Honey & Black Pepper

Safety essentials

Honey must never be given to a baby under one year because of the risk of infant botulism. Dry black pepper can be inhaled and cause choking, aspiration or throat irritation, so it is never given directly to a child and this sip is for self-directed use from 12 years. Black pepper can worsen reflux and can increase how much of some medicines your body absorbs, so ask your pharmacist if you take regular medication.

Who should avoid it

• Infants under 12 months — honey must never be given, because of the risk of infant botulism
• Children under 12 years for self-directed use — pepper can cause coughing, choking or aspiration
• Anyone with difficulty swallowing or a tendency to choke
• People with acid reflux, gastritis or stomach ulcers
• Anyone allergic to honey or bee products
• People with diabetes or poor blood-sugar control, because of the honey

Medicine interactions

• Some medicines whose absorption is increased by black pepper — check with your pharmacist
• Diabetes medicines — honey affects blood sugar
• Acid-reducing medicines — keep a two hour gap

Pregnancy and breastfeeding: Culinary amounts are customary. Avoid concentrated pepper preparations in pregnancy and while breastfeeding, and check with your doctor before medicinal use.

Children: Honey must never be given to a child under 12 months. Never give dry pepper powder directly to a child — it can be inhaled and cause choking or aspiration. Self-directed use is for 12 years and over; for a younger child, ask a doctor first.