Can i give my baby honey for a sore throat, under 12 months old?
No. Health Canada and Canadian doctors say never give honey to a baby under 12 months, even for a sore throat, because of the risk of infant botulism, a rare but serious paralysis-causing illness.
This applies to raw and pasteurized honey, and to honey mixed into food, water, formula, or a soother.
Strong
This is a consistent, long-standing Canadian and international public health guideline based on decades of national surveillance data on confirmed infant botulism cases, not just a single study.
What the evidence says
No, you should not give honey to a baby under 12 months old, even to soothe a sore throat or cough. This is a firm safety rule, not just a suggestion.
The reason is a rare but serious illness called infant botulism, when spores from bacteria called Clostridium botulinum grow in a baby's gut and make a toxin that can cause muscle weakness or paralysis. Babies under one don't yet have enough good bacteria in their gut to stop these spores from growing, but older kids and adults usually do.
Honey can carry these spores even when it looks, smells, and tastes completely normal, and cooking or pasteurizing does not destroy them. Health Canada says honey is the one food in Canada clearly linked to infant botulism cases, though actual cases from honey are rare overall.
Once your child turns one, honey becomes a reasonable option for cough, and research reviews have found it can reduce nighttime cough frequency about as well as some over-the-counter cough medicines, with only mild side effects like an upset stomach in some kids.
For a sore throat right now, safer options for a baby under 12 months include offering extra breastmilk or formula for comfort and hydration, using a cool-mist humidifier, and giving infant acetaminophen if your doctor says it's appropriate for pain or fever. If your baby seems very unwell, is refusing to feed, or you're worried, call your doctor or health line.
Sources
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Guideline
Infant botulism
Health Canada / Canada.ca, 2023
Never give honey to babies under 1 year; risk not eliminated by cooking or pasteurizing.
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Guideline
Nutrition for Healthy Term Infants: Recommendations from Six to 24 Months
Health Canada, 2023
Formal recommendation against honey before age one, including in foods or soothers.
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Randomised trial
Constipation and poor feeding in an infant with botulism
CMAJ, 2012
Canadian clinical review confirming honey avoidance under 12 months and describing symptoms.
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Guideline
Laboratory-confirmed infant botulism in Canada, 1979-2019
PHAC / CCDR, 2021
National surveillance data showing honey linked to a small share of Canadian cases.
✓Reviewed by CH, MD, FRCPC
Reviewed by a specialist physician certified by the Royal College of Physicians and Surgeons of Canada, who has read this answer against the sources listed above and confirmed it reflects them. That is not medical advice about your child. How we review
Answer checked August 4, 2026