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==Beracha on Medication== | ==Beracha on Medication== | ||
# A beracha is not recited on food which is eaten to heal if one does not have enjoyment from the food. However, if one does have enjoyment from the food, a beracha rishona and achrona (see below) is recited.<ref>Mesechtas Berochos 38a, Tosfas Mesechtas Berochos 36a “k’von,” Meiri Mesechtas Berochos 35b, Tur 204, Shulchan Aruch 204:8, Shulchan Aruch Harav 204:14, Chesed L’alafim 204-205:5, Igros Moshe O.C. 1:82. </ref> Even if one does not want the good tasting food and is only eating it because he is ill, since he has enjoyment from it a beracha is recited.<ref> | # A beracha is not recited on food which is eaten to heal if one does not have enjoyment from the food. However, if one does have enjoyment from the food, a beracha rishona and achrona (see below) is recited.<ref>Mesechtas Berochos 38a, Tosfas Mesechtas Berochos 36a “k’von,” Meiri Mesechtas Berochos 35b, Tur 204, Shulchan Aruch 204:8, Shulchan Aruch Harav 204:14, Chesed L’alafim 204-205:5, Igros Moshe O.C. 1:82. </ref> Even if one does not want the good tasting food and is only eating it because he is ill, since he has enjoyment from it a beracha is recited.<ref>Mishna Brurah 43. </ref> Examples of medicines which require a beracha due to their pleasant taste are herbal teas and cough drops.<ref>V’sein Beracha page 200. Refer to Ateres Shlomo 8:page 110. This is the opinion and custom of Harav Pinchus Bodner Shlita (Personal telephone conversation with Harav Bodner Shlita). </ref> | ||
==Medicine mixed with Sweeteners== | ==Medicine mixed with Sweeteners== | ||
# Some say even if the medicine itself does not have flavor, but is mixed with other ingredients (sweeteners) that have flavor, one still recites a beracha on the medicine.<ref>Opinion of Harav Elyashiv Shlita as expressed in Vezos Ha’beracha page 113. </ref> The reason for this opinion is because the mixture tastes pleasant and we do not look at the medicine before the taste was placed into it.<ref>Vezos Ha’beracha Birur Halacha page 310. </ref> This is the opinion of many poskim.<ref>Refer to Da’as Torah 204, Vezos Ha’beracha pages 310-311 in depth, opinion of Harav Ovadia Yosef Shlita quoted in Nishmas Avraham (English) page 89:footnote E. </ref> | # Some say even if the medicine itself does not have flavor, but is mixed with other ingredients (sweeteners) that have flavor, one still recites a beracha on the medicine.<ref>Opinion of Harav Elyashiv Shlita as expressed in Vezos Ha’beracha page 113. </ref> The reason for this opinion is because the mixture tastes pleasant and we do not look at the medicine before the taste was placed into it.<ref>Vezos Ha’beracha Birur Halacha page 310. </ref> This is the opinion of many poskim.<ref>Refer to Da’as Torah 204, Vezos Ha’beracha pages 310-311 in depth, opinion of Harav Ovadia Yosef Shlita quoted in Nishmas Avraham (English) page 89:footnote E. </ref> | ||
# Some say if one consumes a medicine which contains sweeteners (and if not for the need of the medicine one would not consume the sweeteners, then no beracha is required.<ref>Opinion of Harav Shlomo Zalman Aurbach zt”l quoted in Vezos Ha’beracha pages 113-114, and in V’sein Beracha page 201:footnote 15.1. See explanation of this opinion in Vezos Ha’beracha page 312. Refer to Pnei Ha’shulchan page 151-152, Nishmas Avraham 1:204:page 91, Shemiras [[Shabbos]] K’hilchoso 40:footnote 191, Nishmas Avraham 1:page 90 (English), Ateres Shlomo 8:page 111. In the Halichos Shlomo [[Yom Kippur]] 5:footnote 42 it states that Harav Shlomo Zalman Aurbach zt”l retracted his previous position with regard to not reciting a beracha on sweetened medication. Refer to Vezos Ha’beracha page 356:9 notes of Harav Forst Shlita on Vezos Ha’beracha. The opinion of Harav Pinchus Bonder Shlita is that no beracha is recited on pleasant tasting cough syrup based on the pesak he heard from Harav Shlomo Zalman Aurbach zt”l (Personal telephone conversation with Harav Bodner Shlita). </ref> Others say no beracha is recited because such sweetener is only a tafel to the <br>actual medication and if no beracha is recited on the ikur, then one does not recite a beracha on the tafel.<ref>Opinion of Harav Neuwirth Shlita quoted in Nishmas [[Shabbos]] 4:204, Shemiras [[Shabbos]] K’hilchoso 40:footnote 191. Refer to Halacha U’[[refuah]] 3:pages 282-284 in depth. However, see | # Some say if one consumes a medicine which contains sweeteners (and if not for the need of the medicine one would not consume the sweeteners, then no beracha is required.<ref>Opinion of Harav Shlomo Zalman Aurbach zt”l quoted in Vezos Ha’beracha pages 113-114, and in V’sein Beracha page 201:footnote 15.1. See explanation of this opinion in Vezos Ha’beracha page 312. Refer to Pnei Ha’shulchan page 151-152, Nishmas Avraham 1:204:page 91, Shemiras [[Shabbos]] K’hilchoso 40:footnote 191, Nishmas Avraham 1:page 90 (English), Ateres Shlomo 8:page 111. In the Halichos Shlomo [[Yom Kippur]] 5:footnote 42 it states that Harav Shlomo Zalman Aurbach zt”l retracted his previous position with regard to not reciting a beracha on sweetened medication. Refer to Vezos Ha’beracha page 356:9 notes of Harav Forst Shlita on Vezos Ha’beracha. The opinion of Harav Pinchus Bonder Shlita is that no beracha is recited on pleasant tasting cough syrup based on the pesak he heard from Harav Shlomo Zalman Aurbach zt”l (Personal telephone conversation with Harav Bodner Shlita). </ref> Others say no beracha is recited because such sweetener is only a tafel to the <br>actual medication and if no beracha is recited on the ikur, then one does not recite a beracha on the tafel.<ref>Opinion of Harav Neuwirth Shlita quoted in Nishmas [[Shabbos]] 4:204, Shemiras [[Shabbos]] K’hilchoso 40:footnote 191. Refer to Halacha U’[[refuah]] 3:pages 282-284 in depth. However, see Mishna Brurah 174:39 and 212:1 who says the halacha is that a beracha is recited on the tafel. See Pischei Halacha (Berochos) page 246 who disputes the claim that the reason why no beracha is recited here is because no beracha is recited on the tafel. Refer to Rivevos Ephraim 4:54:39. </ref> Nonetheless, others disagree with this reasoning and maintain that a beracha should be recited even in this situation.<ref>Harav Yisroel Belsky Shlita, opinion of Harav Elyashiv Shlita quoted in Vezos Ha’beracha page 114, and in V’sein Beracha page 200:footnote 15, opinion of Harav Ovadia Yosef quoted in Yalkut Yosef 204:10:footnote 10, opinion of Harav Feinhandler Shlita (Avnei Yushfei in a personal e-[[mail]]). Refer to Igros Moshe O.C. 1:82, Pischei Halacha (Berochos page 246). Others say that it could be that Harav Elyashiv Shlita held this only in regard to medicine that is thoroughly enjoyed (Refer to Journal of Halacha and Contemporary Society 53:page 77:footnote 43).</ref> Since there is a dispute in this regard, one should recite a beracha on a different [[shehakol]] food and have in mind to exempt the medicine.<ref>Piskei Teshuvos 204:footnote 75. </ref> | ||
# According to all opinions, medicine for children which is sweet like candy would require a beracha.<ref>Pischei Halacha (Berochos) page 68:footnote 39 alef. </ref> | # According to all opinions, medicine for children which is sweet like candy would require a beracha.<ref>Pischei Halacha (Berochos) page 68:footnote 39 alef. </ref> | ||
==No Beracha Required == | ==No Beracha Required == | ||
# One who is forced to eat or drink something does not recite a beracha even if it tastes pleasant since he was forced to do so.<ref>Shulchan Aruch {{ibid}}, Kaf Ha’chaim 49, see Magen Avraham 20 Taz 12, Aruch Ha’shulchan 19. Refer to | # One who is forced to eat or drink something does not recite a beracha even if it tastes pleasant since he was forced to do so.<ref>Shulchan Aruch {{ibid}}, Kaf Ha’chaim 49, see Magen Avraham 20 Taz 12, Aruch Ha’shulchan 19. Refer to Mishna Brurah 204:44 who maintains if one is forced to eat bread and he is satisfied he should bentch since it is d’oraisa. </ref> | ||
# A bad tasting food does not require a beracha before eating it.<ref>Bais Yosef, Magen Avraham 19, | # A bad tasting food does not require a beracha before eating it.<ref>Bais Yosef, Magen Avraham 19, Mishna Brurah 43, Kaf Ha’chaim 48. </ref> | ||
==How Much to Eat or Drink? == | ==How Much to Eat or Drink? == | ||
# Some poskim are of the opinion that one does not recite a beracha on a pleasant tasting medicine unless one ate a kezayis or drank a reviis of it. The reason for this is that just as one who tastes food does not recite a beracha unless a kezayis or reviis is consumed; the same applies for medications, since one does not have intent for eating.<ref>Refer to Shevet Ha’kehusi 3:84:3. </ref> Nonetheless, the poskim do not make this comparison and therefore, a beracha on pleasant tasting medicine would be required regardless of the amount being consumed since one's intent is to swallow the medicine as opposed to the "tasting" case where one does not intend to have enjoyment.<ref>Refer to Mikroei Kodesh [[Pesach]] 2:page 144, Halacha U’[[refuah]] page 278, Pischei Halacha (Berochos page 66:footnote 38), Chazzon Ovadia Berochos page 159:footnote 6. </ref> | # Some poskim are of the opinion that one does not recite a beracha on a pleasant tasting medicine unless one ate a kezayis or drank a reviis of it. The reason for this is that just as one who tastes food does not recite a beracha unless a kezayis or reviis is consumed; the same applies for medications, since one does not have intent for eating.<ref>Refer to Shevet Ha’kehusi 3:84:3. </ref> Nonetheless, the poskim do not make this comparison and therefore, a beracha on pleasant tasting medicine would be required regardless of the amount being consumed since one's intent is to swallow the medicine as opposed to the "tasting" case where one does not intend to have enjoyment.<ref>Refer to Mikroei Kodesh [[Pesach]] 2:page 144, Halacha U’[[refuah]] page 278, Pischei Halacha (Berochos page 66:footnote 38), Chazzon Ovadia Berochos page 159:footnote 6. </ref> | ||
==Which Beracha Rishona?== | ==Which Beracha Rishona?== | ||
# The Rama<ref>204:11. Refer to Aruch Ha’shulchan 22. </ref> says any food which a healthy person does not eat requires a [[shehakol]] if taken as medication, regardless of the food's real beracha.<ref>Aruch Ha’shulchan 22. Refer to | # The Rama<ref>204:11. Refer to Aruch Ha’shulchan 22. </ref> says any food which a healthy person does not eat requires a [[shehakol]] if taken as medication, regardless of the food's real beracha.<ref>Aruch Ha’shulchan 22. Refer to Mishna Brurah 54. The Shar Ha’tzyion 45 says this applies to medicine which was made from the five grains as well. Refer to Halacha U’[[refuah]] 3:page 284. </ref> Others say one should recite the appropriate beracha.<ref>Magen Avraham 24, Mishna Brurah 55, Igros Moshe O.C. 1:82. </ref> The Mishna Brurah<ref>212:4-5. </ref> maintains that one should avoid this situation when possible.<ref>Some say one should eat the other food before the medicine and then consume the medicine (Halacha U’[[refuah]] 3:page 284). </ref> | ||
==Beracha Achrona== | ==Beracha Achrona== | ||
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# Before a woman goes for an ultra sound/sonogram she is asked to drink water. No beracha is recited on the water.<ref>Refer to Yufei Leleiv 204:10, Sdei Chemed Berochos 33:page 260, Me’am Loez Yisro 247:page 580, Pnei Ha’shulchan page 146, Sharei Ha’beracha 18:footnote 76. </ref> It would seem that a nursing woman, who needs to drink a lot of water, would not recite a beracha on the water if she is not thirsty.<ref>Refer to Toras Hayoledes 62:3, Beracha Achrona page 196:5.</ref> However, others maintain that she should take food whose beracha is [[shehakol]] and exempt the beracha on the water.<ref>Toras Hayoledes {{ibid}}. </ref> | # Before a woman goes for an ultra sound/sonogram she is asked to drink water. No beracha is recited on the water.<ref>Refer to Yufei Leleiv 204:10, Sdei Chemed Berochos 33:page 260, Me’am Loez Yisro 247:page 580, Pnei Ha’shulchan page 146, Sharei Ha’beracha 18:footnote 76. </ref> It would seem that a nursing woman, who needs to drink a lot of water, would not recite a beracha on the water if she is not thirsty.<ref>Refer to Toras Hayoledes 62:3, Beracha Achrona page 196:5.</ref> However, others maintain that she should take food whose beracha is [[shehakol]] and exempt the beracha on the water.<ref>Toras Hayoledes {{ibid}}. </ref> | ||
# Many times, after one brushes his teeth or rinses with mouthwash, he drinks water to rinse out his mouth, one does not recite a beracha on such water.<ref>Sharei Ha’beracha 18:footnote 76.</ref> | # Many times, after one brushes his teeth or rinses with mouthwash, he drinks water to rinse out his mouth, one does not recite a beracha on such water.<ref>Sharei Ha’beracha 18:footnote 76.</ref> | ||
# If one has a sore throat and drinks water to clear his throat, it would seem that a beracha is not recited.<ref>Harav Yisroel Belsky Shlita.</ref> (In all the above situations, if one is thirsty, a beracha is recited). One who drinks a tasty beverage to take his pill would recite a beracha on the beverage.<ref>Chesed L’alafim 204-205:4, | # If one has a sore throat and drinks water to clear his throat, it would seem that a beracha is not recited.<ref>Harav Yisroel Belsky Shlita.</ref> (In all the above situations, if one is thirsty, a beracha is recited). One who drinks a tasty beverage to take his pill would recite a beracha on the beverage.<ref>Chesed L’alafim 204-205:4, Mishna Brurah 204:42, Ateres Shlomo 8:page 111, Yalkut Yosef 204:page 436. </ref> | ||
==Medicine mixed with a food or water== | ==Medicine mixed with a food or water== | ||
# It is very common to take a powdered medicine and mix it with a food or water. Some may say that since the food which the medicine is mixed into is a tafel, no beracha is recited. Nonetheless, others say one should recite a beracha on the mixture.<ref>Refer to Journal of Halacha and Contemporary Society 53:pages 78-79. </ref> If the food (not medicine) is not a [[shehakol]],<ref>For example chunky applesauce. </ref> the Rama<ref>212:1. </ref> holds the beracha is a [[shehakol]] regardless of the beracha of the food, while others argue with this ruling.<ref>Refer to Magen Avraham 4, Gr’a, | # It is very common to take a powdered medicine and mix it with a food or water. Some may say that since the food which the medicine is mixed into is a tafel, no beracha is recited. Nonetheless, others say one should recite a beracha on the mixture.<ref>Refer to Journal of Halacha and Contemporary Society 53:pages 78-79. </ref> If the food (not medicine) is not a [[shehakol]],<ref>For example chunky applesauce. </ref> the Rama<ref>212:1. </ref> holds the beracha is a [[shehakol]] regardless of the beracha of the food, while others argue with this ruling.<ref>Refer to Magen Avraham 4, Gr’a, Mishna Brurah 4-5, 10, see Taz 7. Refer to Halacha U’[[refuah]] 3:page 284. </ref> The Mishna Brurah<ref>212:4-5. </ref> maintains that one should avoid this situation when possible.<ref>Some say one should eat the other food before the medicine and then consume the medicine (Halacha U’[[refuah]] 3:page 284). </ref> | ||
==Medicine taken during a Meal== | ==Medicine taken during a Meal== | ||
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==Reciting a Tefilla before taking Medication == | ==Reciting a Tefilla before taking Medication == | ||
# Some have a custom before taking medication to recite a yehi ratzon that all should be well.<ref>Refer to Shulchan Aruch 230:4, Magen Avraham 6, | # Some have a custom before taking medication to recite a yehi ratzon that all should be well.<ref>Refer to Shulchan Aruch 230:4, Magen Avraham 6, Mishna Brurah 6. Some say saying the yihiy ratzon exempts one from the beracha that one would recite on a sweet medication (Refer to Ateres Shlomo 8:page 111, Nishmas Avraham 204:page 91). </ref> This [[tefilla]] may be recited on [[Shabbos]] and is not a concern of asking for personal needs on [[Shabbos]].<ref>Refer to Shar Ha’tzyion 230:8, Bakashas B’[[Shabbos]] page 27:footnote 15. See Betzel Hachuchma 5:41.</ref> | ||
==Taking Medicine on Shabbos == | ==Taking Medicine on Shabbos == | ||
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==The Gelatin has changed == | ==The Gelatin has changed == | ||
# The | # The Mishna Brurah<ref>O.C. 216:7, see Magen Avraham 3. See OU document P-86 who says that fermentations are not considered kitniyos sh’nishtana. </ref> and others<ref>Shiurei Knesses Hagedolah 216:7, Rosh (Teshuvos) klal 24:6, Buei Chai Y.D. 103. </ref> say regarding "musk," which is a byproduct of blood that is found in the neck of a deer, we can consider it "changed," since the blood is turned into a new entity. Many poskim follow this opinion.<ref>Refer to Rosh Mesechtas Berochos 6:38, Mishna Brurah {{ibid}}. Refer to Magen Avraham O.C. 216:3, Taz 2. </ref> Using the same line of reasoning, some poskim permit the use of [[gelatin]] since it is totally changed from it original state.<ref>Refer to Yabia Omer Y.D. 8:11:15, Tzitz Eliezer’s opinion expressed in the introduction to volume 4, see Melamed L’hoyel 2:35. </ref> Others are not convinced that one can draw a parallel between musk and [[gelatin]].<ref>Refer to Achi Ezer 3:33:5, Tzitz Eliezer {{ibid}} quoting the opinion of Harav Yecheskel Abramsky zt”l, opinion of Harav Elyashiv Shlita quoted in Yeishiv Moshe page 165. </ref> | ||
==Dried out Stomach / Gelatin == | ==Dried out Stomach / Gelatin == | ||
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==Gel Caps - Not in the Normal Manner== | ==Gel Caps - Not in the Normal Manner== | ||
# One who is sick is permitted to eat a non-kosher food (which is normally ossur b'achilah) in an unusual manner.<ref>Shulchan Aruch Y.D. 155:3, Shach 14, | # One who is sick is permitted to eat a non-kosher food (which is normally ossur b'achilah) in an unusual manner.<ref>Shulchan Aruch Y.D. 155:3, Shach 14, Mishna Brurah O.C. 466:1. An example of this is giving someone non-kosher food through intravenous. </ref> Based on this, the opinion of some poskim is that swallowing a pill made from a [[gelatin]] coating is permitted, since it is for a <u>sick person</u> and it is not the usual manner of eating.<ref>Opinion of Harav Henkin zt”l quoted in Edos L’Yisroel page 132, opinion of Harav Shachter Shlita as expressed in OU document I-97. He adds that the gel-caps have no taste to them and are nifsal from feeding to a dog. </ref> However, there are poskim who maintain that swallowing a pill is the regular manner of consumption.<ref>Refer to Nodeh B’Yehdua Y.D. 35, Pischei [[Teshuva]] Y.D. 155:6, Har Tzvi Y.D. 97, opinions of Harav Shlomo Zalman Aurbach zt”l and Harav Elyashiv Shlita quoted in Medicines and Kashrus page 57:footnote 17, Yeishiv Moshe page 165, Shemiras [[Shabbos]] K’hilchoso 40:footnote 169, Halichos Shlomo Moadim ([[Pesach]]) 1:page 69. This is the opinion of Harav Yisroel Belsky Shlita quoting the opinion of Harav Henkin zt”l, see www.koltorah.org. </ref> Others are lenient and maintain that swallowing a pill is considered an unusual manner.<ref>Halichos Shlomo 1:17:1 (although he is quoted in the footnote above as saying otherwise), see Toras Chaim (Chullin 120) who is lenient</ref> In addition, even those who are stringent by [[gelatin]], it would not apply to medicines. However, according to the stringent opinion above regarding [[gelatin]], one who only has a headache<ref>Refer to Halichos Shlomo Moadim ([[Pesach]]) pages 71-72 who is unsure if this should be permitted with a slight pain. See Minchas Shlomo 1:17:3. </ref> or slight discomfort<ref>This does not apply to one who is bedridden (Halichos Shlomo Moadim [[Pesach]]) pages 71-72:8. The Shach 13 says this heter of the Rama is even for a healthy person. See Mishnah L’melech Hilchos Yesodei Hatorah 5:8 in depth, Zera Emes 2:48. Refer to Pri Megadim M.Z. O.C. 328:11, Shagas Aryeh 74, Binas Adom 52:page 86, Shevet Ha’Levi 7:135 who argue. Harav Yisroel Belsky Shlita maintains if one has a headache he should not swallow gel-caps without wrapping it in a tissue. </ref> should take a pill which has no [[gelatin]] or wrap the gel-cap in a tissue (in the next issue we will iy"h continue our discussion on gel-caps).<ref>Refer to Mesora 14:page 92. Others say the custom is to be lenient with one who has even a headache (Chai Ha’Levi 3:111:2). </ref> | ||
==Credits== | ==Credits== | ||
# Special thanks to Rabbi Moishe Dovid Lebovits Rabbinical Administrator for KOF-K Kosher Supervision and author of Halachically Speaking for this article. To reach the author please email mlebovits@kof-k.org. | # Special thanks to Rabbi Moishe Dovid Lebovits Rabbinical Administrator for KOF-K Kosher Supervision and author of Halachically Speaking for this article. To reach the author please email mlebovits@kof-k.org. | ||
