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Fasting and Medication

Health comes first

Islam exempts the ill from fasting (Qur’an 2:184). Never stop prescribed medication to fast — speak to your doctor and to a scholar together.

Generally accepted as not breaking the fast

  • Topical creams, patches and eye or ear drops, according to the majority.
  • Non-nutritional injections such as insulin or vaccines, according to many contemporary councils.
  • Blood tests and small samples.

Generally accepted as breaking the fast

  • Oral tablets, syrups and anything swallowed.
  • Nutritional drips and feeding tubes.

Disputed

Asthma inhalers, nasal sprays, suppositories and endoscopy are matters of genuine scholarly disagreement.

Rescheduling doses

Many once- or twice-daily medicines can be moved to Suhoor and Iftar with a pharmacist’s guidance. Long-acting formulations can sometimes replace daytime doses. People with diabetes should discuss glucose monitoring before Ramadan begins; breaking the fast for hypoglycaemia is required, not optional.

Attribution: the rulings summarised here are the positions recorded in the classical schools and the well known hadith collections. They are presented for information, not as a fatwa. For your own situation, ask a qualified scholar in your community.

Frequently asked questions

Can a diabetic person fast?

Many can with medical supervision and adjusted medication; others are advised not to. This is an individual medical decision made with your doctor.

What if I must take medicine during the day permanently?

Scholars then treat the person as unable to fast; the days are made up later if the condition passes, or fidya is given if it is permanent.

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