Insulin Pumps and CGM Devices: Islamic Permissibility of Use During Ghusl

Question: My query is regarding the use of insulin pumps (e.g., Omnipod) and continuous glucose monitoring systems (CGM) (e.g., Freestyle Libre, Dexcom G6) for use in Type 1 Diabetic patients. These items are only meant for one-time use and are also very expensive to purchase. A needle is inserted through the skin and covered with an adhesive. Removal of the sensor will result in having to discard the sensor or pump item. Can it be considered valid to perform ghusl by passing water over them instead of removing the sensor/pump or catheter insertion requiring it to be permanently discarded? Answer: … Continue reading Insulin Pumps and CGM Devices: Islamic Permissibility of Use During Ghusl

Islamically Permissible Influenza Vaccines Available in the US for 2021-2022 Season

Prepared by Mawlana Dr. Mateen A. Khan, MD and Dr. Ramzan Judge, PharmD Summary Permissible influenza vaccines in the US for 2021-2022 season FluadTM Quadrivalent Fluzone High-DoseTM Quadrivalent AfluriaTM FluarixTM FluLavalTM FluzoneTM Quadrivalent Impermissible influenza vaccines in the US for 2021-2022 season FlublokTM FluMistTM FlucelvaxTM Discussion Background on Influenza Influenza (commonly known as the flu) is a seasonal viral illness carrying significant health, economic, and social burden. For the past nine years, the Centers for Disease Control and Prevention (CDC) estimates that every year 9.3-49 million symptomatic illnesses, 4.3-23 million medical visits, 140,000-960,000 hospitalizations, and 12,000-79,000 deaths are attributed to … Continue reading Islamically Permissible Influenza Vaccines Available in the US for 2021-2022 Season

Islamically Permissible COVID-19 Vaccines: Viral Vector Page

Prepared by Mawlana Mateen A. Khan MD, Dr. Ramzan Judge PharmD, Dr. Samad Tirmizi PharmD, and Mufti Adil Farooki MD. Summary: Oxford-AstraZeneca and Janssen (Johnson & Johnson) COVID-19 vaccines are ḥalāl and permissible for use although other vaccines without ethical issues (e.g., mRNA vaccines) are preferable when available. Summary page for all assessed COVID-19 vaccines Oxford-AstraZeneca Discussion: The University of Oxford partnered with AstraZeneca to develop a viral vector vaccine, called ChAdOx1 nCov-19 or AZD1222. It consists of a chimpanzee adenovirus vector (ChAdOx1) which has been rendered incapable of replication. The adenovirus contains DNA which encodes for the full-length SARS-CoV-2 … Continue reading Islamically Permissible COVID-19 Vaccines: Viral Vector Page

Islamically Permissible COVID-19 Vaccines: mRNA Page

Prepared by Mawlana Mateen A. Khan MD, Dr. Ramzan Judge PharmD, Dr. Samad Tirmizi PharmD, and Mufti Adil Farooki MD. Summary: Pfizer-BioNtech and Moderna COVID-19 vaccines are ḥalāl and permissible to take. Summary page for all assessed COVID-19 vaccines Discussion: The first class of vaccine to come to market in the United States are mRNA vaccines developed by BioNTech/ Pfizer and Moderna. mRNA vaccines are novel vaccines encapsulating genetic material in lipid nanoparticles. It is thought these particles fuse with the cell membrane of a eukaryote to deliver the mRNA into its cytoplasm. Here, it is translated into the active … Continue reading Islamically Permissible COVID-19 Vaccines: mRNA Page

Islamically Permissible COVID-19 Vaccines: Summary Page

Prepared by Mawlana Mateen A. Khan MD, Dr. Ramzan Judge PharmD, Dr. Samad Tirmizi PharmD, and Mufti Adil Farooki MD. Summary: Pfizer-BioNtech and Moderna COVID-19 vaccines are ḥalāl and permissible to take. Oxford-AstraZeneca and Janssen (Johnson & Johnson) COVID-19 vaccines are ḥalāl and permissible for use although other vaccines without ethical issues (e.g., mRNA vaccines) are preferable when available. (See links below for more detailed explanations. Other vaccines have not been evaluated yet due to lack of information and/or vaccine unavailability in the US.) Introduction: In December 2019, the World Health Organization was alerted to an outbreak which would eventually … Continue reading Islamically Permissible COVID-19 Vaccines: Summary Page

Islamically Permissible Influenza Vaccines Available in the US for 2020-2021 Season

Prepared by Mawlana Dr. Mateen A. Khan, MD and Dr. Ramzan Judge, PharmD Summary Permissible influenza vaccines in the US for 2020-2021 season FluadTM Trivalent FluadTM Quadrivalent Fluzone High-DoseTM Quadrivalent AfluriaTM FluarixTM FluLavalTM FluzoneTM Quadrivalent Impermissible influenza vaccines in the US for 2020-2021 season FlublokTM FluMistTM FlucelvaxTM Discussion Background on Influenza Influenza (commonly known as the flu) is a seasonal viral illness carrying significant health, economic, and social burden. For the past nine years, the Centers for Disease Control and Prevention (CDC) estimates that every year 9.3-49 million symptomatic illnesses, 4.3-23 million medical visits, 140,000-960,000 hospitalizations, and 12,000-79,000 deaths are attributed to seasonal influenza. For the … Continue reading Islamically Permissible Influenza Vaccines Available in the US for 2020-2021 Season

Use of Orally Dissolving and Sublingual Medications While Fasting

Question: Do orally dissolving or sublingual medications like ondansetron and lorazepam break the fast?  Answer: Bismihi Ta’ala Orally dissolving tablets (ODT) and sublingual (SL) routes allow for mucosal absorption of medications. This is particularly beneficial in patients with difficulty swallowing (dysphagia). It also bypasses gastric and enteral breakdown and liver first-pass metabolism. The medication must first be diluted into saliva before absorption into the mucosa. The patient must avoid eating, drinking, smoking, and possibly talking to keep the tablet in place to dissolve and give time to transfer from the saliva into the mucosa. This time is variable depending on … Continue reading Use of Orally Dissolving and Sublingual Medications While Fasting

Islamic Permissibility of Tamiflu

Summary: Muslims should avoid consuming Tamiflu capsules and must instead either use the suspension form or open the capsule and consume the contents of the capsule without ingesting the capsule itself.  Question: Are Tamiflu capsules permissible for Muslims to use? Answer: Bismihi Ta’ala Tamiflu, and its generic equivalent oseltamivir, is an influenza neuraminidase inhibitor that is used for the treatment and prevention of influenza infections[i].  The medication is available in capsule and suspension forms. The suspension does not contain any Islamically unlawful ingredients and is therefore permissible for Muslims to use[ii].  The capsule form contains porcine gelatin in the capsule, … Continue reading Islamic Permissibility of Tamiflu

Vaccination Against Typhoid/Enteric Fever

Prepared by Mufti Adil Farooki, MD, Shaykh Mateen Khan, MD and Dr. Ramzan Judge, PharmD Summary: The injectable vaccine Typhim Vi is permissible for Muslims as a vaccine for typhoid fever and is preferred over oral Vivotif. Background: Enteric fever, also known as “typhoid fever”, is a severe systemic illness characterized by fever and abdominal pain caused by the bacteria Salmonella enterica serotype Typhi. Typhoid fever infects roughly 21.6 million people (incidence of 3.6 per 1,000 population) and kills an estimated 200,000 people every year[1]. From the CDC[2]: “People who are actively ill with typhoid fever and people who are … Continue reading Vaccination Against Typhoid/Enteric Fever