diff --git a/elasticapm/contrib/sanic/utils.py b/elasticapm/contrib/sanic/utils.py
index e4e987274..91cb986e3 100644
--- a/elasticapm/contrib/sanic/utils.py
+++ b/elasticapm/contrib/sanic/utils.py
@@ -148,4 +148,12 @@ def make_client(client_cls=Client, **defaults) -> Client:
 
 def _transform_response_cookie(cookies: CookieJar) -> Dict[str, str]:
     """Transform the Sanic's CookieJar instance into a Normal dictionary to build the context"""
-    return {k: {"value": v.value, "path": v["path"]} for k, v in cookies.items()}
+    # old sanic versions used to have an items() method
+    if hasattr(cookies, "items"):
+        return {k: {"value": v.value, "path": v["path"]} for k, v in cookies.items()}
+
+    try:
+        return {cookie.key: {"value": cookie.value, "path": cookie.path} for cookie in cookies.cookies}
+    except KeyError:
+        # cookies.cookies assumes Set-Cookie header will be there
+        return {}
diff --git a/tests/contrib/asyncio/starlette_tests.py b/tests/contrib/asyncio/starlette_tests.py
index e3c4f4a16..38c51fa08 100644
--- a/tests/contrib/asyncio/starlette_tests.py
+++ b/tests/contrib/asyncio/starlette_tests.py
@@ -348,7 +348,8 @@ def test_transaction_name_is_route(app, elasticapm_client):
 )
 def test_trailing_slash_redirect_detection(app, elasticapm_client, url, expected):
     client = TestClient(app)
-    response = client.get(url, allow_redirects=False)
+    kwargs = {"allow_redirects": False} if starlette_version_tuple < (0, 43) else {"follow_redirects": False}
+    response = client.get(url, **kwargs)
     assert response.status_code == 307
     assert len(elasticapm_client.events[constants.TRANSACTION]) == 1
     for transaction in elasticapm_client.events[constants.TRANSACTION]:
diff --git a/tests/contrib/sanic/fixtures.py b/tests/contrib/sanic/fixtures.py
index e4d8d4158..0f231243c 100644
--- a/tests/contrib/sanic/fixtures.py
+++ b/tests/contrib/sanic/fixtures.py
@@ -155,6 +155,12 @@ async def raise_value_error(request):
         async def custom_headers(request):
             return json({"data": "message"}, headers={"sessionid": 1234555})
 
+        @app.get("/add-cookies")
+        async def add_cookies(request):
+            response = json({"data": "message"}, headers={"sessionid": 1234555})
+            response.add_cookie("some", "cookie")
+            return response
+
         try:
             yield app, apm
         finally:
diff --git a/tests/contrib/sanic/sanic_tests.py b/tests/contrib/sanic/sanic_tests.py
index ec97fb02f..291ceae7c 100644
--- a/tests/contrib/sanic/sanic_tests.py
+++ b/tests/contrib/sanic/sanic_tests.py
@@ -194,6 +194,16 @@ def test_header_field_sanitization(sanic_elastic_app, elasticapm_client):
     assert transaction["context"]["request"]["headers"]["api_key"] == "[REDACTED]"
 
 
+def test_cookies_normalization(sanic_elastic_app, elasticapm_client):
+    sanic_app, apm = next(sanic_elastic_app(elastic_client=elasticapm_client))
+    _, resp = sanic_app.test_client.get(
+        "/add-cookies",
+    )
+    assert len(apm._client.events[constants.TRANSACTION]) == 1
+    transaction = apm._client.events[constants.TRANSACTION][0]
+    assert transaction["context"]["response"]["cookies"] == {"some": {"value": "cookie", "path": "/"}}
+
+
 def test_custom_callback_handlers(sanic_elastic_app, elasticapm_client):
     def _custom_transaction_callback(request):
         return "my-custom-name"