Each lozenge contains Elderberry Extract powder that is synergistically formulated with Zinc & Vitamin C for maximum effectiveness. Zinc is a trace mineral that plays an important role in supporting a healthy immune system. Echinacea, Propolis & Slippery Elm have been added to complement this unique formula.* Do Not Eat Freshness Packet. Keep in Bottle. Take 1 lozenge every 1-2 hours as needed, or as recommended by your healthcare practitioner. Allow the lozenge to dissolve in mouth completely. Limit long-term consumption of high levels of Zinc. Fructose, Sorbitol, Magnesium Stearate (vegetable source), Silica, Cellulose & Natural Raspberry Flavor.