Feature Cranberry Elderberry
Primary Benefit Urinary tract health Immune system support
Mechanism of Action Prevents bacterial adhesion (PACs) Antioxidant, antiviral, anti-inflammatory properties
Key Compounds Proanthocyanidins (PACs) Anthocyanins, flavonoids, Vitamin C
Safety Concerns Interaction with blood thinners, kidney stone risk Toxicity if raw berries or other plant parts are ingested
Dosage Forms Juice, capsules, concentrate, extracts Gummies, syrups, capsules, extracts
Key Use Case Preventing recurrent UTIs, especially in women Supporting the body during cold and flu season

How to Take Cranberry and Elderberry Together

Combining these two berries can be done in several ways:

  • Dual Supplements: Many brands offer combined cranberry and elderberry capsules, gummies, or liquid extracts. These products are formulated with specific dosages in mind.
  • Juice Blends: You can find juice blends featuring both berries. Be mindful of added sugars and opt for pure juices or blends with natural sweeteners.
  • Water Infusions: Liquid drops or sachets containing cranberry and elderberry are available for mixing into water, creating a flavored, antioxidant-rich beverage.
  • Smoothies and Foods: Add concentrate or powdered extracts to smoothies, yogurt, or other foods for an easy, daily dose.

Dosage Recommendations

  • Follow the label: The specific dosage depends on the product and its concentration. Always follow the manufacturer's instructions.
  • Timing: Some liquid concentrates are recommended to be taken on an empty stomach in the morning for better absorption.
  • Consistency: For preventive purposes, such as supporting urinary tract health, consistent daily intake may be more effective.

Conclusion: A Powerful and Safe Combination for Most

Taking cranberry and elderberry together is safe and beneficial for most healthy adults. It supports both immune function and urinary tract health. Their complementary actions make them a natural remedy, especially when immune systems are compromised or when extra urinary support is needed. Consulting a healthcare professional is important, especially for individuals with certain medical conditions or those on specific medications. Being mindful of potential interactions and risks allows the safe incorporation of this antioxidant-rich combination into a wellness routine. For more information on the effectiveness of cranberries for urinary health, consult resources like the National Center for Complementary and Integrative Health (NCCIH).

References

Cranberry: Usefulness and Safety | NCCIH. URL: https://www.nccih.nih.gov/health/cranberry

Cranberry - Special Subjects - Merck Manual Consumer Version. URL: https://www.merckmanuals.com/en-ca/home/special-subjects/dietary-supplements-and-vitamins/cranberry

A Clinical Trial of Cranberry and Elderberry Extracts (Berdi ...). URL: https://journaljpri.com/index.php/JPRI/article/view/1241

Elderberry: Usefulness and Safety | NCCIH. URL: https://www.nccih.nih.gov/health/elderberry

Frequently Asked Questions

The combination provides complementary health benefits; cranberry helps prevent bacteria from adhering to the urinary tract walls, while elderberry offers antioxidant, anti-inflammatory, and immune-boosting properties.

Yes, it is generally safe to take them together. Many commercial products combine both berries into a single supplement or beverage.

In very high doses, the combination might lead to minor stomach upset or diarrhea. It's crucial to use properly prepared elderberry, as raw parts of the plant are toxic.

You should not take cranberry products with blood-thinning medications like warfarin, as this may increase the risk of bleeding. Always consult your doctor before combining supplements with medication.

Individuals with a history of kidney stones should consult a healthcare provider before increasing their intake of cranberries, as they contain oxalates which can contribute to stone formation.

While some evidence exists, particularly for cranberry reducing recurrent UTI risk in healthy women, findings are inconsistent. The US FDA allows 'limited and inconsistent' claims for juice beverages. A combination extract showed promise in one small trial but requires further study.

It is recommended to consult a healthcare practitioner before taking cranberry or elderberry supplements during pregnancy or breastfeeding, due to limited data on safety in these populations.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.