A single dose of buckwheat honey before bedtime provided the greatest relief from cough and sleep difficulty compared with no treatment and an over-the-counter cough medicine in children with upper respiratory tract infections, according to a report in the December issue of Archives of Pediatrics & Adolescent Medicine.
“Cough is the reason for nearly 3 percent of all outpatient visits in the United States, more than any other symptom, and it most commonly occurs in conjunction with an upper respiratory tract infection,” the authors write as background information in the article. Cough is usually more bothersome at night because it disrupts sleep. Although unsupported by the American Academy of Pediatrics or the American College of Chest Physicians, dextromethorphan is the most commonly used over-the-counter remedy for children's cough. “In many cultures, alternative remedies such as honey are used to treat upper respiratory tract infection symptoms including cough.”
Ian M. Paul, M.D., M.Sc., and colleagues at Penn State College of Medicine, Hershey, conducted a study involving 105 children age 2 to 18 with upper respiratory tract infections who were sick for seven days or less and experienced symptoms during the night. Thirty-five children were randomly assigned to receive an age-appropriate dose of honey, 33 to receive dextromethorphan and 37 to receive no treatment for one night within 30 minutes of bedtime. The children's parents were asked to complete a survey assessing their child's cough and sleep difficulty the night before their assigned treatment and then again the night after treatment.