The Medicinal Benefits and Uses of Honey

  • , by SANUSq Research team
  • 8 min reading time
Medicinal benefits of honey

A jar of honey is one of the oldest remedies in the cupboard — and modern science has been quietly confirming some of what tradition long claimed.

More than a sweetener

Honey has been used medicinally for thousands of years, and it's more than just sugar. Raw honey contains trace enzymes, antioxidants (polyphenols and flavonoids) and compounds that give it genuine antibacterial activity. Its benefits come from a combination of properties, several of which have held up to scientific scrutiny.

Raw honey benefits and what raw actually means

Most of a jar is sugar — largely fructose and glucose, with very little water, which is part of why honey keeps so well. The rest is the interesting part: traces of enzymes added by the bees, organic acids, minute quantities of minerals, grains of pollen, and the polyphenols and flavonoids that give darker honeys their colour and much of their antioxidant character. Those trace components vary with the flowers the bees worked, the season and the region, which is why no two honeys are quite alike.

Discussions of raw honey benefits usually turn on how the honey was handled after the hive. Raw honey is simply honey that has not been heated or finely filtered; supermarket honey is often gently warmed and filtered so that it pours clearly and stays liquid on the shelf, which can reduce some of the enzyme activity and strain out most of the pollen. Both are honey, and both taste good. If you want the trace components intact, raw is the sensible choice. One practical note: crystallised honey has not gone off. Granulation is natural, and standing the jar in warm water will loosen it again.

An important safety note

One firm rule: never give honey to a baby under 12 months old. Infant honey carries a small risk of botulism, which can be serious in babies whose gut isn't yet mature. For everyone over one year, honey is a safe, pleasant remedy — though, being sugar, it's still best enjoyed in moderation, especially for teeth and blood sugar.

That rule holds for honey in any form: not stirred into milk or a bottle, not on a dummy, not baked into a biscuit, and not in any home cough remedy. The concern is bacterial spores that an adult gut handles without difficulty but an infant's cannot yet keep in check. Cooking does not reliably destroy them. From the first birthday onwards the risk has passed, and honey can be given like any other food. If a baby under one has a cough or a cold, ask a pharmacist or GP what is suitable for their age rather than reaching for the jar.

Antibacterial by nature

One of honey's most reliable qualities is its ability to inhibit bacteria.

Honey exhibits broad-spectrum antibacterial activity, arising from its high sugar content, low pH, and the slow release of hydrogen peroxide, with some varieties (such as Manuka) having additional antibacterial factors (Mandal & Mandal, 2011).

This is why medical-grade honey is used in some wound and burn dressings — it can help keep wounds clean and support healing.

The best-evidenced use: cough and sore throat

Where honey really shines is soothing the cough and irritation of a common cold.

A systematic review and meta-analysis found honey was superior to usual care for upper respiratory tract infection symptoms, particularly reducing cough frequency and severity, and may be a preferable alternative to antibiotics for these self-limiting illnesses (Abuelgasim et al., 2021).

A spoonful of honey (or stirred into warm water with lemon) can ease a night-time cough as well as many over-the-counter syrups. It also pairs naturally with other soothing, immune-supporting habits, like those in how to reduce inflammation naturally.

Why honey for sore throat works the way it does

The soothing effect is not mysterious. Honey is thick and sticky, so it coats the back of the throat and leaves a film over tissue that has been rubbed raw by coughing; that physical coating is what pharmacists call a demulcent effect, and it is the same principle behind many syrups. Its sweetness also prompts salivation and swallowing, which appears to dampen the urge to cough. Add its ability to draw moisture and to inhibit bacteria, described above, and you have a simple remedy that does several small useful things at once. Using honey for sore throat relief is therefore about comfort while a self-limiting infection runs its course, rather than about clearing the infection itself.

How to use it at home

A teaspoon straight from the spoon is perfectly effective, and taking it shortly before bed is when most people notice the difference, since night-time coughing is what tends to spoil sleep. Stirred into warm water with lemon, or into a mug of herbal tea, is just as good — use warm rather than boiling water, which is kinder to the trace enzymes and much kinder to your mouth. An ordinary supermarket jar is fine; there is no need to buy Manuka for a cold. Keep the jar sealed in a cupboard rather than the fridge, use a clean dry spoon so you are not introducing crumbs and moisture, and remember that honey counts towards the sugar in your day, which matters for teeth and for anyone managing blood sugar.

Where the honey health benefits stop

A short list of things honey does not do is worth having. The honey used on wounds and burns in hospitals is medical-grade: sterilised, standardised and applied by clinicians to a dressing. That is not the same as putting kitchen honey on a cut at home, which is not advisable. Nor is honey an alternative to antibiotics when antibiotics are genuinely needed; the evidence supports it for the self-limiting coughs and colds that antibiotics would not have helped anyway. The popular idea that local honey eases hay fever is not well supported. And the honey health benefits that do hold up sit alongside the plain fact that honey is a sugar, so moderation still applies.

A sore throat that lasts beyond a week, keeps returning, comes with a high fever or a rash, is severe on one side, or is making it hard to swallow or breathe deserves medical attention rather than another spoonful. The same goes for a cough that will not settle, brings up blood, or leaves you breathless.

Frequently asked questions

What are the health benefits of raw honey?

Raw honey offers antibacterial activity, antioxidants, and soothing properties. Its best-evidenced use is easing cough and sore throat from colds; medical-grade honey is also used to support wound healing.

Does honey really help a sore throat or cough?

Yes. Reviews show honey is better than usual care for cough from upper respiratory infections, reducing cough frequency and severity — often as effectively as over-the-counter cough syrups.

Is honey antibacterial?

Honey has genuine broad-spectrum antibacterial activity from its high sugar content, low pH and slow hydrogen-peroxide release. Manuka honey has additional antibacterial factors, which is why medical-grade honey is used on wounds.

Can babies have honey?

No — never give honey to a baby under 12 months, due to the risk of infant botulism. It's safe for everyone over one year of age.

Is honey healthier than sugar?

Honey offers some antioxidants and beneficial compounds that refined sugar lacks, but it's still a sugar. Enjoy it for its soothing and flavour benefits, in moderation.

References

  1. Mandal MD, Mandal S. Honey: its medicinal property and antibacterial activity. Asian Pac J Trop Biomed. 2011;1(2):154–60. PMC3609166
  2. Abuelgasim H, Albury C, Lee J. Effectiveness of honey for symptomatic relief in upper respiratory tract infections: a systematic review and meta-analysis. BMJ Evid Based Med. 2021;26(2):57–64. PMID 32817011

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The health information in this article is provided for educational purposes only. Consult your healthcare professional before making any medical decisions.

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