Fasting may cause dehydration and decrease glomerular filtration, which may increase serum levels of renally dependent psychotropics such as lithium.For patients taking antidepressants and antipsychotics, watch for anticholinergic side effects—dry mouth, dehydration, and confusion—especially in the elderly. We have to move medication from housing dispensed to clinic dispensed. Sorry, but it appears that you're running an unsupported browser. Changes and/or adjustments can then be made to your drug regimen to allow fasting. Since the first ADA working group report on the recommendations for management of diabetes during Ramadan in 2005 and our update in 2010, we received many inquiries asking for regular updates on information regarding education, nutritional habits and new oral and injectable agents that may be useful for the management of patients with diabetes during Ramadan. He is the Medical Director of Badger Medical, which provides medical services to several jails and juvenile facilities in Idaho.
Fasting during Ramadan is important to Muslims, and it constitutes one of the Not everyone has to fast during Ramadan. 16 MAY 2018. Twice-daily antihypertensives can be taken at Suhoor right before patients start their fast, and at Iftaar right after breaking the fast in the evening.Diuretics in particular may be inappropriate during Ramadan.Although we advise patients to take levothyroxine 30 minutes before breakfast, Muslim patients may find this difficult to continue during Ramadan as they may not be able to wake up 30 minutes before their pre-dawn meal. A survey in the UK found that 23% of patients did not take their medications at all during Ramadan. The offering of Zakat and sadqa is given due significance during Ramadan. 2 Just as alarming is that 48% of patients doubled their dose to compensate for medications normally taken twice a day. Based on the above information, it can be postulated that during Ramadan, the proper administration of thyroxine/levothyroxine is achieved if it is taken half an hour before Sehr. Patients may be reluctant to broach this topic, but discussing it will strengthen your therapeutic alliance.Allay natural guilt by focusing on medical necessity. Consider increased psychotherapy as a transitional possibility during Ramadan.Modifying pharmacotherapy.
For example, up to 86% of patients with type 2 diabetes choose to fast during Ramadan, and almost half (43%) of patients with type 1 diabetes continue to fast.The rules for each exempted group differs, from making up missed days at a later time, or providing one meal to a poor person for every missed day of fasting. Noon time medication can be an issue and is taken on a case by case basis. For users of these substances, discuss a tapering approach to preempt possible withdrawal symptoms.