Honey for Chronic Cough
Introduction
Chronic cough, a persistent cough lasting eight weeks or longer, is a common issue that can significantly affect the quality of life.
It can result from various underlying conditions, including allergies, asthma, gastroesophageal reflux disease (GERD), or chronic bronchitis.
One natural remedy that has gained considerable attention for its potential benefits in alleviating chronic cough is honey.
This article explores the efficacy of honey for chronic cough, its mechanisms, usage, and scientific evidence supporting its benefits.
The Science Behind Honey
Honey is a natural substance produced by bees from the nectar of flowers.
It has been used for centuries in traditional medicine due to its antibacterial, anti-inflammatory, and antioxidant properties.
Honey is rich in sugars, mainly fructose and glucose, and contains vitamins, minerals, enzymes, and amino acids, which contribute to its therapeutic properties.
Antimicrobial Properties
Honey’s antimicrobial properties are primarily due to its low pH, high sugar content, and the presence of hydrogen peroxide and other antimicrobial compounds.
These properties help inhibit the growth of bacteria and other pathogens that may contribute to respiratory infections and chronic cough.
Anti-inflammatory and Antioxidant Effects
Honey contains flavonoids and phenolic acids, which are powerful antioxidants.
These compounds help reduce inflammation and oxidative stress in the respiratory tract, which can alleviate the symptoms of a continuous cough.
How Honey Helps with Chronic Cough
Soothing the Throat
Honey is viscous and sticky, which helps coat the throat and provides a soothing effect.
This coating action can reduce the irritation in the throat that triggers coughing, providing immediate relief.
Suppressing Cough Reflex
The sweetness of honey can trigger the production of saliva, which helps moisten the throat and reduces the urge to cough.
Honey also acts on sensory nerves in the throat, diminishing the cough reflex.
Enhancing Immune Response
Regular consumption of honey can enhance the immune system due to its antioxidant and antimicrobial properties.
A stronger immune system can better fight off infections that may cause or exacerbate cough.
Scientific Evidence
Several studies have investigated the efficacy of honey in treating coughs, including chronic coughs.
Study on Children with Cough
A study in 2012 compared the effects of honey, dextromethorphan (a common cough suppressant), and no treatment in children with upper respiratory tract infections.
The results showed that 2,5ml of honey before sleep was more effective than over-the-counter (OTC) cough medicines in reducing the frequency and severity of nighttime coughing.
Systematic Review
A systematic review published in the National Library of Medicines evaluated the effects of honey for acute cough in children.
The review concluded that giving honey for up to three days is probably more effective in relieving cough symptoms compared with a placebo or salbutamol.
After three days honey had no advantage over OTC medicines, which indicates the value of honey as a quick and short term solution to acute cough in children.
Honey vs. Conventional Cough Syrups
A study in 2006 suggests that honey may be a reasonable option given its low cost, relatively low adverse effect profile, and potential benefit in reducing nocturnal cough and sleep quality for children and their parents.
Need for Further Research
While existing studies provide promising results, more research is needed to definitively determine honey’s effectiveness for chronic cough in adults.
This would help solidify honey’s role as a reliable remedy for cough in a broader population.

How to Use Honey for Chronic Cough
Dosage
For adults and children over one year old, a common recommendation is to take 1-2 teaspoons of honey as needed, especially before bedtime.
Honey can be taken directly or mixed into warm water, herbal tea, or lemon juice.
Precautions
- Not for Infants: Honey should not be given to children under one year old due to the risk of botulism, a rare but serious illness caused by bacteria that can be present in honey.
- Allergies: Individuals allergic to pollen or bee products should use honey with caution and consult a healthcare provider if any adverse reactions occur.
Combination with Other Remedies
Honey can be combined with other natural remedies for enhanced benefits. For example:
- Honey and Ginger: Mixing honey with ginger juice can provide additional anti-inflammatory and antimicrobial effects.
- Honey and Lemon: Lemon juice adds vitamin C and enhances the immune-boosting properties of honey.
- Honey and Herbal Teas: Herbal teas like chamomile or peppermint can further soothe the throat and reduce cough frequency.
Conclusion
Honey is a natural, effective remedy for chronic cough due to its antimicrobial, anti-inflammatory, and soothing properties.
Scientific evidence supports its use, particularly in reducing the frequency and severity of cough symptoms.
While honey is generally safe for adults and children over one year old, it should be used with caution in individuals with allergies to pollen or bee products.
By incorporating honey into daily routines, individuals with chronic cough may find relief and improve their quality of life.
Honey is an effective natural tool in the fight against chronic cough, but it remains important to see your physician should you or your child suffer from a cough that lasts longer than one can expect in a South African winter.