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    Posted: 07 August 2011 at 6:32pm
Asalaamu alaikum,

I am fasting for the first day today.  I had to wake up at 3:20 to take a medicine that has to be taken on an empty stomach.  Then I woke up at 4:20 for suhoor. 

The problem is that I'm supposed to take this medicine every 12 hours.  But I take it at 3:20 am and then when I break my fast at 8:13, I will have to wait another 2 hours because the medicine has to be taken on an empty stomach, one hour before or 2-3 hours after eating.  So I'll take the medicine at 3:20 am, then again 17 hours later at 10:15 (which is 5 hours late) and then again only 5 hours after that at 3:20 am, which is taking the medicine 7 hours early.  This is not AT ALL following doctor's instructions. 

I read on onislam.net that using a nicotine patch is ok and doesn't break fast since the medicine goes through the skin into your body.  I have also read that injections of pure medicine and not water or vitamins don't break the fast.  But why would pills break the fast if you didn't swallow them with water?  All of these medicines eventually get into your bloodstream, whether patch, injection or pill.  And none of them have sustenance or hydration.  So why do they say any pill, simply because it enters your stomach breaks your fast. 

Also, the medicine I take is for chronic pain.  I have been in a special medical program for those with chronic pain and the medicine I take is the one determined to be best to manage my pain.  So the medicine I take is not for a life threatening condition, but uncontrolled chronic pain can lead to a decline in medical health.  It can lead to high blood pressure, which happens to me when my pain is out of control.  It can increase depression and stress can strain your body, including your heart. 

Anyway, I tried to ask the scholar on onislam.net but they aren't taking anymore questions right now.  And I know that there are very knowledgeable people here.
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Rating: 0 of 0 votes Quote Aviatrix Replybullet Posted: 07 August 2011 at 7:30pm
I think you should probably call your doctor asap and ask him about the medication. It could be very dangerous what you're doing.

Taking pills does break the fast, according to what I have heard. And logically, many pills include other substances to bond the pill together besides just the medicine. Injections and patches don't go into the stomach and so they aren't considered to be breaking the fast.

It's great to hear that you want to fast but remember that there is a concession for those who are will or would find hardship in their fast.

And Allah knows best.
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Rating: 0 of 0 votes Quote hamayoun Replybullet Posted: 07 August 2011 at 7:46pm
Salam

Talk to your doctor ASAP like Aviatrix said. Explain to him in detail the times of fasting, and see what he says. I am diebetic, and I always talk to my doctor before Ramadhan to see how I can fit in my medications. Upto now at least, they have always found a way. A lot of this will depend on how flexible the timing is with your medication. Does 12 hours mean twice a day? Or is it strictly 12 hours? Can you adjust the dosage to make it last once a day? Are there any other alternate medications? Only your doctor can answer these questions, so please see him ASAP
May Allah give me patience, Ameen.

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Rating: 0 of 0 votes Quote searching Replybullet Posted: 07 August 2011 at 8:17pm
I will email my doctor tonight, insha'Allah.  The medicine really is supposed to be taken every 12 hours.  They made a big deal about this in the pain program.  It is supposed to stay at a certain level in the blood and not drop so low and then go to a high level when I take it too soon.  The alternate medication that I was taking might be a little better for fasting because I could take it with food.  This means that I could take it with suhoor instead of an hour before suhoor and I could take it at the time I break the fast, instead of 2-3 hours later.  So it would at least be a little less off schedule (it's also a 12 hour medicine).  I just switched medicines because that one wasn't helping and caused itching at higher doses.  So they changed medicines altogether.  

I wish this was a cut and dry answer.  I'm think of just staying on the medicine I'm on now and just taking it an hour before suhoor and then again in 12 hours and just keep fasting from food and water.  I know pills are supposed to break the fast , but this is a small pill and I really think that any substances in it would not even equal 1 calorie, so it really wouldn't provide any sustenance at all.  But just not fasting because of this medicine wouldn't be that good, either.  Why throw away the whole fast just to take a single small pill? 

I better email my doctor.
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Rating: 0 of 0 votes Quote searching Replybullet Posted: 07 August 2011 at 8:29pm
I just emailed my doctor.  She usually gets back to me pretty quickly.  I hope to have an answer by tomorrow, insha'Allah.  It would be good to hear sister well wisher's thoughts here since she is a doctor and a Muslim.  I think that my doctor may be a Hindu.  And sometimes people don't understand our fast.  But I explained it and I guess what matters is that she thinks of my health first.  I'll post when I hear something for those who are curious.

And thank you both for your help.  You both help so many people here with kind and well thought out, well researched answers.  May Allah reward you. Ameen. 
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Rating: 0 of 0 votes Quote hamayoun Replybullet Posted: 07 August 2011 at 11:49pm
Salam

Inshallah things will work out. My doctor worked with me this year to put me on an alternate medicine from my usual one. Doctors usually understand fasting.
May Allah give me patience, Ameen.

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Rating: 0 of 0 votes Quote a well wisher Replybullet Posted: 08 August 2011 at 10:59am
Assalaamualekum sister searching
 
If you can write down the generic name(chemical name) of your med here , it would help me with the answer.


Edited by a well wisher - 08 August 2011 at 11:01am
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Rating: 0 of 0 votes Quote a well wisher Replybullet Posted: 08 August 2011 at 12:56pm
The name of the medication that you have to take on an empty stomach 12 hourly...
 
 
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Rating: 0 of 0 votes Quote searching Replybullet Posted: 08 August 2011 at 1:39pm
It is called Opana (oxymorphone).
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Rating: 0 of 0 votes Quote a well wisher Replybullet Posted: 08 August 2011 at 1:49pm

the milligrams?



Edited by a well wisher - 08 August 2011 at 1:51pm
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Rating: 0 of 0 votes Quote a well wisher Replybullet Posted: 08 August 2011 at 1:49pm

Extended release?

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Sorry.  I take 5 mg twice a day and in a week I'm supposed to increase to 10 twice a day.  It is extended release.



Edited by searching - 08 August 2011 at 2:05pm
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Rating: 0 of 0 votes Quote a well wisher Replybullet Posted: 08 August 2011 at 2:05pm
Sister searching
 
Actually Opana is recommended to be taken on an empty stomach because it interacts adversely with alcohol so the general guidelines are there.There is not much food interaction (Dosing an extended release narcotic with food might create a longer more stable form of pain relief but might hinder the medication from kicking in at it's designated time or as if it had been taken on an empty stomach).So you can take it on an empty stomach, two hours after meal and for Ramadan you can even try taking it with food and see.Insha allah it won't be a problem.
 
If you are taking ER you can divide the milligrams...what is the total mg you take in a day to maintain the levels in the blood.
 
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I take 5 mg twice a day, so 10 total.  I'm supposed to increase that to 10 mg twice a day so 20 mg total in about a week.  The problem with taking it on an empty stomach is that I have to take it extra early in the morning, before suhoor and then again after iftar but 2 hours after so that makes a long wait between medicine times and then a short time between night dose and morning dose.
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