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Honey for Sore Throat: What the Cough Trials Used

What the cough trials actually tested, which honeys they used, why no variety is proven better for a sore throat, and when to see a doctor.

Honey for Sore Throat: What the Cough Trials Used — honey varieties and usage

Quick Answer

No honey variety has been shown to soothe a sore throat better than another. The best-known trial, a 2007 Penn State study (Paul et al., 105 children aged 2 to 18, one night), used buckwheat honey: parents rated it better than no treatment for nighttime cough, and its difference from dextromethorphan was not statistically significant. Manuka honey is graded by its methylglyoxal (MGO) content; no trial has shown that eating it treats a sore throat or a throat infection. Thyme, linden and wildflower honey are good-tasting choices for warm tea, not proven remedies.

What to Look For

Pick a honey you like the taste of in tea or on a spoon. The cough trials used buckwheat (Paul 2007) and eucalyptus, citrus and labiatae honeys (Cohen 2012, 300 children aged 1 to 5); none compared dark honey with light honey for symptom relief, and none tested a UMF or MGO grade. A UMF or MGO number on Manuka tells you the jar is authentic Manuka and how much methylglyoxal it contains; it is not a treatment strength. Thick honey and thin honey both work in tea.

Relevant Honey Varieties

Buckwheat Honey

The honey used in the 2007 Penn State trial: 105 children aged 2 to 18 with a cold, one dose before bed, parent-rated. Honey beat no treatment for nighttime cough; its difference from dextromethorphan was not statistically significant. Strong, malty flavor.

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Manuka Honey (UMF 10+)

Earthy, slightly bitter flavor. Its UMF or MGO grade measures methylglyoxal; no trial has shown that eating Manuka treats a sore throat or a throat infection better than other honey.

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Thyme Honey

Herbal, aromatic flavor that many people find pleasant straight from the spoon. Thyme essential-oil compounds are studied in thyme herb extracts, not in thyme honey, so treat it as a flavor choice.

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Linden Honey

A traditional European choice for cold-season tea, with a fresh, slightly minty flavor. No clinical trial has tested linden honey for sore throat.

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Raw Wildflower Honey

The easiest honey to find and usually the cheapest. A 2021 BMJ Evidence-Based Medicine review of 14 studies (Abuelgasim et al.) found honey improved cough frequency and severity compared with usual care; the two placebo-controlled studies it pooled were inconclusive, and none of the studies singled out wildflower honey.

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How to Use

If you like honey, eat it from a spoon or stir it into warm (not boiling) water or tea; lemon, ginger and chamomile are common pairings. No study has set a sore-throat dose. Ask your doctor or pediatrician how much is sensible, especially for a child, and count it as added sugar.

What to Avoid

Never give honey to infants under 12 months old because of the risk of infant botulism. Do not use honey in place of medical care: see a doctor if a sore throat lasts more than a few days or comes with high fever, white patches on the tonsils, a rash, or trouble swallowing or breathing. Strep throat needs a clinician's test and, if confirmed, antibiotics. Honey is a food, not a treatment.

Frequently Asked Questions

Is honey really as effective as cough medicine?
The trials do not settle it. In a 2007 Penn State study of 105 children aged 2 to 18 with colds, parents rated buckwheat honey better than no treatment for nighttime cough, and the difference between honey and dextromethorphan (the active ingredient in many OTC cough syrups) was not statistically significant. A 2018 Cochrane review of 6 trials in 899 children found honey probably reduces cough frequency more than no treatment or placebo; most children were treated for one night. Honey is a food, not a medicine. Talk to your pediatrician before using honey for a child's cough.
How much honey should I take for a sore throat?
There is no standardized dose. Talk to your doctor or pediatrician before using honey for a sore throat, especially for a child, and count honey as added sugar.
Can I use regular honey or does it have to be special?
Regular honey is fine. The cough trials used ordinary honeys (buckwheat in the 2007 Penn State study; eucalyptus, citrus and labiatae in a 2012 Israeli study), and none showed that dark, raw or Manuka honey works better than other honey for throat or cough symptoms.
Why can babies not have honey?
Honey can contain Clostridium botulinum spores, which are harmless to children over one year and adults but can cause infant botulism in babies under 12 months whose digestive systems are not mature enough to neutralize the spores. This applies to all honey regardless of type or processing.
Can honey help with strep throat?
Honey is a food, not a treatment for strep throat. Strep is a bacterial infection that needs a clinician's diagnosis (a throat swab) and, when confirmed, a prescribed course of antibiotics. Never give honey to children under 12 months. See a doctor promptly for high fever, white patches on the tonsils, or difficulty swallowing.
What is the best honey to mix with tea for a sore throat?
Pick by flavor. Linden honey suits chamomile and elderflower tea, buckwheat suits strong teas like ginger or rooibos, and acacia dissolves cleanly without changing the taste of green tea. No study shows one of them soothes a throat better. Let very hot tea cool a little before you drink it so you do not scald an already sore throat.
RHG

Edited by Sam French · Raw Honey Guide Editorial Team

Sam French is the founding editor of Raw Honey Guide. This is an editorial guide, not a medical review.

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