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Design by Adrian Poon, BA

Content by Mohamed Alarakhia, BSc (Hons), MD, CCFP; Wasem Alsabbagh, BScPharm, PhD; Nadia Awad, PharmD, BCPS; Kelly Grindrod, ACPR, PharmD; Huda Wali, BSc, MSc

For further information, refer to:BMJ Open Diabetes Care Res 2015 16;3(1):e000108.Prescriber 2011, vol. 22, issue 13-14, 14-21

Encourage patients to eat suhoor(morning meal) and to stay hydrated.Adjust drug doses as needed.

Conditions such as diabetes,migraine and hypertensionneed special attention.

Consider the Condition

If someone cannot fast over a longsummer day, they can make up their

fast over the shorter winter days.

Adjust the Timing of the Fast

Try to choose medications(such as antibiotics) that aretaken only once or twice daily.

If the dosing times cannot be adjusted,consider a different treatment option.

Adjust Types of Meds

Remember to adjust pharmacylabels, blister pack labels

and to notify the prescriber.

Adjust oral meds so patientsneed to take them only 1-2 timesper day (at dawn and/or sunset).

Adjust Time of MedsRemember to adjust pharmacy

labels, blister pack labelsand to notify the prescriber.

Adjust oral meds so patientsneed to take them only 1-2 timesper day (at dawn and/or sunset).

Adjust Time of Meds

If they can’t, refer the patientto their Imam for other waysto honour Ramadan.

Make sure that the patientcan go safely from dawnto sunset without meds.

Safety First

During the holy month of Ramadan, Muslims do not consume anything bymouth from dawn until sunset, including food, water and oral medications.

Ramadan Fastingand Medications