Persistent Post-Infective Cough (PPC) - Surprisingly successful remedy from your kitchen
Treatment beats conventional medicine
Who hasn’t had one of those irritating, sleep-depriving, hang-around coughs following an upper respiratory infection or cold? Maybe you resort to steroids, antihistamines, bronchodilators, codeine, antitussives/expectorants (eg. Dextromethorphan) or other drugs with all their unwanted side-effects – but the cough still won’t go away!
Honey / Coffee treatment For Persistent post-infective Cough (PPC)
An article published in the Primary Care Respiratory Journal, detailed an Iranian double-blind, randomized, controlled study conducted 2008 -2011 comparing the effectiveness of 3 treatments for reducing severity of persistent coughs that followed upper respiratory infections. The study found that a coffee/honey combination could be more effective at treating PPCs than a commonly-prescribed systemic steroid or expectorant. Raessi et al, 2013
97 patients with PPC lasting more than 3 weeks were randomized into three groups. Individuals with other causes of chronic cough or systemic disease, smokers, and individuals who had abnormal routine lab tests were excluded. Mean age of participants was 40, and mean duration of illness was 2.9 months.
Patients received the following doses 3 times / day:
- Honey/Coffee Group. Received paste of 20.8 grams of natural honey and 2.9 grams of Nestle™ instant coffee
- Steroid Group. Received 13.3 mg of prednisolone
- Expectorant Group (control group). Received guaifenesin, an expectorant
All products were prepared and packaged by pharmacists to have similar appearance, flavor, and packaging.
Each participant was instructed to dissolve their substance in warm water and drink it every eight hours for a period of one week, and then to measure the frequency of their cough before, during, and one week after treatment. Raessi et al, 2013
Mean Cough Frequency | |||
|---|---|---|---|
| Expectorant Group | Steroid (Prednisolone) Group | Honey / Coffee Group | |
| Degree 0 (Low) to 3 (High) | |||
| Before treatment | 2.8 | 3.0 | 2.9 |
| After 1 week of treatment | 2.7 | 2.4 | 0.2 |
An earlier study by the same authors compared the effect of both honey and coffee individually to honey and coffee combined in 84 subjects with persistent cough. The combination of coffee and honey was significantly superior at reducing persistent cough than either ingredient alone. Raeessi et al, 2011
Mean Cough Frequency | |||
|---|---|---|---|
| Coffee Group | Honey Group | Coffee + Honey Group | |
| Degree 0 (Low) to 3 (High) | |||
| Pre-treatment | 3.0 | 3.0 | 3.0 |
| Post-treatment | 1.8 | 1.4 | 0.4 |
At home honey / coffee treatment dosages
Take 1 tablespoon of RAW honey (21 g) mixed with 1 rounded teaspoon (2.5 g) of granulated instant coffee, in ~8oz warm (not hot) water, 3 times a day (about every 8 hours), for at least 1 week.
To make this concoction in a way that protects honey’s health beneficial properties: In a glass/cup, first put in coffee, honey and cold water to ~2/3 full. Next add boiling water to total 8oz (1 cup). This produces a drink that doesn’t expose the honey to too much heat, but is warm enough to dissolve the honey and coffee by mixing with a spoon.
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Why do honey and coffee calm a cough?
Honey
Various properties of raw honey may be responsible for its medicinal effects:
- Acidity
- Osmolarity
- Hydrogen peroxide production
- Reduces prostaglandin synthesis in the area of application
- Increases nitric oxide levels
- Antioxidant effect.
Coffee
Arabinogalactan-protein extract from instant coffee has an antitussive effect Nosalova, 2011
Unknown if coffee efficacy relies on caffeination. Caffeine may act as a bronchodilator, but the above studies involved very small amounts of caffeine – probably not enough to cause bronchodilation. Yurach, 2011
References
Nosalova G, Prisenznakova L, Paulovicova E, et al. Antitussive and immunomodulating activities of instant coffee arabinogalactan-protein (2011) Int J Biol Macromol.49(4):493-497.
Raeessi MA, Aslani J, Gharaie H, Karimi Zarchi AA, Raeessi N, Assari S. Honey with Coffee: a new finding in the treatment of Persistent Postinfectious Cough (2011) Iran J Otorhinolaryngol.23(2):1-8. Researchgate
Raeessi MA, Aslani J, Raeessi N, Gharaie H, Karimi Zarchi AA, Raeessi F (2013) Honey plus coffee versus systemic steroid in the treatment of persistent post-infectious cough: a randomised controlled trial.Prim Care Respir J. 22(3):325-330. doi: 10.4104/pcrj.2013.00072. PubMed pdf
