Are there risks to using Manuka honey?

Published: October 05, 2025
Updated: October 05, 2025

Manuka honey has notable health benefits, while also presenting potential hazards that require careful use. People who are allergic to bee products may have reactions. Individuals with diabetes may experience blood sugar spikes. Botulism could result from the bacterial spore found in all raw honey products in all infants under one year of age.

Allergic Reactions

  • Hives, swelling, or anaphylaxis in bee-product sensitive individuals
  • Oral allergy syndrome with throat itching
  • Cross-reactivity with pollen allergies

Blood Sugar Impact

  • Hyperglycemia in diabetics without proper monitoring
  • Insulin resistance with prolonged overconsumption
  • Dangerous interactions with diabetes medications

Infant Botulism

  • Clostridium botulinum spores in raw honey
  • Paralysis risk in underdeveloped digestive systems
  • Strict avoidance for children under 12 months

Medication Interactions

  • Altered absorption of certain antibiotics
  • Potentiated effects of blood thinners
  • Interference with immunosuppressant therapies
Risk Management Protocol
User GroupDiabeticsPrimary Risk
Blood sugar spikes
Safety MeasuresLimit to 1 tsp/day with glucose monitoring
User GroupInfants (<1 year)Primary Risk
Botulism
Safety MeasuresComplete avoidance
User GroupAllergy SufferersPrimary Risk
Anaphylaxis
Safety MeasuresPatch test 24hrs before use, carry epinephrine
User GroupPregnant WomenPrimary Risk
Gestational diabetes
Safety MeasuresMedical consultation before use
Based on FDA and WHO recommendations

Manage allergy risks by using appropriate precautionary testing. Sample a small amount on your inner elbow for up to 24 hours before ingestion. Monitor for signs of redness, swelling, or itching. For individuals with existing bee allergies, Manuka honey should be avoided altogether, and emergency medications, such as epinephrine, should be readily available.

Avoid blood sugar complications by observing strict limits. Diabetics must specifically measure honey weight using digital scales. Take blood glucose levels before and two hours after consuming honey; it is recommended that the person fast beforehand. Never replace prescribed medications with honey; potency is irrelevant.

Refrain from allowing the child to be exposed to any honey until they are at least 12 months of age. Pediatricians confirm that honey is unsafe, regardless of the processing method. Constipation, weak crying, or decreased movement are symptoms of botulinum poisoning, a serious cause for immediate emergency care.

Take a closer look at medication interactions. Manuka honey may enhance the effects of blood thinners (wars), which can be an important consideration for patients. It can also reduce the effectiveness of antibiotics if taken concurrently. Always report any honey-related consumption to your doctor or other health care professionals before starting treatment.

Establish safety protocols for high-risk populations. Store honey securely, out of reach of children. Use your journals to document amounts used and any reactions observed. For therapeutic uses, select products that are rated as medical-grade, certified honey, and/or manufactured products. Depending on your specific health conditions, weigh the benefits against the drawbacks.

Read the full article: 10 Proven Benefits of Manuka Honey

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