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The claim

“Honey eases coughs in children.”

Mostly true
Evidence confidence Moderate
The short answer

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.

What this means for you

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.

Your next step

For a coughing child 1 year or older, give a small spoonful of honey about 30 minutes before bed.

Who should be careful?

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.

The evidence
Why this confidence?

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.

The facts

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.

The bigger picture

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.

Last reviewed 2026-10-21 We update these cards as new research comes out. When the evidence changes, our verdicts change too.
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