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Medicine on Shabbat: Difference between revisions

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[[File:Medicine.jpg|200px|right]]
[[File:Medicine.jpg|200px|right]]
One of several rabbinic decrees that our Sages enacted in order to guard the sanctity of [[Shabbat]] concerns the use of [[medications]]. In the opinion and experience of the Rabbis, easy access to medicine could lead to the transgression of certain [[Shabbat]] Labors. While issuing the decree, however, the Rabbis were lenient in certain cases of those suffering pain or distress. <ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt). In regard to the [[muktzah]] status of pills and other [[medications]] see Minchas [[Shabbos]] 88:footnote 77, Har Tzvi tal harim tochain 2, Shalmei Yehuda 10:15:footnote 46, Zera Yaakov 13:page 153, Nachlas Yisroel pages 633-650 in depth, Shulchan Shlomo 318:7:2:page 298, Ohr Yisroel 6:pages 17-20, Aruch Ha’shulchan 308:59, Bais Avi 3:52, Avnei Yushfei 5:62.</ref> (See the footnote for some background)<ref>
One of several rabbinic decrees that our Sages enacted in order to guard the sanctity of [[Shabbat]] concerns the use of [[medications]]. In the opinion and experience of the Rabbis, easy access to medicine could lead to the transgression of certain [[Shabbat]] Labors. While issuing the decree, however, the Rabbis were lenient in certain cases of those suffering pain or distress. <ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt). In regard to the [[muktzah]] status of pills and other [[medications]] see Minchas [[Shabbos]] 88:footnote 77, Har Tzvi tal harim tochain 2, Shalmei Yehuda 10:15:footnote 46, Zera Yaakov 13:page 153, Nachlas Yisroel pages 633-650 in depth, Shulchan Shlomo 318:7:2:page 298, Ohr Yisroel 6:pages 17-20, Aruch Ha’shulchan 308:59, Bais Avi 3:52, Avnei Yushfei 5:62.</ref> (See the footnote for some background)<ref>
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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 [[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>
# If someone has a minor condition which hurts such as a tooth ache, throat ache, head ache, cold, or cough it is forbidden to take any medicine. However, someone who is in a lot of pain to the point that he is laying in bed or he can't function normally due to his weakness, as is the case with a migraine, it permitted to take 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 of production of medicines, 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 poskim allow a person who is accustomed to take pain killers for a head ache or tooth ache to take pain killers on [[Shabbat]] if otherwise he will be in pain.<ref> Yalkut Yosef ([[Shabbat]] v. 4, pp. 408-9) 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)===
# If one has fever, feels weak all over, or feels bad enough to require bed rest, he can be classified as a “patient not dangerously ill” (Choleh Shein Bo Sakana) and he is permitted to take oral [[medications]]. <ref>Mishna Brurah 328:121 permits taking an oral medication without any shinui (alteration from the normal procedure). Yalkut Yosef ([[Shabbat]], vol 4, pg 129) and 39 Melachos (Rabbi Ribiat, vol 2, pg 492) agree with the Mishna Brurah. [http://hebrewbooks.org/pdfpager.aspx?req=1095&pgnum=112 Mishkenot Yacov O.C. 117] seems to disagree.
# If one has fever, feels weak all over, or feels bad enough to require bed rest, he can be classified as a “patient not dangerously ill” (Choleh Shein Bo Sakana) and he is permitted to take oral [[medications]]. <ref>Mishna Brurah 328:121 permits taking an oral medication without any shinui (alteration from the normal procedure). Yalkut Yosef ([[Shabbat]], vol 4, pg 129) and 39 Melachos (Rabbi Ribiat, vol 2, pg 492) agree with the Mishna Brurah. [http://hebrewbooks.org/pdfpager.aspx?req=1095&pgnum=112 Mishkenot Yacov O.C. 117] seems to disagree.
* 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 [[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>
# 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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# A person should violate Shabbat in order to save a non-Jew or non-religious Jew.<ref>Tiferet 329:4 citing Yabia Omer OC 8:38. He adds that if it could be minimized with shnayim she'asauha they should try to do so. See Mishna Brurah 330:8.</ref>
# A person should violate Shabbat in order to save a non-Jew or non-religious Jew.<ref>Tiferet 329:4 citing Yabia Omer OC 8:38. He adds that if it could be minimized with shnayim she'asauha they should try to do so. See Mishna Brurah 330:8.</ref>
# A person should violate Shabbat in order to save someone who tried to commit suicide.<ref>Yabia Omer OC 8:37:5, Chazon Ovadia Shabbat v. 1 p. 125 cited by Tiferet 328:5. Yabia Omer cites as support the Birkei Yosef 301:6, Maharam Yafa 13, Divrei Yisachar 169, Kli Chemda Ki Tzetsei, Maharam Rotenbuerg 39, Mishna Halachot 8:56, Maharil Diskin Kuntres Acharon 34, Tzitz Eliezer 8:15:4, Yeshuot Yisrael CM 21 to allow pikuach nefesh for someone who tried to commit suicide. On the other hand, Minchat Chinuch Kometz Mincha 230 and Vzot Lyehuda Kuntres Hashalom 11c seem to hold that pikuach nefesh doesn't apply to someone who tried to commit suicide.</ref>
# A person should violate Shabbat in order to save someone who tried to commit suicide.<ref>Yabia Omer OC 8:37:5, Chazon Ovadia Shabbat v. 1 p. 125 cited by Tiferet 328:5. Yabia Omer cites as support the Birkei Yosef 301:6, Maharam Yafa 13, Divrei Yisachar 169, Kli Chemda Ki Tzetsei, Maharam Rotenbuerg 39, Mishna Halachot 8:56, Maharil Diskin Kuntres Acharon 34, Tzitz Eliezer 8:15:4, Yeshuot Yisrael CM 21 to allow pikuach nefesh for someone who tried to commit suicide. On the other hand, Minchat Chinuch Kometz Mincha 230 and Vzot Lyehuda Kuntres Hashalom 11c seem to hold that pikuach nefesh doesn't apply to someone who tried to commit suicide.</ref>
#After calling for help one may hang up the phone if there will be further needs (various instruction, medical history, etc). However if the patient has already been transported to the hospital and is absolutely certain that no further information will be needed then one should not end the call.<ref>Mishna Halachot 3:46, Shmirat Shabbat KiHilchata 32:42</ref>


===Infants===
===Infants===
# Healthy infants and babies until the age of three (and according to some poskim even older children till the age of six or nine) are also halachically classified as “patients not dangerously ill.” <Ref> Chazon Ish, O.C. 59:3, Rav S.Z. Auerbach in Nishmas Avraham 328:54, and Rav Y.S. Elyashiv in Eis Laledes, pg. 57, quote the age of 2-3. Tzitz Eliezer 8:15-12 quotes ages of 6. Minchas Yitzchak 1:78 quotes age of 9. </ref> (In the final analysis, it all depends on the strength and maturity of the child.) <ref>The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref> Therefore, they are permitted to take all forms of medicine, provided, of course, that no Biblical prohibitions are transgressed. <ref> Rama, O.C. 328:17. Note, however, that not all of a baby’s needs are exempt from the prohibition against medication; see, for instance, Mishna Brurah 328:131. See Tehillah l’David 328:24 and Minchas Yitzchak 4:124 who deal with this difficulty </ref>
{{Child as Choleh on Shabbat}}
 
===Preparing medicine from before Shabbat===
===Preparing medicine from before Shabbat===
# One may crush a capsule or tablet of medicine so that it is mixed into a food or drink before [[Shabbat]]. Once it becomes disguised by the food one can eat the food or drink on [[Shabbat]].<ref>39 Melachos (Rabbi Ribiat, vol 2, pg 481), [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], Menuchat Ahava 1:21:75 cited by Tiferet 328:3 </ref> If one didn't do it before Shabbat, some allow mixing in a liquid medicine into a drink on Shabbat.<ref>Tiferet 328:3 citing Shevet Halevi 3:37, 8:82:2. See also Menuchat Ahava 1:21:75</ref>
# One may crush a capsule or tablet of medicine so that it is mixed into a food or drink before [[Shabbat]]. Once it becomes disguised by the food one can eat the food or drink on [[Shabbat]].<ref>39 Melachos (Rabbi Ribiat, vol 2, pg 481), [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], Menuchat Ahava 1:21:75 cited by Tiferet 328:3 </ref> If one didn't do it before Shabbat, some allow mixing in a liquid medicine into a drink on Shabbat.<ref>Tiferet 328:3 citing Shevet Halevi 3:37, 8:82:2. See also Menuchat Ahava 1:21:75</ref>
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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 [[Shabbat]] KeHilchata 34:3 </ref>
# 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 [[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>
# 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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===Diarrhea===
===Diarrhea===
# For diarrhea one may not take medication unless one is in severe pain or weak all over. Prune juice or any other food or drink is permitted. A hot water bottle is permitted when one experiences strong pains. <ref> Mishna Brurah 326:19, The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
# For diarrhea one may not take medication unless one is in severe pain or weak all over. Any food or drink is permitted. A hot water bottle is permitted when one experiences strong pains. <ref> Mishna Brurah 326:19, The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
 
===Chapped hands===
===Chapped hands===
# For dried (or chapped) hands it is prohibited to rub them with either oil, ointment (Vaseline) or lotion. <ref> 39 Melachos (Rabbi Ribiat, vol 2, pg 481) </ref>One who regularly uses a pourable, liquid lotion or oil on his hands (whether they are chapped or not) may do so on [[Shabbat]], too, even if his hands are chapped.<ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)based on S”A 327:1</ref>
# For dried (or chapped) hands it is prohibited to rub them with either oil, ointment (Vaseline) or lotion. <ref> 39 Melachos (Rabbi Ribiat, vol 2, pg 481) </ref>One who regularly uses a pourable, liquid lotion or oil on his hands (whether they are chapped or not) may do so on [[Shabbat]], too, even if his hands are chapped.<ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)based on S”A 327:1</ref>
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# For dried or cracked lips one may not apply chap stick or any other medication, liquid or otherwise. <Ref> 39 Melachos (Rabbi Ribiat, vol 2, pg 481), The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
# For dried or cracked lips one may not apply chap stick or any other medication, liquid or otherwise. <Ref> 39 Melachos (Rabbi Ribiat, vol 2, pg 481), The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
===Conception Pills===
===Conception Pills===
# Some poskim permit taking pills to help a woman give birth. <ref> Chacham Ovadia Yosef, Rav Moshe Stern, and Rav Shlomo Zalman Auerbach cited on [http://www.halachayomit.co.il/EnglishDefault.asp?HalachaID=3319 Halacha Yomit] </ref>
# Some poskim permit taking pills for conception. <ref> Chacham Ovadia Yosef, Rav Moshe Stern, and Rav Shlomo Zalman Auerbach cited on [http://www.halachayomit.co.il/EnglishDefault.asp?HalachaID=3319 Halacha Yomit] </ref>
===Ear infection===
 
===Ear Infection===
# For an ear infection all [[medications]] are permitted. Cotton balls may be inserted. <Ref>[http://www.torah.org/advanced/weekly-halacha/5760/chukas.html Rabbi Doniel Neustadt on Torah.org], It is prohibited to tear cotton balling on [[Shabbat]]; Minchas Yitzchak 4:45; Shemiras [[Shabbat]] K’hilchasah 35:20.  </ref> Even if the infection is no longer present, prescribed medicine begun on a weekday must be continued until finished in order to avoid a relapse. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
# For an ear infection all [[medications]] are permitted. Cotton balls may be inserted. <Ref>[http://www.torah.org/advanced/weekly-halacha/5760/chukas.html Rabbi Doniel Neustadt on Torah.org], It is prohibited to tear cotton balling on [[Shabbat]]; Minchas Yitzchak 4:45; Shemiras [[Shabbat]] K’hilchasah 35:20.  </ref> Even if the infection is no longer present, prescribed medicine begun on a weekday must be continued until finished in order to avoid a relapse. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
===Eye Inflammation===
===Eye Inflammation===
# For an eye inflammation eye drops (or ointment) may be instilled in the eye. If the eye is not inflamed but merely irritated, no medication is permitted. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt) based on S”A O.C. 328:20. Shulchan Aruch O.C. 328:9 states that if someone's eyes are inflamed or it has pus or blood coming out, or tears pouring out, one can violate Shabbat. Mishna Brurah 328:22 quotes the Gemara which explains that even though for a regular Sakanat Ever we shouldn't violate Shabbat since the health of a person's eyes are linked to his entire health he can violate Shabbat.</ref> Some permit putting in eye drops even if they are irritated.<ref>Chazon Ovadia Shabbat v. 3 p. 233 cited by Tiferet 328:31</ref>
# For an eye inflammation eye drops (or ointment) may be instilled in the eye. If the eye is not inflamed but merely irritated, no medication is permitted. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt) based on S”A O.C. 328:20. Shulchan Aruch O.C. 328:9 states that if someone's eyes are inflamed or it has pus or blood coming out, or tears pouring out, one can violate Shabbat. Mishna Brurah 328:22 quotes the Gemara which explains that even though for a regular Sakanat Ever we shouldn't violate Shabbat since the health of a person's eyes are linked to his entire health he can violate Shabbat.</ref> Some permit putting in eye drops even if they are irritated.<ref>Chazon Ovadia Shabbat v. 3 p. 233 cited by Tiferet 328:31</ref>
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===Fever===
===Fever===
# For a fever any oral [[medications]] may be taken. A mercury thermometer may be used. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)based on S”A O.C. 306:7 </ref> If a person is suffering from high-grade fever, a non-Jew may be asked to do whatever the patient needs in order to feel better. <Ref> Mishna Brurah 328:46, 47 </ref> If the cause of the fever is unknown, a doctor should be consulted.
# For a fever any oral [[medications]] may be taken. A mercury thermometer may be used. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)based on S”A O.C. 306:7 </ref> If a person is suffering from high-grade fever, a non-Jew may be asked to do whatever the patient needs in order to feel better. <Ref> Mishna Brurah 328:46, 47 </ref> If the cause of the fever is unknown, a doctor should be consulted.
# A regular fever can be treated with oral medication should be treated as a Choleh Shein Bo Sakana who can have medicine. If the fever is abnormal such as if it is 104 degrees Fahrenheit or more, it isn't reduced by medicine and its cause is unknown, a person can violate Shabbat because it is a Safek Choleh Sheyesh Bo Sakana. For a child or elderly person even if the fever isn't so high one can violate Shabbat to heal them.<ref>Chazon Ovadia v. 3 p. 244-6 cited by Tiferet 328:26</ref>
===Headache===
===Headache===
# For a headache medication should not be taken. If the headache is severe enough so that one feels weak all over or is forced to go to bed, medication may be taken. One who is unsure if he has reached that stage of illness may be lenient and take pain- relieving medication. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)See Ketzos ha-Shulchan 138, pg. 100; Minchas Yitzchak 3:35; Be’er Moshe 1:33; 2:32. </ref>
# For a headache medication should not be taken. If the headache is severe enough so that one feels weak all over or is forced to go to bed, medication may be taken. One who is unsure if he has reached that stage of illness may be lenient and take pain- relieving medication. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)See Ketzos ha-Shulchan 138, pg. 100; Minchas Yitzchak 3:35; Be’er Moshe 1:33; 2:32. </ref>
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# For a migraine headache any oral [[medications]] may be taken. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
# For a migraine headache any oral [[medications]] may be taken. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
===Mouthwash===
===Mouthwash===
# There is a discussion in the later poskim if one may use mouthwash on [[Shabbat]]. <ref> see Beer Moshe 1:34:7page 78 is lenient as is Rivevot Ephraim 2:115:23:page 192, 3:536:6, 4:97:5, 6:195,  Nishmas [[Shabbos]] 5:318, Cheshev Ha’efod 2:59 </ref>  
# It is permitted to use mouthwash on [[Shabbat]].<ref> See Beer Moshe 1:34:7page 78 is lenient as is Rivevot Ephraim 2:115:23:page 192, 3:536:6, 4:97:5, 6:195,  Nishmas [[Shabbos]] 5:318, Cheshev Ha’efod 2:59 </ref> See the [[Brushing Teeth on Shabbat]] page for more on this topic.
 
===Nosebleed===
===Nosebleed===
# For a nosebleed bleeding may be stopped with a tissue or a napkin. If none is available, a cloth napkin may be used. <ref> Mishna Brurah 328:146 </ref>
# For a nosebleed bleeding may be stopped with a tissue or a napkin. If none is available, a cloth napkin may be used. <ref> Mishna Brurah 328:146 </ref>
===Raynaud’s Syndrome===
===Raynaud’s Syndrome===
# One who is ill or in need of using chemical hand warmers on [[Shabbat]], such as in the case of Raynaud's syndrome, or a soldier on guard duty who must remain alert may do so on [[Shabbat]]. <ref> [http://www.yeshiva.co/ask/?id=4876 Yeshiva.org] based on Rav Dov Lior in his book Dvar Chevron Siman 236 pg. 125 </ref>
# One who is ill or in need of using chemical hand warmers on [[Shabbat]], such as in the case of Raynaud's syndrome, or a soldier on guard duty who must remain alert may do so on [[Shabbat]]. <ref> [http://www.yeshiva.co/ask/?id=4876 Yeshiva.org] based on Rav Dov Lior in his book Dvar Chevron Siman 236 pg. 125 </ref>
===Psychotic Break===
#A psychotic break is a [[#If_One_is_Critically_Ill_.28Choleh_Sheyesh_Bo_Sakana.29| Choleh Sheyesh Bo Sakana]]. <ref> Harefuah C'halacha 7:1;3 </ref>


===Retinal Tear===
===Retinal Tear===
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# One is permitted to cut a tablet in half on [[Shabbos]], and there is no concern of "mechatech" (cutting) on [[Shabbos]].<ref>Shemiras [[Shabbos]] K’hilchoso 33:4, Shulchan Shlomo 314:13:3, Avnei Yushfei 4:58 quoting the opinion of Harav Elyashiv Shlita. Refer to there footnote 30 for the reason. </ref>
# One is permitted to cut a tablet in half on [[Shabbos]], and there is no concern of "mechatech" (cutting) on [[Shabbos]].<ref>Shemiras [[Shabbos]] K’hilchoso 33:4, Shulchan Shlomo 314:13:3, Avnei Yushfei 4:58 quoting the opinion of Harav Elyashiv Shlita. Refer to there footnote 30 for the reason. </ref>


==Purchasing the medicine==
==Purchasing the Medicine==
# In situations where one is considered “ill” and is permitted to take medicine on [[Shabbat]], it is also permitted to ask a non-Jew to drive to a drugstore, buy medicine and bring it to him. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
# In situations where one is considered “ill” and is permitted to take medicine on [[Shabbat]], it is also permitted to ask a non-Jew to drive to a drugstore, buy medicine and bring it to him. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</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 [[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>
# 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 [[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>
# 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 [[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>
# 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 [[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>  
# 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 [[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>
# 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>


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