Medicine on Shabbat: Difference between revisions
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==Taking Medicine== | ==Taking Medicine== | ||
===If one has a minor condition (Meychush BeAlma)=== | ===If one has a minor condition (Meychush BeAlma)=== | ||
# If someone has a minor condition which hurts such as a tooth ache, throat ache, head ache, cold, and cough it is forbidden to take any medicine such as pills or drops. However, someone who is in a lot of pain and because of it he is in bed or his body is weakened such as a migraine it permitted to take a medicine. <Ref>Shemirat | # If someone has a minor condition which hurts such as a tooth ache, throat ache, head ache, cold, and cough it is forbidden to take any medicine such as pills or drops. However, someone who is in a lot of pain and because of it he is in bed or his body is weakened such as a migraine it permitted to take a medicine. <Ref>Shemirat Shabbat KeHilchata 34:1,3 and Rav Mordechai Eliyahu's comment on Kitzur Shulchan Aruch 91:1. The Weekly Halachah Discussion (Rabbi Doniel Neustadt) writes that although contemporary poskim debate whether nowadays we can be more lenient with taking medication on [[Shabbat]] because of the change in technique, the general consensus is to reject this argument. See Minchas [[Shabbat]] 91:9; Ketzos ha-Shulchan 134:7; Chelkas Yaakov 4:41; and Tzitz Eliezer 8:15:15. See also [http://www.yutorah.org/lectures/lecture.cfm/739326/Rabbi_Aryeh_Lebowitz/Ten_Minute_Halacha_-_Medicine_on_Shabbat_Part_I Rabbi Aryeh Lebowitz on YUTorah.org]. The Yalkut Yosef 328:52 writes that a choleh shein bo skana (sick in bed) can take pills. He adds that in general someone who is in a lot of pain but isn't choleh shein bo sakana may not take the pills and only makes two exceptions, for someone who has a big headache and someone who has a big stomach ache.</ref> | ||
# Some allow someone who is accustomed to take pain killers for a head ache or tooth ache and if he doesn't take it will be in pain to take pain killers on [[Shabbat]].<ref> In Yalkut Yosef ([[Shabbat]] v. 4, pp. 408-9) he writes that some say that one may take pain killers on [[Shabbat]] because they don't cure but only remove pain, and some disagree. He concludes that one should only be lenient if a person is accustomed to taking such pain killers and if one doesn't take them one will be in pain. On page 143 in discussing the same leniency he specifically mentions pills that contain paracetamol which is the active ingredient in Tylenol, a pain killer.</ref> | # Some allow someone who is accustomed to take pain killers for a head ache or tooth ache and if he doesn't take it will be in pain to take pain killers on [[Shabbat]].<ref> In Yalkut Yosef ([[Shabbat]] v. 4, pp. 408-9) he writes that some say that one may take pain killers on [[Shabbat]] because they don't cure but only remove pain, and some disagree. He concludes that one should only be lenient if a person is accustomed to taking such pain killers and if one doesn't take them one will be in pain. On page 143 in discussing the same leniency he specifically mentions pills that contain paracetamol which is the active ingredient in Tylenol, a pain killer.</ref> | ||
===If one has a sickness (Choleh Shein Bo Sakana)=== | ===If one has a sickness (Choleh Shein Bo Sakana)=== | ||
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* Halachos of [[Refuah on Shabbat]] (Rabbi Bodner, pg 55) and The Weekly Halachah Discussion (Rabbi Doniel Neustadt) write that most poskim agree with the Mishna Brurah. See, however, Sh"t Igrot Moshe 3:53, Tzitz Eliezer 8:15:15, and Minchat Yitzchak 1:108, 6:28. </ref> | * Halachos of [[Refuah on Shabbat]] (Rabbi Bodner, pg 55) and The Weekly Halachah Discussion (Rabbi Doniel Neustadt) write that most poskim agree with the Mishna Brurah. See, however, Sh"t Igrot Moshe 3:53, Tzitz Eliezer 8:15:15, and Minchat Yitzchak 1:108, 6:28. </ref> | ||
# Since “requiring bed rest” and “weak all over” are subjective terms, it is up to each individual to determine his personal pain threshold. There is no requirement to be overly stringent when judging the degree of illness. <ref>[http://www.torah.org/advanced/weekly-halacha/5760/chukas.html Rabbi Doniel Neustadt on Torah.org]. See also Sh"t Tzitz Eliezer 14:50-7 and 17:13. </ref> | # Since “requiring bed rest” and “weak all over” are subjective terms, it is up to each individual to determine his personal pain threshold. There is no requirement to be overly stringent when judging the degree of illness. <ref>[http://www.torah.org/advanced/weekly-halacha/5760/chukas.html Rabbi Doniel Neustadt on Torah.org]. See also Sh"t Tzitz Eliezer 14:50-7 and 17:13. </ref> | ||
# Some poskim hold that it is forbidden to perform a biblically prohibited action on [[Shabbat]] (melacha deoritta) for someone who is in the category of "patient not dangerously ill" even if one does it in an abnormal manner (Shinui).<ref>Shemirat | # Some poskim hold that it is forbidden to perform a biblically prohibited action on [[Shabbat]] (melacha deoritta) for someone who is in the category of "patient not dangerously ill" even if one does it in an abnormal manner (Shinui).<ref>Shemirat Shabbat KeHilchata 32:2</ref> Some, however, hold that it is permitted to do actions in an abnormal way (Shinui) for a "patient not dangerously ill".<ref>Eglei Tal ([[Tochen]] #18), [http://www.yutorah.org/lectures/lecture.cfm/797263/Rabbi_Hershel_Schachter/Shiur_#3_-_Shabbos_-_melacha_sh'eina_tzericha_l'gufa Rabbi Hershel Schachter in a shiur on yutorah.org (towards end of shiur)]</ref> | ||
===If One is Critically Ill (Choleh Sheyesh Bo Sakana)=== | ===If One is Critically Ill (Choleh Sheyesh Bo Sakana)=== | ||
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==Non-medical treatment== | ==Non-medical treatment== | ||
===Using a Band Aid=== | ===Using a Band Aid=== | ||
# It is permitted to put on a band aid on a wound. <Ref>Shemirat | # It is permitted to put on a band aid on a wound. <Ref>Shemirat Shabbat KeHilchata 34:3,Tzitz Eliezer 8:15:14:6, Chazon Ovadiah Shabbat vol. 3, page 403, Piskeh Teshuvot 328:46 </ref> | ||
# According to Ashkenazim, one should not remove a band aid on [[Shabbat]] if there is hair in the area of the band aid. However, if it is painful one may remove it. <ref> Shemirat | # According to Ashkenazim, one should not remove a band aid on [[Shabbat]] if there is hair in the area of the band aid. However, if it is painful one may remove it. <ref> Shemirat Shabbat KeHilchata 35:30 (in the new edition) writes that a band aid shouldn’t be removed on [[Shabbat]] in an area where there’s hair because removing the band aid will certainly pull out hairs. However, the Shemirat Shabbat KeHilchata writes that it’s permissible to use a Benzine to remove the band aid so it won’t rip out any hairs that’s assuming the cream was set aside before [[Shabbat]] and isn’t [[Muktzeh]]. Nonetheless in the footnote he quotes Rav Shlomo Zalman saying that if it’s painful it may be removed because it’s a pesik reisha delo nicha leih (פסיק רישא דלא ניחא ליה), keleacher yad (כלאחר יד), and mekalkel (מקלקל). </ref> However, Sephardim are more lenient as long as there is a need to remove it, it's permissible. <ref> The Yalkut Yosef ([[Shabbat]] 4 pg 179, kitzur S”A 328:101, 340:6) writes that if there’s a need, it’s permissible to remove a band aid from an area of hair on [[Shabbat]] because it’s a pesik reisha delo nicha leih (פסיק רישא דלא ניחא ליה) for a Derabbanan. In the footnote he writes that even though the Or Letzion (vol 2, pg 259) is strict, his father (Rav Ovadyah, in Haskama to Lev Avraham), Rav Yitzchak Elchanan (Bear Yitzchak Siman 15), and Rav Shlomo Zalman (from Shemirat Shabbat KeHilchata) are lenient. </ref> | ||
# Most authorities permit removing the Band-Aid from the protective tabs, while some are stringent and so to satisfy all opinions one may prepare Band-Aids for [[Shabbat]] use by peeling off their protective tabs and re-sealing them before [[Shabbat]]. <Ref> Most poskim (oral ruling by Rav M. Feinstein, quoted in Kitzur Hilchos [[Shabbat]] 44, note 117); Rav S.Z. Auerbach in Shulchan Shelomo 328:45; Ohr l’Tziyon 2:36-15; Az Nidberu 7:34, 35; Rav C.P. Scheinberg, quoted in Children in Halachah, pg. 88; Rav N. Karelitz, quoted in Orchos [[Shabbat]] 11:35) permit removing the protective tabs from a Band-Aid, while others (Minchas Yitzchak 5:39-2; 9:41; Rav Y.S. Elyashiv, quoted in Machazeh Eliyahu 70) are stringent. To satisfy all opinions, one may prepare Band-Aids for [[Shabbat]] use by peeling off their protective tabs and re-sealing them before [[Shabbat]]; once they have been prepared in this fashion, they may be used on [[Shabbat]] (Tzitz Eliezer 16:6-5). Sh”t Bear Moshe 1:36 writes that it is obvious that it is permitted to remove the plastic tabs from the sides of a bandaid on [[Shabbat]] and it isn't [[Koreah]]. </ref> | # Most authorities permit removing the Band-Aid from the protective tabs, while some are stringent and so to satisfy all opinions one may prepare Band-Aids for [[Shabbat]] use by peeling off their protective tabs and re-sealing them before [[Shabbat]]. <Ref> Most poskim (oral ruling by Rav M. Feinstein, quoted in Kitzur Hilchos [[Shabbat]] 44, note 117); Rav S.Z. Auerbach in Shulchan Shelomo 328:45; Ohr l’Tziyon 2:36-15; Az Nidberu 7:34, 35; Rav C.P. Scheinberg, quoted in Children in Halachah, pg. 88; Rav N. Karelitz, quoted in Orchos [[Shabbat]] 11:35) permit removing the protective tabs from a Band-Aid, while others (Minchas Yitzchak 5:39-2; 9:41; Rav Y.S. Elyashiv, quoted in Machazeh Eliyahu 70) are stringent. To satisfy all opinions, one may prepare Band-Aids for [[Shabbat]] use by peeling off their protective tabs and re-sealing them before [[Shabbat]]; once they have been prepared in this fashion, they may be used on [[Shabbat]] (Tzitz Eliezer 16:6-5). Sh”t Bear Moshe 1:36 writes that it is obvious that it is permitted to remove the plastic tabs from the sides of a bandaid on [[Shabbat]] and it isn't [[Koreah]]. </ref> | ||
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==Specific medicines== | ==Specific medicines== | ||
===Foods and drinks=== | ===Foods and drinks=== | ||
# Even someone with a minor ailment may eat food which healthy people eat even if one’s intention is for improving one’s health. For example, someone who has a head ache may eat honey, a lemon, or suck on candy. Someone who has a hoarse throat may swallow a raw egg. <Ref>Shemirat | # Even someone with a minor ailment may eat food which healthy people eat even if one’s intention is for improving one’s health. For example, someone who has a head ache may eat honey, a lemon, or suck on candy. Someone who has a hoarse throat may swallow a raw egg. <Ref>Shemirat Shabbat KeHilchata 34:4 based on Shulchan Aruch 328:37, Aruch Hashulchan 328:48. Refer to Mishna Brurah 328:117-118. See Ketzos Ha’shulchan 134:16:pages 31-32 in depth on what constitutes a health persons food. </ref> | ||
# Foods and drinks are permitted even when they are consumed for medicinal purposes. For example, one may have tea for a sore throat on [[Shabbat]]. <ref>[http://www.torah.org/advanced/weekly-halacha/5760/chukas.html Rabbi Doniel Neustadt on Torah.org], 39 Melachos (Rabbi Ribiat, vol 2, pg 477) </ref> | # Foods and drinks are permitted even when they are consumed for medicinal purposes. For example, one may have tea for a sore throat on [[Shabbat]]. <ref>[http://www.torah.org/advanced/weekly-halacha/5760/chukas.html Rabbi Doniel Neustadt on Torah.org], 39 Melachos (Rabbi Ribiat, vol 2, pg 477) </ref> | ||
===Tylenol or Aspirin=== | ===Tylenol or Aspirin=== | ||
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==Elective surgery== | ==Elective surgery== | ||
# One should make sure to schedule a non emergency surgery in the first three days of the week but not on or after Wednesday. However, after the fact and if one did the surgery at such a time and there is a situation of Pikuach Nefesh it is totally permissible to violate [[Shabbat]] like any other sick person in danger. <Ref>Shemirat | # One should make sure to schedule a non emergency surgery in the first three days of the week but not on or after Wednesday. However, after the fact and if one did the surgery at such a time and there is a situation of Pikuach Nefesh it is totally permissible to violate [[Shabbat]] like any other sick person in danger. <Ref>Shemirat Shabbat KeHilchata 32:33 based on the idea of Baal HaMoer quoted in S”A 248:4. Shemirat Shabbat KeHilchata (chap 32 note 99) quotes Rav Shlomo Zalman who says that if an expert doctor who is needed for this surgery is only available on Wednesday through Friday it is permissible to schedule the surgery then. For background of this topic [[Brit_Milah#Delayed Milah on Thursday or Friday|see here]].</ref> Sephardim could be lenient to schedule such a surgery on Wednesday but not past Thursday. <Ref>Yalkut Yosef ([[Shabbat]], vol 1, pg 60) </ref> | ||
==Inducing labor== | ==Inducing labor== | ||
# It is permissible for a pregnant woman who is past her term to receive a hormone infusion to induce labor if the doctor feels that there danger to the life of the mother or fetus. <Ref>Shemirat | # It is permissible for a pregnant woman who is past her term to receive a hormone infusion to induce labor if the doctor feels that there danger to the life of the mother or fetus. <Ref>Shemirat Shabbat KeHilchata (chap 32, note 98 (note 100, in new one)).For background of this topic [[Brit_Milah#Delayed Milah on Thursday or Friday|see here]]. </ref> | ||
==Caesarian section== | ==Caesarian section== | ||
# If according to the doctor a women has to have a caesarian section and she can choose to schedule the surgery, she should schedule for the first three days of the week and not Wednesday through Friday. <Ref>Shemirat | # If according to the doctor a women has to have a caesarian section and she can choose to schedule the surgery, she should schedule for the first three days of the week and not Wednesday through Friday. <Ref>Shemirat Shabbat KeHilchata 36:4 based on the principle of the Baal HaMoer. For background of this topic [[Brit_Milah#Delayed Milah on Thursday or Friday|see here]]. </ref> | ||
==A doctor on call== | ==A doctor on call== | ||
# A doctor who is on call and there is a sick patient under his or her care, some say that the doctor should stay in the hospital or nearby so that the doctor will not have to travel on [[Shabbat]]<ref>Sh”t Igrot Moshe 1:131 and Shemirat | # A doctor who is on call and there is a sick patient under his or her care, some say that the doctor should stay in the hospital or nearby so that the doctor will not have to travel on [[Shabbat]]<ref>Sh”t Igrot Moshe 1:131 and Shemirat Shabbat KeHilchata 30:26 </ref>, while others are lenient if it will ruin the doctor and his family’s oneg [[Shabbat]]. <ref>Shemirat Shabbat KeHilchata (chap 40 note 71) in name of Rav Shlomo Zalman Auerbach explaining that since there is a mitzvah of oneg [[Shabbat]] one is not obligated to leave one’s home on Friday in order to avoid violation of [[Shabbat]]. For background of this topic [[Brit_Milah#Delayed Milah on Thursday or Friday|see here]]. </ref> | ||
# According to many poskim a doctor who was called into the hospital for an emergency can't drive home afterwards.<ref>Even though Igrot Moshe OC 4:80 was lenient, Rav Shlomo Zalman Auerbach in Minchat Shlomo 1:8 was strict. Rav Ovadia Yosef in Chazon Ovadia v. 3 p. 253 is strict. Tzitz Eliezer 21:59 writes that someone who relies on Rav Moshe has what to rely upon.</ref> | # According to many poskim a doctor who was called into the hospital for an emergency can't drive home afterwards.<ref>Even though Igrot Moshe OC 4:80 was lenient, Rav Shlomo Zalman Auerbach in Minchat Shlomo 1:8 was strict. Rav Ovadia Yosef in Chazon Ovadia v. 3 p. 253 is strict. Tzitz Eliezer 21:59 writes that someone who relies on Rav Moshe has what to rely upon.</ref> | ||
