“Honey eases coughs in children.”
For children 1 year and older, a spoonful of honey eases cough a little better than no treatment or a placebo, mostly for a night or two.
For children 1 year and older, honey is a simple, low-cost way to ease a cough, especially at bedtime. It brings modest, short-term relief, not a cure. It is never safe for babies under 1.
For a coughing child 1 year or older, give a small spoonful of honey about 30 minutes before bed.
Safety note: Never give honey to a baby under 1 year old. Honey can carry spores of Clostridium botulinum, which can grow in a baby's gut and cause infant botulism, a life-threatening illness. Signs include constipation, poor feeding and weak sucking, a weak cry, a floppy body, drooping eyelids and slow or stopped breathing. Call 911 or go to the emergency room right away if a baby has these signs.
Talk to a healthcare professional if: your child finds it hard to breathe, the cough is very bad or getting worse quickly, or the cough has lasted more than 3 weeks.
Randomized trials in about 900 children found honey eased cough more than a placebo or no treatment, and about as well as a common cough medicine. Confidence is Moderate rather than Strong because the trials were small and short, most children got honey for just one night, and a 2023 review rated the overall evidence low quality.
For children 1 year and older, a spoonful of honey eases cough a little better than no treatment or a placebo, mostly for a night or two. A 2018 Cochrane review of six trials with 899 children aged 1 to 18 found honey lowered cough frequency by about 1 to 1.6 points on a 7-point scale compared with no treatment or placebo. Honey worked about as well as dextromethorphan, a common cough medicine, and somewhat better than diphenhydramine (Benadryl). Beyond 3 days, honey showed no clear advantage over placebo.
Most children in the trials got honey for just one night, often as a single dose before bed, and parents rated the child's cough and sleep. In one trial of 300 children aged 1 to 5, a single dose of 10 grams of honey (about half a tablespoon) before bed eased night cough and sleep more than a placebo syrup made from dates. A 2023 review of 10 trials found the same direction of benefit but rated the quality of the evidence low to very low. The NHS lists hot lemon and honey as a home remedy for cough that can work about like cough syrup, though the evidence is limited, and says it is not suitable for babies under 1.
- Oduwole O, Udoh EE, Oyo-Ita A, Meremikwu MM. Honey for acute cough in children. Cochrane Database of Systematic Reviews. 2018;4(4):CD007094. DOI: 10.1002/14651858.CD007094.pub5. PMID: 29633783
- Kuitunen I, Renko M. Honey for acute cough in children: a systematic review. European Journal of Pediatrics. 2023;182(9):3949-3956. DOI: 10.1007/s00431-023-05066-1. PMID: 37355498. PMCID: PMC10570220
- Cohen HA, Rozen J, Kristal H, et al. Effect of honey on nocturnal cough and sleep quality: a double-blind, randomized, placebo-controlled study. Pediatrics. 2012;130(3):465-471. DOI: 10.1542/peds.2011-3075. PMID: 22869830
- MedlinePlus, National Library of Medicine. Infant botulism. Medical Encyclopedia. Review date July 1, 2025
- NHS. Cough. Page last reviewed December 8, 2023