HONEY for the Treatment of POst-Tonsillectomy Pain
Double-blind, randomised, placebo controlled, single-site trial in adults to compare the effect of Manuka honey with standard of care compared to placebo with standard of care on post-tonsillectomy pain and postoperative outcomes.

Main aim is to investigate a potential improvement in post-tonsillectomy pain control, with a low cost and freely available alternative to conventional analgesics. Recent systematic review and multidisciplinary consensus suggest a potential role for the inclusion of honey for this purpose. Clinical efficacy over placebo remains to be conclusively demonstrated in robust clinical trials.
- EligibilityCriteria: Inclusion Criteria:  Adult (≥18years old at the time of giving consent) Consented and listed for bilateral tonsillectomy or adenotonsillectomy Tonsillectomy performed within the trial study period  Exclusion Criteria:  Any concurrent Head & Neck (H&N) malignancy Unilateral tonsillectomy Pregnancy Concurrent pharyngeal or upper aerodigestive tract biopsy Robotic tonsillectomy Previous H&N malignancy Previous H&N radiotherapy Type 1/2 diabetes mellitus Known allergy to bee related products Known allergy to golden syrup History of chronic pain History of fibromyalgia Current usage of chronic (>6weeks) analgesia High-risk anaesthetic patients Children or adolescents <18years old Adults unable to consent for themselves - HealthyVolunteers: Accepts Healthy Volunteers - Gender: All - MinimumAge: 18 Years - StdAgeList: Adult, Older Adult