Medications on Shabbat
Rabbi Yehuda Finchas
“Rabbi, what should I do?” Michelle asked with a concerned look on her face. “I heard it’s forbidden to take medication on Shabbat, but I suffer from terrible migraines and I take blood pressure medication daily. Can I take those medications on Shabbat? And what about Ronnie when he has heartburn?”
Rabbinic Prohibition on Medication
It is generally rabbinically prohibited to take medication or engage in healing on Shabbat unless one is bedridden (Shulchan Aruch, Orach Chaim 328:1). This prohibition stems from a decree by the Hachamim, who were concerned that people might grind herbs to make medicine, which would be a violation of an issur d’oraita (Gezerat Shehikat Samemanim, Shabbat 53b).
However, this prohibition only applies to someone with a meichush – a minor ailment that causes mild discomfort but does not incapacitate. Medication may be administered if one is a choleh she’ein bo sakana (an ill person not in danger of death).
When Medication Is Permitted
A choleh she’ein bo sakana is someone who is bedridden or incapacitated, for example, someone suffering from influenza, a serious headache, or stomachache, etc., that prevents them from functioning normally. In such cases, they are permitted to take medication on Shabbat. Hacham Ovadia, zt”l, goes further and rules that in these situations, one should not be stringent and should take the medication to relieve the illness, as there is a mitzvah to experience oneg Shabbat – joy and happiness on Shabbat (Halichot Olam, Vol. 4, p. 163).
The permissibility of taking medication on Shabbat depends on the category or severity of the illness:
Choleh She’yesh Bo Sakana – Life-Threatening Illness: In cases of danger or acute illness, such as a severe allergic reaction, serious heart issues, or diabetes, the use of necessary medication is unequivocally permitted and even required. Additionally, in situations involving chronic conditions, like hypertension, where regular medication is necessary to maintain health, it is permitted to take medication on Shabbat forpikuach nefesh, in order to prevent sakanat haim – a danger to life.
Choleh She’ein Bo Sakana – Non-Life-Threatening Illness: This refers to someone who is incapacitated or bedridden (nafal lemishkav), where the entire body feels weak or painful, such as in cases of influenza, a severe headache, or stomachache. Although not life-threatening, such an individual is permitted to take medication as they cannot function normally. This is true even if someone is a safek choleh she’ein bo sakana. In other words, taking medicine is permitted when one is in doubt and it is difficult to evaluate the category of illness (Hazon Ovadya, Shabbat).
Meichush Be’alma – Minor Ailments: These are minor conditions that cause mild discomfort but do not prevent someone from functioning normally. For example, a person suffering from cold symptoms or heartburn typically falls into this category. These conditions are not severe enough to justify taking medication on Shabbat. On one hand, delaying medication would not cause harm; on the other hand, there is a concern of Gezerat Shehikat Samemanim, as mentioned earlier. Therefore, the prohibition remains in place for minor ailments. However, leniency may be applied if there is a risk of the condition worsening to a category of choleh she’ein bo sakana (ibid).
Conclusion
Although heartburn is unpleasant for Ronnie, it does not usually qualify as a serious illness and is categorized as meichush be’alma unless it is a more serious condition that incapacitates him. Therefore, it is forbidden to treat heartburn on Shabbat, as it falls under the general prohibition of performing refuah (healing) for mild ailments.
However, Sandra’s condition is different. She is classified as a choleh she’ein bo sakana, as she suffers from migraines and is a choleh she’yesh bo sakana for severe hypertension. Even if these conditions are not life-threatening, she should take her medication on Shabbat.
Next month’s column will deal with exceptions when other forms of medications can be taken on Shabbat.
Rabbi Yehuda Finchas is a worldwide expert, lecturer and author on Medical Halacha. He heads the Torat Habayit Medical Halacha Institute. His latest book is “Brain Death in Halacha and the Tower of Babel Syndrome.” To contact Rabbi Finchas, email rabbi@torathabayit.com.