Bee venom
Bee venom

Background

Bee venom is made by bees. This is the poison that makes bee stings painful. Bee venom is sometimes used to make medicine. Don't confuse bee venom with bee pollen, honey, propolis, or royal jelly.

Bee venom is given as a shot for bee sting allergy. It is also used for osteoarthritis, Parkinson disease, multiple sclerosis (MS), nerve pain, and other conditions, but there is no good scientific evidence to support these uses.
When given as a shot: Bee venom is LIKELY SAFE for most people when injected under the skin by a trained medical professional. Some people might get redness and swelling where the injection is given. Side effects include itching, anxiety, trouble breathing, chest tightness, heart palpitations, dizziness, nausea, vomiting, diarrhea, sleepiness, confusion, fainting, and low blood pressure. Side effects are more common in people with the worst allergies to bee stings, in people treated with honeybee venom, and in women. Serious allergic reactions such as anaphylaxis can occur.

Bee venom is POSSIBLY SAFE when given by live bee stings. Live bee stings have been safely administered under medical supervision in doses up to 20 bee stings three times weekly for up to 24 weeks.

When applied to the skin: There isn't enough reliable information to know if bee venom is safe or what the side effects might be.

Special Precautions & Warnings:

Pregnancy and breast-feeding: Bee venom is POSSIBLY SAFE when injected under the skin by a trained medical professional at recommended doses. Though harmful effects at usual doses have not been reported, some healthcare providers decrease the maintenance dose by half during pregnancy. High doses of bee venom are POSSIBLY UNSAFE during pregnancy because they can increase release of a chemical called histamine, which can cause the uterus to contract. This might lead to miscarriage. Avoid high doses of bee venom if you are pregnant.

"Auto-immune diseases" such as multiple sclerosis (MS), lupus (systemic lupus erythematosus, SLE), rheumatoid arthritis (RA), or other conditions: Bee venom might cause the immune system to become more active, and this could increase the symptoms of auto-immune diseases. If you have one of these conditions, it's best to avoid using bee venom.

Effectiveness

NatMed Pro rates effectiveness based on scientific evidence according to the following scale: Effective, Likely Effective, Possibly Effective, Possibly Ineffective, Likely Ineffective, Ineffective, and Insufficient Evidence to Rate.
Likely effective Effectiveness definitions
  • Bee sting allergy. A series of bee venom shots under the skin (bee venom immunotherapy) seems to be effective for reducing reactions to bee stings in people with severe allergy to bee stings. Bee venom immunotherapy provides 98% to 99% protection from reactions to bee stings. Once immunotherapy is stopped, the risk of reaction over the next 5 to 10 years is about 5% to 15%. Purified bee venom for under-the-skin injection is an FDA approved product.
Possibly effective Effectiveness definitions
Likely ineffective Effectiveness definitions
Possibly ineffective Effectiveness definitions
  • Multiple sclerosis (MS). Administering live bee stings in gradually increasing doses up to 20 stings given three times weekly does not seem to improve multiples sclerosis. Treatment for 24 weeks does not seem to improve fatigue, disability, or quality of life.
Insufficient evidence Effectiveness definitions
  • Stiffness and pain in the shoulder joint (frozen shoulder). Early research suggests that receiving dilute bee venom injections might improve pain and disability in people with frozen shoulder. But it doesn't seem to improve range of motion. Also, very dilute bee venom injects don't seem to be beneficial.
  • Osteoarthritis. Early research on the use of bee venom for osteoarthritis is mixed. But one large study shows that injecting bee venom into the skin at certain points in the knees and back might improve pain and function in people with osteoarthritis of the knee.
  • Parkinson disease. Early research shows that dilute bee venom injections may improve symptoms in people with Parkinson disease. But if the dose of bee venom is too low, it might not help.
  • Stroke. Bee venom acupuncture seems to improve pain but not movement in people with shoulder pain after stroke.
  • A condition that causes nerve pain, itching, and dark patches of skin on the upper back (notalgia paresthetica).
  • Fibromyalgia.
  • Nerve pain.
  • Painful conditions caused by overuse of tendons (tendinopathy).
  • Rheumatoid arthritis (RA).
  • Other conditions.
More evidence is needed to rate the effectiveness of bee venom for these uses.

Dosing & administration

The following doses have been studied in scientific research:

INTRAMUSCULAR:
  • For reducing the severity of allergic reactions to bee stings: Healthcare providers give bee venom as a shot (by injection) to "desensitize" people who are allergic to bee stings. Purified bee venom for under-the-skin injection is an FDA approved product.

Interactions with pharmaceuticals

Medications that decrease the immune system (Immunosuppressants)

Interaction Rating=Moderate Be cautious with this combination.

Bee venom might increase the immune system. By increasing the immune system, bee venom might decrease the effectiveness of medications that decrease the immune system.

Some medications that decrease the immune system include azathioprine (Imuran), basiliximab (Simulect), cyclosporine (Neoral, Sandimmune), daclizumab (Zenapax), muromonab-CD3 (OKT3, Orthoclone OKT3), mycophenolate (CellCept), tacrolimus (FK506, Prograf), sirolimus (Rapamune), prednisone (Deltasone, Orasone), corticosteroids (glucocorticoids), and others.

Interactions with herbs & supplements

There are no known interactions with herbs and supplements.

Interactions with foods

There are no known interactions with foods.

Action

Giving repeated and controlled injections of bee venom under the skin causes the immune system to get used to bee venom, and helps reduce the severity of an allergy to bee venom.
 

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This monograph was last reviewed on 27/01/2023 23:41:24 and last updated on 28/11/2021 12:00:07. Monographs are reviewed and/or updated multiple times per month and at least once per year.
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