Manuka Honey
Specifically for Croup
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Why it works for Croup:
Honey can soothe coughs. Multiple RCTs show a bedtime dose of honey reduces cough frequency/severity in children with viral URIs compared with placebo or some OTC syrups. This is thought to be due to demulcent (throat-coating) and modest anti-inflammatory effects—not airway de-swelling. (These trials were not in croup.) JAMA Network
Mānuka-specific claims: Mānuka honey has measurable methylglyoxal (MGO)–related antimicrobial activity in lab studies, and chemical markers (UMF/MGO) are used for product quality. Those in-vitro antibacterial effects don’t translate into proven benefit for viral croup. There are no clinical trials showing mānuka honey improves croup outcomes. ScienceDirect
How to use for Croup:
Who can have it: Children ≥12 months only (risk of infant botulism under 1 year). CDC
How much: The American Academy of Pediatrics suggests ½–1 teaspoon (2–5 mL) as needed, often given 30 minutes before bedtime. You can give it straight or mixed in warm water/lemon. HealthyChildren.org
How often & what type: Any food-grade honey is acceptable; there’s no evidence mānuka works better than other honeys for cough. One small bedtime dose is what’s been studied. JAMA Network
What honey is not for: Do not rely on honey to treat stridor, breathing difficulty, distress, drooling, or worsening symptoms—those need medical assessment and often dexamethasone. Seek urgent care if stridor occurs at rest or breathing is hard. Royal Children's Hospital
Scientific Evidence for Croup:
Cochrane Review (2018): Across six small RCTs, honey reduced cough frequency/severity vs placebo or no treatment in children with acute coughs from URIs. Not specific to croup; evidence quality low–moderate. Cochrane
Paul et al., 2007 (Arch Pediatr Adolesc Med): Buckwheat honey at bedtime improved nocturnal cough and sleep more than no treatment and was similar to dextromethorphan. Not a croup study. JAMA Network
Cohen et al., 2012 (Pediatrics): Three floral honeys (eucalyptus, citrus, labiatae) each outperformed placebo for nocturnal cough in 1–5-year-olds with URIs. Not a croup study; not mānuka. Pediatrics Publications
Guideline position: NICE’s acute cough guideline recognises honey can modestly reduce cough in children; it does not list honey as a croup therapy. Croup guidelines emphasise steroids and, when indicated, nebulised adrenaline. NICE
Mānuka mechanistic reviews: Lab/bench evidence of antibacterial and antibiofilm activity (via MGO) exists, but it addresses bacterial contexts, not viral laryngotracheitis (croup). Clinical trials of mānuka target other conditions (e.g., wounds, oral issues), not croup. mjima.org
Specific Warnings for Croup:
Never in infants <12 months — risk of infant botulism. CDC
Don’t delay proven croup care. If your child has stridor at rest, laboured breathing, chest indrawing, drooling, cyanosis, or is very distressed, seek urgent care; guideline-based therapy is dexamethasone (single dose; dose per clinician) and possibly nebulised adrenaline. Royal Children's Hospital
Allergy/atopy: Avoid if your child has known honey/bee-product allergies; stop if rash, swelling, or wheeze occurs. (General safety note; honey safety study data exist but not specific to croup.) Cambridge University Press & Assessment
Diabetes/dental health: Honey is sugar; use sparingly and brush teeth—especially with bedtime dosing. (General paediatric and nutrition advice.) HealthyChildren.org
Product claims: UMF/MGO ratings relate to antibacterial potency and authenticity, not clinical efficacy for croup. Don’t equate a higher UMF/MGO with better croup outcomes. ScienceDirect
General Information (All Ailments)
What It Is
Manuka honey is a specialized type of honey produced by bees that pollinate the Leptospermum scoparium plant, commonly known as the manuka bush, native to New Zealand and parts of Australia. Unlike regular honey, manuka honey possesses unique antibacterial, antiviral, and anti-inflammatory properties that are attributed to a compound called methylglyoxal (MGO).
The potency of manuka honey is measured using the UMF (Unique Manuka Factor) or MGO rating, which reflects its purity, quality, and antibacterial strength. The higher the UMF or MGO number, the stronger the honey’s therapeutic properties.
How It Works
Manuka honey works primarily through its bioactive compounds and natural enzymatic activity:
- Antibacterial Action: The key compound, methylglyoxal (MGO), directly damages bacterial cell structures, hindering their growth and ability to reproduce. This gives manuka honey effectiveness even against some antibiotic-resistant bacteria such as Staphylococcus aureus (MRSA).
- Osmotic Effect and pH: Like other honeys, manuka honey has a low water content and high sugar concentration, which draws moisture out of bacterial cells, dehydrating and killing them. Its acidic pH (around 3.5–4.5) further prevents microbial growth.
- Hydrogen Peroxide Production: Enzymes naturally present in honey produce small amounts of hydrogen peroxide, adding another antibacterial layer, though manuka’s potency primarily stems from its MGO content rather than hydrogen peroxide.
- Anti-inflammatory and Antioxidant Activity: It helps reduce inflammation and oxidative stress, which supports wound healing and tissue repair.
- Wound Healing: When applied topically, manuka honey maintains a moist environment that promotes healing while forming a barrier to infection. It also helps remove dead tissue and stimulate new tissue growth.
Why It’s Important
Manuka honey is valued in both traditional and modern medicine for its broad health applications:
- Wound and Burn Care: Medical-grade manuka honey is used in dressings for burns, ulcers, cuts, and surgical wounds. It accelerates healing, minimizes scarring, and protects against infection.
- Digestive Health: Consumed orally, it may help soothe the gut lining, balance gut bacteria, and alleviate conditions like acid reflux, gastritis, or IBS.
- Oral Health: Its antibacterial properties combat gingivitis, plaque, and sore throats while being gentler on teeth than refined sugars.
- Immunity and Skin Health: Manuka honey is often taken as a natural immune booster, and when applied topically, it can support acne treatment and overall skin repair due to its anti-inflammatory and antimicrobial effects.
- Antimicrobial Resistance Mitigation: Because it kills bacteria through multiple mechanisms, manuka honey is being studied as a potential aid in fighting antibiotic-resistant infections.
Considerations
While manuka honey offers significant health benefits, there are several important considerations to keep in mind:
- Quality and Authenticity: Only honey produced from the Leptospermum scoparium plant qualifies as genuine manuka honey. Look for certified UMF or MGO labeling from reputable sources. Counterfeit products are common.
- Dosage and Use: For general wellness, 1–2 teaspoons per day may suffice. For wound care, medical-grade manuka honey (sterilized and approved for topical use) should be used, not raw or store-bought varieties.
- Allergies and Side Effects: People allergic to bees or honey should avoid it. Overconsumption can cause digestive discomfort or contribute to high sugar intake.
- Not Suitable for Infants: Like all honeys, it should never be given to infants under 12 months due to the risk of infant botulism.
- Cost and Labeling Confusion: Manuka honey tends to be expensive. Verify authenticity through UMF/MGO certification rather than relying on vague “manuka” labeling.
- Medical Conditions: Diabetics should monitor blood glucose levels when consuming manuka honey, as it still contains natural sugars.
Helps with these conditions
Manuka Honey is most effective for general wellness support with emerging research . The effectiveness varies by condition based on clinical evidence and user experiences.
Detailed Information by Condition
Stomach Ulcers
Manuka honey's efficacy in treating stomach ulcers is attributed to several bioactive compounds:Methylglyoxal (MGO): A potent antibacterial agent that...
COVID-19
There are laboratory (in-vitro) studies and mechanistic reasons why Manuka (and honey in general) might have antiviral, anti-inflammatory and symptoma...
Sleep Apnea
Manuka honey contains bioactive compounds (notably high methylglyoxal — MGO — plus polyphenols) with antibacterial, anti-inflammatory, antioxidant and...
Minor Burns
Antimicrobial action (incl. against some resistant bacteria). Mānuka honey has multiple antibacterial mechanisms: high sugar/osmolarity (draws water o...
Cuts & Scrapes
Broad antimicrobial action: Honey’s low pH, high sugar/osmotic effect and enzymatic hydrogen peroxide inhibit microbes; mānuka adds methylglyoxal (MGO...
Insect Bites & Stings
Antibacterial activity (esp. against skin pathogens). Mānuka’s non-peroxide activity is largely due to methylglyoxal (MGO), plus acidity and high suga...
Chronic Sinusitis
Manuka honey contains uniquely high levels of methylglyoxal (MGO), making it particularly effective against sinus infections. MGO has powerful anti-bi...
Laryngitis
Soothing/coating + anti-inflammatory effects. Thick, viscous honeys coat irritated mucosa and may dampen throat inflammation and cough reflex, providi...
Whooping Cough
Manuka (and other) honey can help soothe and reduce cough symptoms, but there’s no reliable evidence that honey cures whooping cough (pertussis) or re...
Croup
Honey can soothe coughs. Multiple RCTs show a bedtime dose of honey reduces cough frequency/severity in children with viral URIs compared with placebo...
Chickenpox
Antibacterial & anti-inflammatory effects: Medical-grade honey (including mānuka) lowers wound pH, draws fluid (osmotic effect), and inhibits bact...
Mumps
Mumps is a viral illness (a paramyxovirus) with no specific antiviral treatment; care is supportive. CDC and other clinical references emphasize isola...
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Remedy Statistics
Helps With These Conditions
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