Honey as a treatment for cough
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Effectiveness of Honey for Treating Cough in Children
Several systematic reviews and randomized controlled trials have examined the use of honey as a treatment for acute cough in children. The majority of these studies suggest that honey can reduce the frequency and severity of cough more effectively than no treatment or placebo, and is at least as effective as some over-the-counter (OTC) cough medications 1234+6 MORE.
Comparison with Placebo and No Treatment
Moderate-quality evidence shows that honey probably reduces cough frequency and severity better than placebo or no treatment. Children who received honey experienced greater relief from cough symptoms and improved sleep quality compared to those who received no treatment or a placebo 1245+4 MORE. This benefit was observed in both the children and their parents, with improved sleep reported in the honey groups 1610.
Comparison with Over-the-Counter Cough Medications
When compared to OTC medications such as dextromethorphan and diphenhydramine, honey was found to be at least as effective, and in some cases slightly better, in reducing cough frequency and improving sleep 1234+3 MORE. However, honey did not show a significant difference compared to dextromethorphan, but may be slightly better than diphenhydramine 2457.
Safety and Adverse Effects
Honey is generally considered safe for children over 12 months old. Adverse events reported in studies were mild and included symptoms such as nervousness, insomnia, hyperactivity, and gastrointestinal complaints, but these were not significantly different from those seen with OTC medications or placebo 2457. No serious side effects were reported, and honey is not recommended for children under one year due to the risk of infant botulism .
Limitations and Quality of Evidence
Most studies assessed the effects of honey over a short period (often just one night), and the overall quality of evidence is considered low to moderate due to risks of bias and limited reporting 1245. More high-quality, longer-term studies are needed to confirm the effectiveness and safety of honey for cough in children 13.
Conclusion
Current evidence suggests that honey is a safe and potentially effective option for relieving acute cough symptoms in children over 12 months old. It may reduce cough frequency and severity, improve sleep, and is at least as effective as some OTC cough medications, with minimal risk of side effects. However, the quality of evidence is not strong, and further research is needed to confirm these findings and establish clear guidelines for use 1234+6 MORE.
Sources and full results
Most relevant research papers on this topic
Honey for acute cough in children — a systematic review
Honey may be more effective than placebo or over-the-counter medications in relieving symptoms and improving sleep in children with acute cough, but better quality randomized, placebo-controlled trials are needed to confirm these findings.
The therapeutic role of honey for treating acute cough in the pediatric population. A systematic review
Honey is more effective than no treatment and at least as effective as over-the-counter cough medications in treating acute cough in pediatric patients.
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