Since 1969. Six key ingredients. English ivy to soothe occasional coughs (for coughs associated with hoarseness, dry throat, & irritants). Honeyberry's six key ingredients: we start with a combination of high-quality ingredients: organic standardized; elderberry; organic honey; organic apple cider vinegar. Then we add english ivy leaf extract which helps soothe coughs associated with hoarseness, dry throat, and irritants. English ivy leaf extract. Lastly, we add vitamin c and zinc to support your immune health. Vitamin c; zinc; about black elderberries: for centuries, the dark berries of european black elder (sambucus nigra l.) have been traditionally used as a winter remedy for immune support. country of origin : usa, wisconsin is gluten free : yes organic : 70%+ organic size : 4 oz pack of : 1 selling unit : each