Because this is not a chemically intense cough syrup, you can give this to children under the age of four, making it a great alternative to other medicines which have a lot of cautions and side effects. The homeopathic ingredients are not strong enough to be damaging to children or adults so that is not a threat at all. The problem with Chestal cough syrup is that it works sometimes and other times it does not seem to touch coughs at all. My mom swears by it, but our family has had quite a few experiences when it didn't seem to do anything. And I do want to warn anyone who is allergic to or wanting to avoid sugar- this has sugar in it in addition to the honey. INGREDIENTS citric acid honey purified water sodium benzoate sucrose Congestion Relief I didn't really experience any congestion relief with this product. It is more of a cough syrup. Chest Congestion Relief I didn't experience chest congestion relief with this product either. It seems to just coat the throat and discourage coughing and occasionally a sore throat. Relief of Aches & Pains On occasion it does relieve sore throats but sometimes it does not seem to touch them, so I have to say I rate this a three for pain relief. Cough Suppression I have a hard time trying to decide how to rate this. For cough suppression, it seems to do an okay job sometimes and sometimes it does not seem to touch the cough. For my mom, however, she swears by it. So, I guess I will put this at 3.