Manuka Honey
Leptospermum scoparium honey · Medical-grade honey
Snapshot
| Indications | Contraindications |
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Manuka honey comes from bees foraging on Leptospermum scoparium in Australia and New Zealand, and is used as food and as a topical dressing for wounds, burns, and ulcers1. Its antibacterial effect is attributed mainly to methylglyoxal1. Practitioners meet it in wound and burn care, dry eye and eyelid disease, and oral hygiene, where trials are small1.
Randomized trials found no significant benefit for radiation-induced oral mucositis, and a lung cancer trial found it no better than supportive care for radiation esophagitis. A 2025 meta-analysis of in vitro studies found medical-grade honey reduced Pseudomonas aeruginosa biofilm formation and disrupted established biofilms7. Products listing manuka honey number 909, mostly liquids with some lozenges; see Form comparison.
Infections should be examined by a physician or qualified healthcare professional rather than self-treated with honey products1.
Last updated October 16, 2026. Read how we make monographs.
In the full monograph
59 sources, 44 studies
- When to useThe situations practitioners use it for, each with the reason and the study behind it.
- SafetyWho should avoid it, who needs extra care, and the side effects reported in studies.
- InteractionsThe medicines and supplements it interacts with, the effect of each, and what labeling says to watch.
- Protocol notesThe doses used in studies, how and when they were taken, and how the forms on the market compare.
- How it worksWhat it is and how it works in the body, in plain terms.
- Published studiesThe studies behind each use, popular claims checked against them, and trials still under way.
- Word of mouthWhat patients and practitioners report online, kept separate from the clinical evidence.
- Clinical perspectiveA closing read of where the evidence is solid, where it is thin, and what has not been studied.
Sources
- 1MSKCCmskcc.orgMemorial Sloan Kettering — About Herbs, Botanicals & Other Products
- 2Efficacy and safety of manuka honey for dry eye.pubmed.ncbi.nlm.nih.govHu, Kong, Zhu et al. · Clinical & experimental optometry · 2023 · Pubmed
- 3Randomized masked trial of the clinical efficacy of MGO Manuka Honey microemulsion eye cream for the treatment of blepharitis.pubmed.ncbi.nlm.nih.govCraig, Cruzat, Cheung et al. · The ocular surface · 2020 · Pubmed
- 4Bacteriological changes in sloughy venous leg ulcers treated with manuka honey or hydrogel: an RCT.pubmed.ncbi.nlm.nih.govGethin, Cowman · Journal of wound care · 2008 · Pubmed
- 5Effect of manuka honey socket dressing on postoperative sequelae and complications following third molar extraction: A randomized controlled study.pubmed.ncbi.nlm.nih.govOnuoha, Adekunle, Ajike et al. · Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery · 2023 · Pubmed
- 6US product labelsdsld.od.nih.govWarnings printed on US dietary supplement labels with this ingredient, from the NIH Office of Dietary Supplements' Dietary Supplement Label Database (DSLD). Manufacturers' precautions, not evidence of harm
- 7The Elimination Effect of Medical-Grade Honey on Pseudomonas aeruginosa Biofilms: A Systematic Review and Meta-Analysis.pubmed.ncbi.nlm.nih.govHariyudo, Benokri, Wirohadidjojo et al. · Journal of clinical medicine research · 2025 · Pubmed