During the 29 or 30 days of the Muslim month of Ramadan healthy adult Muslims will go without all the pleasures of the body during all the hours of daylight.
One argument for accepting this is that Islam is regarded as a way of life for all people. Choosing a local sighting includes those who do not have access to technology or fast communication.
The All-wise, Allah, did not put the poor Muslims in limbo, rather He made fasting during Ramadan as a means of placing the poor and the rich on equal footing in terms of asking for forgiveness for their past sins.
In summary, Islam offers an exemption to the sick from observing their fast during the holy month of Ramadan. However, some patients may be able to fast if their health is not adversely affected during the period of fasting. In such cases, advice from pharmacists and doctors about changing prescriptions to equally effective drugs that have reduced dosing, such as sustained release formulations, may be beneficial to the fasting Muslim. In all cases of illness, it is recommended that Muslim patients, if they do fast, do so under medical supervision.
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As Ramadan fast is inextricably tied to the Night of Power (see 2:183) it follows that any Muslim who wishes to benefit from the Night of Power must fast during the month of Ramadan.
If you have you eat anything or drink anything accidentally, because
you forgot you were fasting, your fast does not break, but if you eat
or drink anything intentionally your fast is broken.
An example where alternative routes of drug administration may help fasting patients is the use of transdermal (skin) patches. For example some patients suffering from mild forms of angina pectoris, a heart condition, could benefit from taking their medication, glyceryl trinitrate, as a skin patch rather than sub-lingual tablets. Here, the drug would be effective by entering the blood stream through the skin, and not orally (which would break the fast). Again, this may only be possible in specific patients and needs to be discussed with the patient's doctor. Pharmacists are generally willing to advise patients on the availability of alternative dosage forms for medication during Ramadan.
But if we restrict the meaning of the Islamic Fasting to this literal sense, we would be sadly .The very thought of it conjures up images of a splendid month of fasting and the general or fasting, one of the five pillars of Islam.
For example patients suffering from acute upper respiratory infections such as a severe sore throat may still be able to fast. Normally such a patient may be prescribed antibiotics that have to be taken 3 or 4 times a day and would not be able to fast. However in order to facilitate fasting, the patient could be given a long-acting antibiotic such as Septrin (co-trimaxozole), which only needs to be taken once every 12 hours, or Zithromax (azithromycin), which only needs to be taken once daily. This can only be done when the infecting organisms are treatable with the alternative antibiotics and this needs to be discussed with the patient's own medical practitioner on a case-by-case basis.
Those suffering from minor ailments really do not have any problems fasting. Those suffering from acute conditions may need advice about altering their dosing regimen i.e. the amount and frequency of their medication. Drugs that are normally required to be taken frequently, such as many antibiotics, can be problematic for the fasting patient. However, the increasing availability of alternative drugs with long half-lives (circulation times in the body) and the increasing formulation of short-acting drugs as sustained release preparations have offered much needed assistance to fasting patients.
Since no one knows precisely which of the odd days is the night, Muslims are expected to be in seclusion () during the last 10 days of Ramadan and the best place to do so is in the mosque.
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