Medicine on Shabbat: Difference between revisions

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[[File:Medicine.jpg|200px|right]]
[[File:Medicine.jpg|200px|right]]
One of several rabbinic decrees that our Sages enacted in order to guard the sanctity of [[Shabbat]] concerns the use of [[medications]]. In the opinion and experience of the Rabbis, easy access to medicine could lead to the transgression of certain [[Shabbat]] Labors. While issuing the decree, however, the Rabbis were lenient in certain cases of those suffering pain or distress. <ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt). In regard to the [[muktzah]] status of pills and other [[medications]] see Minchas [[Shabbos]] 88:footnote 77, Har Tzvi tal harim tochain 2, Shalmei Yehuda 10:15:footnote 46, Zera Yaakov 13:page 153, Nachlas Yisroel pages 633-650 in depth, Shulchan Shlomo 318:7:2:page 298, Ohr Yisroel 6:pages 17-20, Aruch Ha’shulchan 308:59, Bais Avi 3:52, Avnei Yushfei 5:62.</ref> (See the footnote for some background)<ref>
One of several rabbinic decrees that our Sages enacted in order to guard the sanctity of [[Shabbat]] concerns the use of [[medications]]. In the opinion and experience of the Rabbis, easy access to medicine could lead to the transgression of certain [[Shabbat]] Labors. While issuing the decree, however, the Rabbis were lenient in certain cases of those suffering pain or distress. <ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt). In regard to the [[muktzah]] status of pills and other [[medications]] see Minchas [[Shabbos]] 88:footnote 77, Har Tzvi tal harim tochain 2, Shalmei Yehuda 10:15:footnote 46, Zera Yaakov 13:page 153, Nachlas Yisroel pages 633-650 in depth, Shulchan Shlomo 318:7:2:page 298, Ohr Yisroel 6:pages 17-20, Aruch Ha’shulchan 308:59, Bais Avi 3:52, Avnei Yushfei 5:62.</ref> (See the footnote for some background)<ref>
* Rashi ([[Shabbat]] 53b s.v. Gezerah) explains that there is a rabbinic decree not to do an medical practice on [[Shabbat]] because one might come to violate the prohibition of [[Tochen]] ([[grinding]]) the ingredients for the medicine. [[Maggid]] Mishna ([[Shabbat]] 2:10) draws a distinction between one is sick but isn't in danger of his life and a person who is pain. Tur and Shulchan Aruch 338:1 rule that a healthy person who is in pain may not do any activity of healing because of the rabbinic decree. </ref>. The details of what's permissible and what's forbidden are described below. These laws are true for the first day of [[Yom Tov]] and the two days of [[Rosh Hashana]] as well. <ref> The same halacha applies to the first day of [[Yom Tov]] (Refer to Magen Avraham 532:2, Chai Adom 23:1, Kitzur Shulchan Aruch 98:33, Mishnah Berurah 532:5, [[Yom Tov]] Shenei K’hilchoso 1:22, Nishmas Avraham 1:pages 275-276) and both days of [[Rosh Hashana]]h (Nishmas Avraham 1:600:1, see Shemiras [[Shabbos]] K’hilchoso 31:28, [[Yom Tov]] Shenei K’hilchoso 1:22:footnote 76, Shevet Ha’kehusi 1:156 ) </ref>
* Rashi ([[Shabbat]] 53b s.v. Gezerah) explains that there is a rabbinic decree not to do an medical practice on [[Shabbat]] because one might come to violate the prohibition of [[Tochen]] ([[grinding]]) the ingredients for the medicine. [[Maggid]] Mishna ([[Shabbat]] 2:10) draws a distinction between one is sick but isn't in danger of his life and a person who is pain. Tur and Shulchan Aruch 338:1 rule that a healthy person who is in pain may not do any activity of healing because of the rabbinic decree. </ref>. The details of what's permissible and what's forbidden are described below. These laws are true for the first day of [[Yom Tov]] and the two days of [[Rosh Hashana]] as well. <ref> The same halacha applies to the first day of [[Yom Tov]] (Refer to Magen Avraham 532:2, Chai Adom 23:1, Kitzur Shulchan Aruch 98:33, Mishna Brurah 532:5, [[Yom Tov]] Shenei K’hilchoso 1:22, Nishmas Avraham 1:pages 275-276) and both days of [[Rosh Hashana]]h (Nishmas Avraham 1:600:1, see Shemiras [[Shabbos]] K’hilchoso 31:28, [[Yom Tov]] Shenei K’hilchoso 1:22:footnote 76, Shevet Ha’kehusi 1:156 ) </ref>


==Taking Medicine==
==Taking Medicine==
===If one has a minor condition (Meychush BeAlma)===
===If one has a minor condition (Meychush BeAlma)===
# If someone has a minor condition which hurts such as a tooth ache, throat ache, head ache, cold, and cough it is forbidden to take any medicine such as pills or drops. However, someone who is in a lot of pain and because of it he is in bed or his body is weakened such as a migraine it permitted to take a medicine. <Ref>Shemirat [[Shabbat]] KeHilchata 34:1,3 and Rav Mordechai Eliyahu's comment on Kitzur S"A 91:1. The Weekly Halachah Discussion (Rabbi Doniel Neustadt) writes that although contemporary poskim debate whether nowadays we can be more lenient with taking medication on [[Shabbat]] because of the change in technique, the general consensus is to reject this argument. See Minchas [[Shabbat]] 91:9; Ketzos ha-Shulchan 134:7; Chelkas Yaakov 4:41; and Tzitz Eliezer 8:15:15. See also [http://www.yutorah.org/lectures/lecture.cfm/739326/Rabbi_Aryeh_Lebowitz/Ten_Minute_Halacha_-_Medicine_on_Shabbat_Part_I Rabbi Aryeh Lebowitz on YUTorah.org]. The Yalkut Yosef 328:52 writes that a choleh shein bo skana (sick in bed) can take pills. He adds that in general someone who is in a lot of pain but isn't choleh shein bo sakana may not take the pills and only makes two exceptions, for someone who has a big headache and someone who has a big stomach ache.</ref>
# If someone has a minor condition which hurts such as a tooth ache, throat ache, head ache, cold, and cough it is forbidden to take any medicine such as pills or drops. However, someone who is in a lot of pain and because of it he is in bed or his body is weakened such as a migraine it permitted to take a medicine. <Ref>Shemirat [[Shabbat]] KeHilchata 34:1,3 and Rav Mordechai Eliyahu's comment on Kitzur Shulchan Aruch 91:1. The Weekly Halachah Discussion (Rabbi Doniel Neustadt) writes that although contemporary poskim debate whether nowadays we can be more lenient with taking medication on [[Shabbat]] because of the change in technique, the general consensus is to reject this argument. See Minchas [[Shabbat]] 91:9; Ketzos ha-Shulchan 134:7; Chelkas Yaakov 4:41; and Tzitz Eliezer 8:15:15. See also [http://www.yutorah.org/lectures/lecture.cfm/739326/Rabbi_Aryeh_Lebowitz/Ten_Minute_Halacha_-_Medicine_on_Shabbat_Part_I Rabbi Aryeh Lebowitz on YUTorah.org]. The Yalkut Yosef 328:52 writes that a choleh shein bo skana (sick in bed) can take pills. He adds that in general someone who is in a lot of pain but isn't choleh shein bo sakana may not take the pills and only makes two exceptions, for someone who has a big headache and someone who has a big stomach ache.</ref>
# Some allow someone who is accustomed to take pain killers for a head ache or tooth ache and if he doesn't take it will be in pain to take pain killers on [[Shabbat]].<ref> In Yalkut Yosef ([[Shabbat]] v. 4, pp. 408-9) he writes that some say that one may take pain killers on [[Shabbat]] because they don't cure but only remove pain, and some disagree. He concludes that one should only be lenient if a person is accustomed to taking such pain killers and if one doesn't take them one will be in pain. On page 143 in discussing the same leniency he specifically mentions pills that contain paracetamol which is the active ingredient in Tylenol, a pain killer.</ref>
# Some allow someone who is accustomed to take pain killers for a head ache or tooth ache and if he doesn't take it will be in pain to take pain killers on [[Shabbat]].<ref> In Yalkut Yosef ([[Shabbat]] v. 4, pp. 408-9) he writes that some say that one may take pain killers on [[Shabbat]] because they don't cure but only remove pain, and some disagree. He concludes that one should only be lenient if a person is accustomed to taking such pain killers and if one doesn't take them one will be in pain. On page 143 in discussing the same leniency he specifically mentions pills that contain paracetamol which is the active ingredient in Tylenol, a pain killer.</ref>
===If one has a sickness (Choleh Shein Bo Sakana)===
===If one has a sickness (Choleh Shein Bo Sakana)===
# If one has fever, feels weak all over, or feels bad enough to require bed rest, he can be classified as a “patient not dangerously ill” (Choleh Shein Bo Sakana) and he is permitted to take oral [[medications]]. <ref>Mishna Brurah 328:121 permits taking an oral medication without any shinui (alteration from the normal procedure). Yalkut Yosef ([[Shabbat]], vol 4, pg 129) and 39 Melachos (Rabbi Ribiat, vol 2, pg 492) agree with the Mishna Brurah.  
# If one has fever, feels weak all over, or feels bad enough to require bed rest, he can be classified as a “patient not dangerously ill” (Choleh Shein Bo Sakana) and he is permitted to take oral [[medications]]. <ref>Mishna Brurah 328:121 permits taking an oral medication without any shinui (alteration from the normal procedure). Yalkut Yosef ([[Shabbat]], vol 4, pg 129) and 39 Melachos (Rabbi Ribiat, vol 2, pg 492) agree with the Mishna Brurah. [http://hebrewbooks.org/pdfpager.aspx?req=1095&pgnum=112 Mishkenot Yacov O.C. 117] seems to disagree.
* Halachos of [[Refuah on Shabbat]] (Rabbi Bodner, pg 55) and The Weekly Halachah Discussion (Rabbi Doniel Neustadt) write that most poskim agree with the Mishna Brurah. See, however, Sh"t Igrot Moshe 3:53, Tzitz Eliezer 8:15:15, and Minchat Yitzchak 1:108, 6:28. </ref>
* Halachos of [[Refuah on Shabbat]] (Rabbi Bodner, pg 55) and The Weekly Halachah Discussion (Rabbi Doniel Neustadt) write that most poskim agree with the Mishna Brurah. See, however, Sh"t Igrot Moshe 3:53, Tzitz Eliezer 8:15:15, and Minchat Yitzchak 1:108, 6:28. </ref>
# Since “requiring bed rest” and “weak all over” are subjective terms, it is up to each individual to determine his personal pain threshold. There is no requirement to be overly stringent when judging the degree of illness. <ref>[http://www.torah.org/advanced/weekly-halacha/5760/chukas.html Rabbi Doniel Neustadt on Torah.org]. See also Sh"t Tzitz Eliezer 14:50-7 and 17:13. </ref>
# Since “requiring bed rest” and “weak all over” are subjective terms, it is up to each individual to determine his personal pain threshold. There is no requirement to be overly stringent when judging the degree of illness. <ref>[http://www.torah.org/advanced/weekly-halacha/5760/chukas.html Rabbi Doniel Neustadt on Torah.org]. See also Sh"t Tzitz Eliezer 14:50-7 and 17:13. </ref>
# Some poskim hold that it is forbidden to perform a biblically prohibited action on [[Shabbat]] (melacha deoritta) for someone who is in the category of "patient not dangerously ill" even if one does it in an abnormal manner (Shinui).<ref>Shemirat [[Shabbat]] KeHilchata 32:2</ref> Some, however, hold that it is permitted to do actions in an abnormal way (Shinui) for a "patient not dangerously ill".<ref>Eglei Tal ([[Tochen]] #18), [http://www.yutorah.org/lectures/lecture.cfm/797263/Rabbi_Hershel_Schachter/Shiur_#3_-_Shabbos_-_melacha_sh'eina_tzericha_l'gufa Rabbi Hershel Schachter in a shiur on yutorah.org (towards end of shiur)]</ref>
# Some poskim hold that it is forbidden to perform a biblically prohibited action on [[Shabbat]] (melacha deoritta) for someone who is in the category of "patient not dangerously ill" even if one does it in an abnormal manner (Shinui).<ref>Shemirat [[Shabbat]] KeHilchata 32:2</ref> Some, however, hold that it is permitted to do actions in an abnormal way (Shinui) for a "patient not dangerously ill".<ref>Eglei Tal ([[Tochen]] #18), [http://www.yutorah.org/lectures/lecture.cfm/797263/Rabbi_Hershel_Schachter/Shiur_#3_-_Shabbos_-_melacha_sh'eina_tzericha_l'gufa Rabbi Hershel Schachter in a shiur on yutorah.org (towards end of shiur)]</ref>
===If One is Critically Ill (Choleh Sheyesh Bo Sakana)===
# It is permitted and a mitzvah to violate Shabbat in order to safe a Jewish life.<ref>Gemara Yoma 84a, Rambam (Shabbat 2:1), Tur and Shulchan Aruch 328:2</ref> Even if there is only a doubt if the patient is critically ill<ref>Shulchan Aruch 328:6, Mishna Brurah 328:17, 328:26</ref> or if there is a doubt if the procedure will safe the patient's life<ref>Mishna Brurah 328:37</ref>, nonetheless, it is a mitzvah to violate Shabbat in order to try to save a Jewish life. Someone who delays in saving a life out of a concern of violating Shabbat is sinning in a way that is tantamount to murder.<ref>Shulchan Aruch 328:2</ref>
# A rabbi should be careful to teach his community that it is permitted and a mitzvah to violate Shabbat for life endangering concerns.<ref>Mishna Brurah 328:6</ref>
# A person should violate Shabbat in order to save a non-Jew or non-religious Jew.<ref>Tiferet 329:4 citing Yabia Omer OC 8:38. He adds that if it could be minimized with shnayim she'asauha they should try to do so. See Mishna Brurah 330:8.</ref>
# A person should violate Shabbat in order to save someone who tried to commit suicide.<ref>Yabia Omer OC 8:37:5, Chazon Ovadia Shabbat v. 1 p. 125 cited by Tiferet 328:5. Yabia Omer cites as support the Birkei Yosef 301:6, Maharam Yafa 13, Divrei Yisachar 169, Kli Chemda Ki Tzetsei, Maharam Rotenbuerg 39, Mishna Halachot 8:56, Maharil Diskin Kuntres Acharon 34, Tzitz Eliezer 8:15:4, Yeshuot Yisrael CM 21 to allow pikuach nefesh for someone who tried to commit suicide. On the other hand, Minchat Chinuch Kometz Mincha 230 and Vzot Lyehuda Kuntres Hashalom 11c seem to hold that pikuach nefesh doesn't apply to someone who tried to commit suicide.</ref>
===Infants===
===Infants===
# Healthy infants and babies until the age of three (and according to some poskim even older children till the age of six or nine) are also halachically classified as “patients not dangerously ill.” <Ref> Chazon Ish, O.C. 59:3, Rav S.Z. Auerbach in Nishmas Avraham 328:54, and Rav Y.S. Elyashiv in Eis Laledes, pg. 57, quote the age of 2-3. Tzitz Eliezer 8:15-12 quotes ages of 6. Minchas Yitzchak 1:78 quotes age of 9. </ref> (In the final analysis, it all depends on the strength and maturity of the child.) <ref>The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref> Therefore, they are permitted to take all forms of medicine, provided, of course, that no Biblical prohibitions are transgressed. <ref> Rama, O.C. 328:17. Note, however, that not all of a baby’s needs are exempt from the prohibition against medication; see, for instance, Mishnah Berurah 328:131. See Tehillah l’David 328:24 and Minchas Yitzchak 4:124 who deal with this difficulty </ref>
{{Child as Choleh on Shabbat}}
 
===Preparing medicine from before Shabbat===
===Preparing medicine from before Shabbat===
# One may crush a capsule or tablet of medicine into a food or drink before [[Shabbat]] (so it becomes disguised by the food) and then eat the food or drink on [[Shabbat]]. <ref>39 Melachos (Rabbi Ribiat, vol 2, pg 481), [http://www.yutorah.org/lectures/lecture.cfm/739326/Rabbi_Aryeh_Lebowitz/Ten_Minute_Halacha_-_Medicine_on_Shabbat_Part_I Rabbi Aryeh Lebowitz on YUTorah.org] </ref>
# One may crush a capsule or tablet of medicine so that it is mixed into a food or drink before [[Shabbat]]. Once it becomes disguised by the food one can eat the food or drink on [[Shabbat]].<ref>39 Melachos (Rabbi Ribiat, vol 2, pg 481), [http://www.yutorah.org/lectures/lecture.cfm/739326/Rabbi_Aryeh_Lebowitz/Ten_Minute_Halacha_-_Medicine_on_Shabbat_Part_I Rabbi Aryeh Lebowitz on YUTorah.org], Menuchat Ahava 1:21:75 cited by Tiferet 328:3 </ref> If one didn't do it before Shabbat, some allow mixing in a liquid medicine into a drink on Shabbat.<ref>Tiferet 328:3 citing Shevet Halevi 3:37, 8:82:2. See also Menuchat Ahava 1:21:75</ref>
 
===Continuing to take a daily dosage===
===Continuing to take a daily dosage===
# Although one who is not classified as “ill” may not begin taking medicine on [[Shabbat]], still, some poskim hold that one who requires daily medication for an ongoing condition may continue doing so on [[Shabbat]] as well, <ref> Chazon Ish (oral ruling, quoted in Imrei Yosher on Moed 97, Daat Chazon Ish 7:19, Dinim Vihanhagot Chazon Ish 15:1), Shulchan Shlomo 328:59, Beer Moshe 1:33:8, 4:31, Avnei Yushfei 1:90:3, Rivevos Ephraim 3:227, 4:97:54, 5:202, Oz Nedberu 1:31:5, 4:24. Refer to Shemiras [[Shabbos]] K’hilchoso 34:footnote 76, chelek 3:34:footnote 76. <br />
# Although one who is not classified as “ill” may not begin taking medicine on [[Shabbat]], still, some poskim hold that one who requires daily medication for an ongoing condition may continue doing so on [[Shabbat]] as well, <ref> Chazon Ish (oral ruling, quoted in Imrei Yosher on Moed 97, Daat Chazon Ish 7:19, Dinim Vihanhagot Chazon Ish 15:1), Shulchan Shlomo 328:59, Beer Moshe 1:33:8, 4:31, Avnei Yushfei 1:90:3, Rivevos Ephraim 3:227, 4:97:54, 5:202, Oz Nedberu 1:31:5, 4:24. Refer to Shemiras [[Shabbos]] K’hilchoso 34:footnote 76, chelek 3:34:footnote 76. <br />
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==Non-medical treatment==
==Non-medical treatment==
===Using a Band Aid===
===Using a Band Aid===
# It is permitted to put on a band aid on a wound. <Ref>Shemirat [[Shabbat]] KeHilchata 34:3 </ref>
# It is permitted to put on a band aid on a wound. <Ref>Shemirat [[Shabbat]] KeHilchata 34:3,Tzitz Eliezer 8:15:14:6, Chazon Ovadiah Shabbat vol. 3, page 403, Piskeh Teshuvot 328:46 </ref>
# According to Ashkenazim, one should not remove a band aid on [[Shabbat]] if there is hair in the area of the band aid. However, if it is painful one may remove it. <ref> Shemirat [[Shabbat]] KeHilchata 35:30 (in the new edition) writes that a band aid shouldn’t be removed on [[Shabbat]] in an area where there’s hair because removing the band aid will certainly pull out hairs. However, the Shemirat [[Shabbat]] KeHilchata writes that it’s permissible to use a Benzine to remove the band aid so it won’t rip out any hairs that’s assuming the cream was set aside before [[Shabbat]] and isn’t [[Muktzeh]]. Nonetheless in the footnote he quotes Rav Shlomo Zalman saying that if it’s painful it may be removed because it’s a pesik reisha delo nicha leih (פסיק רישא דלא ניחא ליה), keleacher yad (כלאחר יד), and mekalkel (מקלקל). </ref> However, Sephardim are more lenient as long as there is a need to remove it, it's permissible. <ref> The Yalkut Yosef ([[Shabbat]] 4 pg 179, kitzur S”A 328:101, 340:6) writes that if there’s a need, it’s permissible to remove a band aid from an area of hair on [[Shabbat]] because it’s a pesik reisha delo nicha leih (פסיק רישא דלא ניחא ליה) for a Derabbanan. In the footnote he writes that even though the Or Letzion (vol 2, pg 259) is strict, his father (Rav Ovadyah, in Haskama to Lev Avraham), Rav Yitzchak Elchanan (Bear Yitzchak Siman 15), and Rav Shlomo Zalman (from Shemirat [[Shabbat]] KeHilchata) are lenient. </ref>
# According to Ashkenazim, one should not remove a band aid on [[Shabbat]] if there is hair in the area of the band aid. However, if it is painful one may remove it. <ref> Shemirat [[Shabbat]] KeHilchata 35:30 (in the new edition) writes that a band aid shouldn’t be removed on [[Shabbat]] in an area where there’s hair because removing the band aid will certainly pull out hairs. However, the Shemirat [[Shabbat]] KeHilchata writes that it’s permissible to use a Benzine to remove the band aid so it won’t rip out any hairs that’s assuming the cream was set aside before [[Shabbat]] and isn’t [[Muktzeh]]. Nonetheless in the footnote he quotes Rav Shlomo Zalman saying that if it’s painful it may be removed because it’s a pesik reisha delo nicha leih (פסיק רישא דלא ניחא ליה), keleacher yad (כלאחר יד), and mekalkel (מקלקל). </ref> However, Sephardim are more lenient as long as there is a need to remove it, it's permissible. <ref> The Yalkut Yosef ([[Shabbat]] 4 pg 179, kitzur S”A 328:101, 340:6) writes that if there’s a need, it’s permissible to remove a band aid from an area of hair on [[Shabbat]] because it’s a pesik reisha delo nicha leih (פסיק רישא דלא ניחא ליה) for a Derabbanan. In the footnote he writes that even though the Or Letzion (vol 2, pg 259) is strict, his father (Rav Ovadyah, in Haskama to Lev Avraham), Rav Yitzchak Elchanan (Bear Yitzchak Siman 15), and Rav Shlomo Zalman (from Shemirat [[Shabbat]] KeHilchata) are lenient. </ref>
# Most authorities permit removing the Band-Aid from the protective tabs, while some are stringent and so to satisfy all opinions one may prepare Band-Aids for [[Shabbat]] use by peeling off their protective tabs and re-sealing them before [[Shabbat]]. <Ref> Most poskim (oral ruling by Rav M. Feinstein, quoted in Kitzur Hilchos [[Shabbat]] 44, note 117); Rav S.Z. Auerbach in Shulchan Shelomo 328:45; Ohr l’Tziyon 2:36-15; Az Nidberu 7:34, 35; Rav C.P. Scheinberg, quoted in Children in Halachah, pg. 88; Rav N. Karelitz, quoted in Orchos [[Shabbat]] 11:35) permit removing the protective tabs from a Band-Aid, while others (Minchas Yitzchak 5:39-2; 9:41; Rav Y.S. Elyashiv, quoted in Machazeh Eliyahu 70) are stringent. To satisfy all opinions, one may prepare Band-Aids for [[Shabbat]] use by peeling off their protective tabs and re-sealing them before [[Shabbat]]; once they have been prepared in this fashion, they may be used on [[Shabbat]] (Tzitz Eliezer 16:6-5). Sh”t Bear Moshe 1:36 writes that it is obvious that it is permitted to plastic tabs off of the sides of a bandaid on [[Shabbat]] and it isn't [[Koreah]]. </ref>
# Most authorities permit removing the Band-Aid from the protective tabs, while some are stringent and so to satisfy all opinions one may prepare Band-Aids for [[Shabbat]] use by peeling off their protective tabs and re-sealing them before [[Shabbat]]. <Ref> Most poskim (oral ruling by Rav M. Feinstein, quoted in Kitzur Hilchos [[Shabbat]] 44, note 117); Rav S.Z. Auerbach in Shulchan Shelomo 328:45; Ohr l’Tziyon 2:36-15; Az Nidberu 7:34, 35; Rav C.P. Scheinberg, quoted in Children in Halachah, pg. 88; Rav N. Karelitz, quoted in Orchos [[Shabbat]] 11:35) permit removing the protective tabs from a Band-Aid, while others (Minchas Yitzchak 5:39-2; 9:41; Rav Y.S. Elyashiv, quoted in Machazeh Eliyahu 70) are stringent. To satisfy all opinions, one may prepare Band-Aids for [[Shabbat]] use by peeling off their protective tabs and re-sealing them before [[Shabbat]]; once they have been prepared in this fashion, they may be used on [[Shabbat]] (Tzitz Eliezer 16:6-5). Sh”t Bear Moshe 1:36 writes that it is obvious that it is permitted to remove the plastic tabs from the sides of a bandaid on [[Shabbat]] and it isn't [[Koreah]]. </ref>


===Cleaning a wound===
===Cleaning a wound===
# It is permitted to clean and bandage a wound or to pour hydrogen peroxide over it. <ref>The Weekly Halachah Discussion (Rabbi Doniel Neustadt)based on S"A 328:23</ref>
# It is permitted to clean and bandage a wound or to pour hydrogen peroxide over it. <ref>The Weekly Halachah Discussion (Rabbi Doniel Neustadt)based on Shulchan Aruch 328:23</ref>
===Braces===
===Braces===
# Braces may be worn on [[Shabbat]] because there is no medicine for aligning teeth properly. <ref>The Weekly Halachah Discussion (Rabbi Doniel Neustadt)writes that it is permissible to wear braces on [[Shabbat]] because the goal of the treatment or procedure can only be achieved without the use of medicine. </ref>
# Braces may be worn on [[Shabbat]] because there is no medicine for aligning teeth properly. <ref>The Weekly Halachah Discussion (Rabbi Doniel Neustadt)writes that it is permissible to wear braces on [[Shabbat]] because the goal of the treatment or procedure can only be achieved without the use of medicine. </ref>
===Exercise===
# One may not exercise on Shabbat. If one needs to do physical therapy they should consult their rabbi.<ref>Shulchan Aruch OC 328:42 writes that one may not do exercise to break a sweat on Shabbat as it is considered refuah. Shemirat Shabbat Kehilchata 34:22 agrees.</ref>
# Someone health may not do physical therapy on Shabbat. However, someone who is a Choleh Shein Bo Sakana or someone who whom not doing physical therapy might lead to a worse problem may do physical therapy on Shabbat. Breathing and speech therapy are permitted on Shabbat.<ref>Shemirat Shabbat Kehilchata 34:23</ref>


==Specific conditions==
==Specific conditions==
===Abscess===
===Abscess===
# An abscess may be squeezed to relieve pressure from pus, even if some blood is secreted in the process. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)quoting S"A O.C. 328:28 and Mishnah Berurah 328:89 </ref>
# An abscess may be squeezed to relieve pressure from pus, even if some blood is secreted in the process. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)quoting Shulchan Aruch O.C. 328:28 and Mishna Brurah 328:89 </ref>
===Acne===
===Acne===
# All medication for acne may not be taken on [[Shabbat]]. <ref>The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
# All medication for acne may not be taken on [[Shabbat]]. <ref>The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
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===Athlete’s foot===
===Athlete’s foot===
# One may not use any medication for athlete’s foot on [[Shabbat]]. <ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
# One may not use any medication for athlete’s foot on [[Shabbat]]. <ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
===Back or neck brace===
===Baby Cream===
# One may put on or remove a back or neck brace on [[Shabbat]]. <ref>The Weekly Halachah Discussion (Rabbi Doniel Neustadt)Based on ruling of Rav S.Z. Auerbach in Shemiras [[Shabbat]] K’hilchasah 34, note 113. </ref>
# If a baby has a rash it is permitted to dab on some baby rash cream and not rub it in. If the cream would become completely absorbed into the skin and no trace would be left on the surface of the skin it would be permitted even to rub it in.<ref>[http://www.dailyhalacha.com/Display.asp?ClipID3542 Rabbi Mansour] explained that according to Rav Ovadia it was permitted to use a medicine for a baby who is in pain because they are considered a choleh shein bo sakana (Rama 328). Dabbing on the cream without rubbing or smoothing it is permitted based on the Chazon Ish. Furthermore, it is permitted to rub in the cream completely and it isn't considered memare'ach (Yabia Omer 4:27 based on Magen Avraham).</ref>
===Back or Neck Brace===
# One may put on or remove a back or neck brace on [[Shabbat]]. <ref>The Weekly Halachah Discussion (Rabbi Doniel Neustadt) based on ruling of Rav S.Z. Auerbach in Shemiras [[Shabbat]] K’hilchasah 34, note 113. </ref>
 
===Bandage===
===Bandage===
# It is permissible to put on an ace bandage on [[Shabbat]] as long as you don't tie anything permanent. <ref> Contemporary Questions in Halacha and Hashkafa pg. 144 writes that this is because it wasn't included in the initial gezeira of [[refuah]] since its benefits cannot be duplicated with pills or other standard medicines. </ref>  
# It is permissible to put on an ace bandage on [[Shabbat]] as long as you don't tie anything permanent. <ref> Contemporary Questions in Halacha and Hashkafa pg. 144 writes that this is because it wasn't included in the initial gezeira of [[refuah]] since its benefits cannot be duplicated with pills or other standard medicines. </ref>  
===Bee sting===
===Bee sting===
# If one has a bee or wasp sting the stinger may be removed and the area may be washed with ice water, lemon juice or vinegar, etc. The area may not be soaked, however, in those liquids. <ref>39 Melachos (Rabbi Ribiat, vol 2, pg 478), [http://www.torah.org/advanced/weekly-halacha/5760/chukas.html Rabbi Doniel Neustadt on Torah.org], See Mishnah Berurah 328:141,142 </ref>
# If one has a bee or wasp sting the stinger may be removed and the area may be washed with ice water, lemon juice or vinegar, etc. The area may not be soaked, however, in those liquids. <ref>39 Melachos (Rabbi Ribiat, vol 2, pg 478), [http://www.torah.org/advanced/weekly-halacha/5760/chukas.html Rabbi Doniel Neustadt on Torah.org], See Mishna Brurah 328:141,142 </ref>
# One may use liquid or spray insect repellent on [[Shabbat]]. <ref> Shemiras [[Shabbat]] K’hilchasah 14:35; Shalmei Yehudah, pg. 179, [http://www.torah.org/advanced/weekly-halacha/5760/chukas.html Rabbi Doniel Neustadt on Torah.org]</ref>
# One may use liquid or spray insect repellent on [[Shabbat]]. <ref> Shemiras [[Shabbat]] K’hilchasah 14:35; Shalmei Yehudah, pg. 179, [http://www.torah.org/advanced/weekly-halacha/5760/chukas.html Rabbi Doniel Neustadt on Torah.org]</ref>
===Birth control===
===Birth control===
# It's permissible to take birth control pills on [[Shabbat]] (assuming she received halachic permission to take these pills). <ref> [http://www.dailyhalacha.com/displayRead.asp?readID=2228 Rabbi Mansour on DailyHalacha.com], Chacham Ovadia Yosef [http://www.halachayomit.co.il/EnglishDefault.asp?HalachaID=3319 Halacha Yomit]</ref>
# It's permissible to take birth control pills on [[Shabbat]] (assuming she received halachic permission to take these pills). <ref> [http://www.dailyhalacha.com/displayRead.asp?readID=2228 Rabbi Mansour on DailyHalacha.com], Chacham Ovadia Yosef [http://www.halachayomit.co.il/EnglishDefault.asp?HalachaID=3319 Halacha Yomit]</ref>
===Bone fracture===
===Bone Fracture===
# For a simple bone fracture a non-Jew may be asked to do anything necessary, e.g., make a phone call, drive a car, take x-rays or put on a cast. [If a non-Jew is not available, some poskim permit a Jew to do these acts if they are done with a shinui, in an abnormal manner. <Ref> This is the view of Shulchan Aruch ha-Rav 328:19 and Eglei Tal ([[Tochen]] 18). Some poskim (Rav S.Z. Auerbach, quoted in Shemiras [[Shabbat]] K’hilchasah 33, note 18; Shevet ha-Levi 8:93) rule that one may rely on this view, especially when there is “danger to a limb.” Note, however, that Mishnah Berurah, Aruch ha-Shulchan and most poskim do not agree with this leniency. </ref>] If there is even a small chance of internal bleeding, e.g., the thigh or pelvis bone was fractured, or if the elbow was shattered, all [[Shabbat]] restrictions are lifted. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
# For a simple bone fracture a non-Jew may be asked to do anything necessary, e.g., make a phone call, drive a car, take x-rays or put on a cast. [If a non-Jew is not available, some poskim permit a Jew to do these acts if they are done with a shinui, in an abnormal manner. <Ref> This is the view of Shulchan Aruch ha-Rav 328:19 and Eglei Tal ([[Tochen]] 18). Some poskim (Rav S.Z. Auerbach, quoted in Shemiras [[Shabbat]] K’hilchasah 33, note 18; Shevet ha-Levi 8:93) rule that one may rely on this view, especially when there is “danger to a limb.” Note, however, that Mishna Brurah, Aruch ha-Shulchan and most poskim do not agree with this leniency. </ref>] If there is even a small chance of internal bleeding, e.g., the thigh or pelvis bone was fractured, or if the elbow was shattered, all [[Shabbat]] restrictions are lifted. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
===Bow Legged Baby===
# It is forbidden to straighten the legs of a bow-legged baby on Shabbat since doing so is considered an act of healing.<ref>[http://www.yutorah.org/sidebar/lecture.cfm/893696/rabbi-hershel-schachter/berachos-64-35a-36a-kol-haneheneh-making-a-living-vs-learning-kevius-for-maaser-pas-habaah-bekisnin-medications/ Rav Schachter (Brachot Shiur 64 min 107)]</ref>
 
===Cellulites===
===Cellulites===
# Since cellulitis may be life-threatening immediate medical attention is required. <Ref>The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
# Since cellulitis may be life-threatening immediate medical attention is required. <Ref>The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
===Cold===
===Cold===
# For a cold one may not take [[medications]] or vitamins. <ref> 39 Melachos (Rabbi Ribiat, vol 2, pg 481), [http://www.torah.org/advanced/weekly-halacha/5760/chukas.html Rabbi Doniel Neustadt on Torah.org], Rav S.Z. Auerbach (Shemiras [[Shabbat]] K’hilchasah 34, note 52) write that there is room for leniency in kavod ha-beriyos situations, e.g., a constantly dripping nose which is disturbing to people who are around him.</ref>  unless one is experiencing discomfort in his whole body or is bedridden. However, one may eat chicken soup or tea with honey to obtain relief.<Ref> 39 Melachos (Rabbi Ribiat, vol 2, pg 481), The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
# For a cold one may not take [[medications]] or vitamins. <ref> 39 Melachos (Rabbi Ribiat, vol 2, pg 481), [http://www.torah.org/advanced/weekly-halacha/5760/chukas.html Rabbi Doniel Neustadt on Torah.org], Rav S.Z. Auerbach (Shemiras [[Shabbat]] K’hilchasah 34, note 52) write that there is room for leniency in kavod ha-beriyos situations, e.g., a constantly dripping nose which is disturbing to people who are around him.</ref>  unless one is experiencing discomfort in his whole body or is bedridden. However, one may eat chicken soup or tea with honey to obtain relief.<Ref> 39 Melachos (Rabbi Ribiat, vol 2, pg 481), The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
===Contact Lenses===
# It is permitted to soak contact lenses in their solution on Shabbat. <ref> [http://www.dailyhalacha.com/displayRead.asp?readID=3188 Rabbi Eli Mansour] </ref>
===Cough===
===Cough===
# Cough–medication may not be taken. If the cough may be an indication of pneumonia or asthma, medication is permitted. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
# Cough–medication may not be taken.<ref> Shmirat Shabbat KiHilchata 34:1,3). </ref> If the cough may be an indication of pneumonia or asthma, medication is permitted. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
 
===Deodorant===
#It is permitted to use a spray deodorant on Shabbat. Some say that one shouldn't use an antiperspirant deodorant on Shabbat since it is medicinal.<ref>Rabbi Heinemann quoted by the [https://www.star-k.org/articles/kashrus-kurrents/kashrus-kurrents-2019/6238/medicine-on-shabbos-questions-and-answers-from-rav-moshe-heinemann-shlita/ Star-K]</ref>
===Diabetes===
===Diabetes===
# All necessary [[medications]] for diabetes may be taken on [[Shabbat]]. <ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
# All necessary [[medications]] for diabetes may be taken on [[Shabbat]]. <ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
===Diarrhea===
===Diarrhea===
# For diarrhea one may not take medication unless one is in severe pain or weak all over. Prune juice or any other food or drink is permitted. A hot water bottle is permitted when one experiences strong pains. <ref> Mishnah Berurah 326:19, The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
# For diarrhea one may not take medication unless one is in severe pain or weak all over. Any food or drink is permitted. A hot water bottle is permitted when one experiences strong pains. <ref> Mishna Brurah 326:19, The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
 
===Chapped hands===
===Chapped hands===
# For dried (or chapped) hands it is prohibited to rub them with either oil, ointment (Vaseline) or lotion. <ref> 39 Melachos (Rabbi Ribiat, vol 2, pg 481) </ref>One who regularly uses a pourable, liquid lotion or oil on his hands (whether they are chapped or not) may do so on [[Shabbat]], too, even if his hands are chapped.<ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)based on S”A 327:1</ref>
# For dried (or chapped) hands it is prohibited to rub them with either oil, ointment (Vaseline) or lotion. <ref> 39 Melachos (Rabbi Ribiat, vol 2, pg 481) </ref>One who regularly uses a pourable, liquid lotion or oil on his hands (whether they are chapped or not) may do so on [[Shabbat]], too, even if his hands are chapped.<ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)based on S”A 327:1</ref>
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===Conception Pills===
===Conception Pills===
# Some poskim permit taking pills to help a woman give birth. <ref> Chacham Ovadia Yosef, Rav Moshe Stern, and Rav Shlomo Zalman Auerbach cited on [http://www.halachayomit.co.il/EnglishDefault.asp?HalachaID=3319 Halacha Yomit] </ref>
# Some poskim permit taking pills to help a woman give birth. <ref> Chacham Ovadia Yosef, Rav Moshe Stern, and Rav Shlomo Zalman Auerbach cited on [http://www.halachayomit.co.il/EnglishDefault.asp?HalachaID=3319 Halacha Yomit] </ref>
===Ear infection===
===Ear Infection===
# For an ear infection all [[medications]] are permitted. Cotton balls may be inserted. <Ref>[http://www.torah.org/advanced/weekly-halacha/5760/chukas.html Rabbi Doniel Neustadt on Torah.org], It is prohibited to tear cotton balling on [[Shabbat]]; Minchas Yitzchak 4:45; Shemiras [[Shabbat]] K’hilchasah 35:20.  </ref> Even if the infection is no longer present, prescribed medicine begun on a weekday must be continued until finished in order to avoid a relapse. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
# For an ear infection all [[medications]] are permitted. Cotton balls may be inserted. <Ref>[http://www.torah.org/advanced/weekly-halacha/5760/chukas.html Rabbi Doniel Neustadt on Torah.org], It is prohibited to tear cotton balling on [[Shabbat]]; Minchas Yitzchak 4:45; Shemiras [[Shabbat]] K’hilchasah 35:20.  </ref> Even if the infection is no longer present, prescribed medicine begun on a weekday must be continued until finished in order to avoid a relapse. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
===Eye inflammation===
 
# For an eye inflammation eye drops (or ointment) may be instilled in the eye. If the eye is not inflamed but merely irritated, no medication is permitted. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)based on S”A O.C. 328:20 </ref>
===Eye Inflammation===
# For an eye inflammation eye drops (or ointment) may be instilled in the eye. If the eye is not inflamed but merely irritated, no medication is permitted. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt) based on S”A O.C. 328:20. Shulchan Aruch O.C. 328:9 states that if someone's eyes are inflamed or it has pus or blood coming out, or tears pouring out, one can violate Shabbat. Mishna Brurah 328:22 quotes the Gemara which explains that even though for a regular Sakanat Ever we shouldn't violate Shabbat since the health of a person's eyes are linked to his entire health he can violate Shabbat.</ref> Some permit putting in eye drops even if they are irritated.<ref>Chazon Ovadia Shabbat v. 3 p. 233 cited by Tiferet 328:31</ref>
# If the patient feels a stabbing pain in the eye, major pains, or has a sharp drop in vision suddenly he can violate Shabbat to be healed.<ref>Chazon Ovadia v. 3 p. 234 and Chut Shani 4:89:16 cited by Tiferet 328:31. Chazon Ovadia explains that even though the doctors say that today there's no concern that a loss of a person's vision will lead to a premature death we can continue to follow the health concern of the gemara.</ref>
 
===Fever===
===Fever===
# For a fever any oral [[medications]] may be taken. A mercury thermometer may be used. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)based on S”A O.C. 306:7 </ref> If a person is suffering from high-grade fever, a non-Jew may be asked to do whatever the patient needs in order to feel better. <Ref> Mishnah Berurah 328:46, 47 </ref> If the cause of the fever is unknown, a doctor should be consulted.
# For a fever any oral [[medications]] may be taken. A mercury thermometer may be used. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)based on S”A O.C. 306:7 </ref> If a person is suffering from high-grade fever, a non-Jew may be asked to do whatever the patient needs in order to feel better. <Ref> Mishna Brurah 328:46, 47 </ref> If the cause of the fever is unknown, a doctor should be consulted.
# A regular fever can be treated with oral medication should be treated as a Choleh Shein Bo Sakana who can have medicine. If the fever is abnormal such as if it is 104 degrees Fahrenheit or more, it isn't reduced by medicine and its cause is unknown, a person can violate Shabbat because it is a Safek Choleh Sheyesh Bo Sakana. For a child or elderly person even if the fever isn't so high one can violate Shabbat to heal them.<ref>Chazon Ovadia v. 3 p. 244-6 cited by Tiferet 328:26</ref>
 
===Headache===
===Headache===
# For a headache medication should not be taken. If the headache is severe enough so that one feels weak all over or is forced to go to bed, medication may be taken. One who is unsure if he has reached that stage of illness may be lenient and take pain- relieving medication. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)See Ketzos ha-Shulchan 138, pg. 100; Minchas Yitzchak 3:35; Be’er Moshe 1:33; 2:32. </ref>
# For a headache medication should not be taken. If the headache is severe enough so that one feels weak all over or is forced to go to bed, medication may be taken. One who is unsure if he has reached that stage of illness may be lenient and take pain- relieving medication. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)See Ketzos ha-Shulchan 138, pg. 100; Minchas Yitzchak 3:35; Be’er Moshe 1:33; 2:32. </ref>
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# For an infection all [[medications]] are permitted. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
# For an infection all [[medications]] are permitted. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
===Lactose===
===Lactose===
# For lactose intolerance one may not take enzyme supplement tablets. But it is permitted to add enzyme drops to liquid dairy foods before [[Shabbat]] and drink the dairy on [[Shabbat]]. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt). See Refuas Yisrael, pg. 245. </ref>
# For lactose intolerance, some poskim rule that one may not take enzyme supplement tablets. But it is permitted to add enzyme drops to liquid dairy foods before [[Shabbat]] and drink the dairy on [[Shabbat]]. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt). See Refuas Yisrael, pg. 245. </ref> Others are lenient.<ref>Rav Yisroel Belsky (Shu"t Shulchan HaLevi 10:2) ruled that lactase pills may be taken because they are not viewed as medicines. Chazal only forbade medicines because a person who is ill is physically distressed and might impetuously grind the ingredients on Shabbos. Lactase pills are not used to treat an illness. They simply provide the body with the missing enzymes that are necessary for the digestion of the milk sugars.</ref>
 
===Migraine===
===Migraine===
# For a migraine headache any oral [[medications]] may be taken. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
# For a migraine headache any oral [[medications]] may be taken. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
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# There is a discussion in the later poskim if one may use mouthwash on [[Shabbat]]. <ref> see Beer Moshe 1:34:7page 78 is lenient as is Rivevot Ephraim 2:115:23:page 192, 3:536:6, 4:97:5, 6:195,  Nishmas [[Shabbos]] 5:318, Cheshev Ha’efod 2:59 </ref>  
# There is a discussion in the later poskim if one may use mouthwash on [[Shabbat]]. <ref> see Beer Moshe 1:34:7page 78 is lenient as is Rivevot Ephraim 2:115:23:page 192, 3:536:6, 4:97:5, 6:195,  Nishmas [[Shabbos]] 5:318, Cheshev Ha’efod 2:59 </ref>  
===Nosebleed===
===Nosebleed===
# For a nosebleed bleeding may be stopped with a tissue or a napkin. If none is available, a cloth napkin may be used. <ref> Mishnah Berurah 328:146 </ref>
# For a nosebleed bleeding may be stopped with a tissue or a napkin. If none is available, a cloth napkin may be used. <ref> Mishna Brurah 328:146 </ref>
===Raynaud’s Syndrome===
===Raynaud’s Syndrome===
# One who is ill or in need of using chemical hand warmers on [[Shabbat]], such as in the case of Raynaud's syndrome, or a solider on guard duty who must remain alert may do so on [[Shabbat]]. <ref> [http://www.yeshiva.co/ask/?id=4876 Yeshiva.org] based on Rav Dov Lior in his book Dvar Chevron Siman 236 pg. 125 </ref>
# One who is ill or in need of using chemical hand warmers on [[Shabbat]], such as in the case of Raynaud's syndrome, or a soldier on guard duty who must remain alert may do so on [[Shabbat]]. <ref> [http://www.yeshiva.co/ask/?id=4876 Yeshiva.org] based on Rav Dov Lior in his book Dvar Chevron Siman 236 pg. 125 </ref>


===Retinal Tear===
# If the retina of the eye becomes torn or detached one should go to the hospital or one's doctor immediately.<ref>Chazon Ovadia v. 3 p. 234 cited by Tiferet 328:31</ref>
===Retainer===
===Retainer===
# One may insert and remove a retainer on [[Shabbat]]. <ref> Shemiras [[Shabbat]] K’hilchasah 34:29 </ref>
# One may insert and remove a retainer on [[Shabbat]]. <ref> Shemiras [[Shabbat]] K’hilchasah 34:29 </ref>
===Scab===
===Scab===
# It is permitted to remove a scab as long as blood is not drawn from the wound. <ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)based on S”A O.C. 328:22 and Mishnah Berurah 90. </ref>
# It is permitted to remove a scab as long as blood is not drawn from the wound. <ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)based on S”A O.C. 328:22 and Mishna Brurah 90. </ref>
===Sleep disorder===
===Sleep disorder===
# There are conflicting views among contemporary poskim about taking sleeping pills or No-Doze pills. <ref>[http://www.halachayomit.co.il/EnglishDefault.asp?HalachaID=3320 Rav Shlomo Zalman Auerbach and Chacham Ovadia Yosef are lenient]  See Minchas Yitzchak 3:21, Tzitz Eliezer 9:17, Be’er Moshe 1:33 and Shalmei Yehudah, pg. 176, for the various views. </ref> One who is weak all over or bedridden may take them. Cotton balls may be used as ear plugs. It is permitted to use pliable ear plugs, which are made from a wax-like material that spreads to fill the cavity of the ear. <ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)quoting Rav S.Z. Auerbach (Shemiras [[Shabbat]] K’hilchasah 14:45); Shraga ha-Meir 5:23. Rav Y.S. Elyashiv, however, recommends not using pliable ear plugs on [[Shabbat]]; see Ashrei ha-Ish 17:117; 33:7 </ref>
# There are conflicting views among contemporary poskim about taking sleeping pills or No-Doze pills. <ref>[http://www.halachayomit.co.il/EnglishDefault.asp?HalachaID=3320 Rav Shlomo Zalman Auerbach and Chacham Ovadia Yosef are lenient]  See Minchas Yitzchak 3:21, Tzitz Eliezer 9:17, Be’er Moshe 1:33 and Shalmei Yehudah, pg. 176, for the various views. </ref> One who is weak all over or bedridden may take them. Cotton balls may be used as ear plugs. It is permitted to use pliable ear plugs, which are made from a wax-like material that spreads to fill the cavity of the ear. <ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)quoting Rav S.Z. Auerbach (Shemiras [[Shabbat]] K’hilchasah 14:45); Shraga ha-Meir 5:23. Rav Y.S. Elyashiv, however, recommends not using pliable ear plugs on [[Shabbat]]; see Ashrei ha-Ish 17:117; 33:7 </ref>
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# For a sore throat medication may not be taken. Gargling is prohibited. <Ref> S”A 328:32</ref> Drinking tea or any other hot drink, or sucking a candy, is permitted even if the intention is for medicinal purposes. <ref>S”A 328:37 </ref>
# For a sore throat medication may not be taken. Gargling is prohibited. <Ref> S”A 328:32</ref> Drinking tea or any other hot drink, or sucking a candy, is permitted even if the intention is for medicinal purposes. <ref>S”A 328:37 </ref>
===Splinter===
===Splinter===
# A splinter under the skin may be extracted with the fingers, or with tweezers or a needle. If, unavoidably, a little blood is secreted in the process, it is of no consequence. <ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)quoting Mishnah Berurah 328:88 and Sha’ar ha-Tziyun 63. 39 Melachos (Rabbi Ribiat, vol 2, pg 478) writes one may remove a splinter even if it may bleed, but one may remove if it will certainly bleed unless it is very painful. </ref>
# A splinter under the skin may be extracted with the fingers, or with tweezers or a needle. If, unavoidably, a little blood is secreted in the process, it is of no consequence. <ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)quoting Mishna Brurah 328:88 and Sha’ar ha-Tziyun 63. 39 Melachos (Rabbi Ribiat, vol 2, pg 478) writes one may remove a splinter even if it may bleed, but one may not remove if it will certainly bleed unless it is very painful. </ref>
 
===Sprain===
===Sprain===
# For a sprain if the patient is not experiencing severe pain, nothing may be done. If the patient is experiencing severe pain, medication may be taken and a massage may be given. A makeshift splint may be applied, provided that no [[Shabbat]] Labors are transgressed. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
# For a sprain if the patient is not experiencing severe pain, nothing may be done. If the patient is experiencing severe pain, medication may be taken and a massage may be given. A makeshift splint may be applied, provided that no [[Shabbat]] Labors are transgressed. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
===Stitches===
===Stitches===
# Only a non-Jew is allowed to stitch any wound, even if the stitching is done only for cosmetic reasons. <ref> Minchas Shelomo 2:34-33 and Nishmas Avraham, vol. 4, O.C. 340. See also Shemiras [[Shabbat]] K’hilchasah 33, note 26, and 35, note 65-66.</ref>A Jew may place a butterfly bandage or steri-strips to close a simple laceration or cut. Surgical skin closure glue may also be used. <ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
# Only a non-Jew is allowed to stitch any wound, even if the stitching is done only for cosmetic reasons.<ref> Minchat Shelomo 2:34-33 and Nishmas Avraham, vol. 4, O.C. 340. See also Shemiras [[Shabbat]] K’hilchasah 33, note 26, and 35, note 65-66.</ref> A Jew may place a butterfly bandage or steri-strips to close a simple laceration or cut. Surgical skin closure glue may also be used. <ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt). See [http://www.torah.org/advanced/weekly-halacha/5760/chukas.html].</ref>
 
===Stopping bleeding===
===Stopping bleeding===
# Pressure may be applied to a cut to stop bleeding. Sucking or [[squeezing]] out blood is prohibited. <ref> [http://www.torah.org/advanced/weekly-halacha/5760/chukas.html Rabbi Doniel Neustadt on Torah.org], Mishnah Berurah 328:147 </ref>
# Pressure may be applied to a cut to stop bleeding. Sucking or [[squeezing]] out blood is prohibited. <ref> [http://www.torah.org/advanced/weekly-halacha/5760/chukas.html Rabbi Doniel Neustadt on Torah.org], Mishna Brurah 328:147 </ref>
#It is permitted to remove a thorn slowly so that it won’t cause blood to come out. If it is impossible to remove without blood coming out it is nonetheless permitted to relieve pain.<ref>Machasit Hashekel 328:32 is lenient if it is impossible to avoid since it is only derabbanan and for tzaar it is permitted. Kaf Hachaim 308:96 agrees. However, Shulchan Aruch Harav 308:38, Gedulat Elisha 308:53, and Ben Ish Chai Miketz Shana Sheniya n. 12 are strict if it is a pesik reisha. Tehilah LDovid 328:47 asks why would it be forbidden if it is a pesik reisha since it is only a derabbanan of chavala and for tzaar it is permitted. He rejects the implication otherwise from Tosfot Sanhedrin 85a s.v. vrabbi shimon. Biur Halacha 308:11 s.v. hakotz explained the Magen Avraham like the Shulchan Aruch Harav and cites the Chemed Moshe who is lenient like the Machasit Hashekel. Rav Nevinsal in Byitzchak Yikareh 308:11 that he thinks the opinion of the Chemed Moshe is reasonable. See Leviat Chen who agrees.</ref>
 
===Strep throat===
===Strep throat===
# For a strep throat all oral [[medications]] may be taken. Even if the infection is no longer present, the prescribed medicine begun on a weekday must be continued until finished. A culture may be taken by a non-Jew. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
# For a strep throat all oral [[medications]] may be taken. Even if the infection is no longer present, the prescribed medicine begun on a weekday must be continued until finished. A culture may be taken by a non-Jew. <Ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
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# It is permitted to sprinkle baby powder on those parts of the body which are perspiring. <Ref> Shemiras [[Shabbat]] K’hilchasah 34:12 </ref>
# It is permitted to sprinkle baby powder on those parts of the body which are perspiring. <Ref> Shemiras [[Shabbat]] K’hilchasah 34:12 </ref>
===Swelling===
===Swelling===
# It is permitted to press a knife, etc. against the skin to prevent or minimize swelling. <Ref> Mishnah Berurah 328:144 </ref> It is permitted to wash or soak the swollen area in water.<ref> Tzitz Eliezer 8:15 (15-12) </ref>It is permitted to place a compress, <ref>The Weekly Halachah Discussion (Rabbi Doniel Neustadt)writes in order to avoid [[sechitah]] and/or libun, only paper towels or napkins should be used and care should be taken not to squeeze them.</ref> ice (placed in plastic bag) or any frozen item over a swollen area. <ref>Be’er Moshe 1:33-18, Contemporary Questions in Halacha and Hashkafa pg. 144, [http://www.learntorah.com/lt-shiur-details.aspx?id=4985 Rabbi Meyer Yedid]. Rabbi Yedid says that this is because the [[refuah]] cannot be replicated through medicines and therefore wasn't included in the rabbinic enactment against [[refuah]]. see also  Shemiras [[Shabbat]] K’hilchasah 35:35  </ref>
# It is permitted to press a knife, etc. against the skin to prevent or minimize swelling. <Ref> Mishna Brurah 328:144 </ref>  
# It is permitted to wash or soak the swollen area in water.<ref> Tzitz Eliezer 8:15 (15-12) </ref> It is permitted to place a compress, <ref>The Weekly Halachah Discussion (Rabbi Doniel Neustadt)writes in order to avoid [[sechitah]] and/or libun, only paper towels or napkins should be used and care should be taken not to squeeze them.</ref> ice (placed in plastic bag) or any frozen item over a swollen area. <ref>Be’er Moshe 1:33-18, Contemporary Questions in Halacha and Hashkafa pg. 144, [http://www.learntorah.com/lt-shiur-details.aspx?id=4985 Rabbi Meyer Yedid]. Rabbi Yedid says that this is because the [[refuah]] cannot be replicated through medicines and therefore wasn't included in the rabbinic enactment against [[refuah]]. See also  Shemiras [[Shabbat]] K’hilchasah 35:35  </ref> Some forbid applying an ice pack if it is clearly being done for medicinal reasons.<ref>Rabbi Heinemann cited by the [https://www.star-k.org/articles/kashrus-kurrents/kashrus-kurrents-2019/6238/medicine-on-shabbos-questions-and-answers-from-rav-moshe-heinemann-shlita/ Star-K]. See Shulchan Shlomo 328:37 and Halachos of Refuah on Shabbos p. 29.</ref>


===Toothache===
===Toothache===
# A minor (cavity) toothache may not be treated with painkillers, but one is permitted to drink whiskey, etc., provided that it is swallowed immediately. <ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)based on S”A O.C. 328:32. See also Mishnah Berurah 328:102 </ref>A severe toothache (to the point where one feels weak all over) or gum infection may be treated with oral medication. If the tooth needs to be extracted, a non-Jew may be asked to do so. <ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)based on Rama, O.C. 328:3. See Tzitz Eliezer 9:17 (2-11)</ref>
# A minor (cavity) toothache may not be treated with painkillers, but one is permitted to drink whiskey, etc., provided that it is swallowed immediately. <ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)based on S”A O.C. 328:32. See also Mishna Brurah 328:102 </ref>A severe toothache (to the point where one feels weak all over) or gum infection may be treated with oral medication. If the tooth needs to be extracted, a non-Jew may be asked to do so. <ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)based on Rama, O.C. 328:3. See Tzitz Eliezer 9:17 (2-11)</ref>
===Wound===
===Wound===
# Cuts and abrasions may be washed or soaked in water. Hydrogen peroxide may be poured over a cut. It is not permitted, however, to soak absorbent cotton or paper in such a solution and then wash the wound with it. The wound may be covered with a non-medicated Band-Aid. <ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
# Cuts and abrasions may be washed or soaked in water. Hydrogen peroxide may be poured over a cut. It is not permitted, however, to soak absorbent cotton or paper in such a solution and then wash the wound with it. The wound may be covered with a non-medicated Band-Aid. <ref> The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
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==Cutting Pills on Shabbos==
==Cutting Pills on Shabbos==
# One is permitted to cut a tablet in half on [[Shabbos]], and there is no concern of "mechatech" (cutting) on [[Shabbos]].<ref>Shemiras [[Shabbos]] K’hilchoso 33:4, Shulchan Shlomo 314:13:3, Avnei Yushfei 4:58 quoting the opinion of Harav Elyashiv Shlita. Refer to {{ibid}}:footnote 30 for the reason. </ref>
# One is permitted to cut a tablet in half on [[Shabbos]], and there is no concern of "mechatech" (cutting) on [[Shabbos]].<ref>Shemiras [[Shabbos]] K’hilchoso 33:4, Shulchan Shlomo 314:13:3, Avnei Yushfei 4:58 quoting the opinion of Harav Elyashiv Shlita. Refer to there footnote 30 for the reason. </ref>


==Purchasing the medicine==
==Purchasing the medicine==
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==Specific medicines==
==Specific medicines==
===Foods and drinks===
===Foods and drinks===
# Even someone with a minor ailment may eat food which healthy people eat even if one’s intention is for improving one’s health. For example, someone who has a head ache may eat honey, a lemon, or suck on candy. Someone who has a hoarse throat may swallow a raw egg. <Ref>Shemirat [[Shabbat]] KeHilchata 34:4 based on Shulchan Aruch 328:37, Aruch Hashulchan 328:48. Refer to Mishnah Berurah 328:117-118. See Ketzos Ha’shulchan 134:16:pages 31-32 in depth on what constitutes a health persons food. </ref>
# Even someone with a minor ailment may eat food which healthy people eat even if one’s intention is for improving one’s health. For example, someone who has a head ache may eat honey, a lemon, or suck on candy. Someone who has a hoarse throat may swallow a raw egg. <Ref>Shemirat [[Shabbat]] KeHilchata 34:4 based on Shulchan Aruch 328:37, Aruch Hashulchan 328:48. Refer to Mishna Brurah 328:117-118. See Ketzos Ha’shulchan 134:16:pages 31-32 in depth on what constitutes a health persons food. </ref>
# Foods and drinks are permitted even when they are consumed for medicinal purposes. For example, one may have tea for a sore throat on [[Shabbat]]. <ref>[http://www.torah.org/advanced/weekly-halacha/5760/chukas.html Rabbi Doniel Neustadt on Torah.org], 39 Melachos (Rabbi Ribiat, vol 2, pg 477) </ref>
# Foods and drinks are permitted even when they are consumed for medicinal purposes. For example, one may have tea for a sore throat on [[Shabbat]]. <ref>[http://www.torah.org/advanced/weekly-halacha/5760/chukas.html Rabbi Doniel Neustadt on Torah.org], 39 Melachos (Rabbi Ribiat, vol 2, pg 477) </ref>
===Tylenol or Aspirin===
===Tylenol or Aspirin===
# Many poskim are of the opinion that Tylenol® and other aspirin should not be taken even though healthy people may take them as well.<ref>Minchas Yitzchok 3:35:2, Be’er Moshe 1:33:5, 2:32, 6:39, Shraga Hameir 2:40, Refuas Yisroel page 16:footnote 42. Refer to Divrei Chachumim pages 137-138:389 who quotes a lenient opinion. </ref> However, if one is in great pain then taking them is permitted.<ref>Minchas Yitzchok {{ibid}}, Be’er Moshe {{ibid}}, Refuas Yisroel page 16:footnote 42. </ref>
# Many poskim are of the opinion that Tylenol® and aspirin should not be taken even though healthy people may take them as well.<ref>Minchas Yitzchok 3:35:2, Be’er Moshe 1:33:5, 2:32, 6:39, Shraga Hameir 2:40, Refuas Yisroel page 16:footnote 42. Refer to Divrei Chachumim pages 137-138:389 who quotes a lenient opinion. </ref> However, if one is in great pain then taking them is permitted.<ref>Minchas Yitzchok 3:35:2, Be’er Moshe 1:33:5, Refuas Yisroel page 16:footnote 42, Chazon Ovadia v. 4 p. 141 cited by Tiferet 328:1 </ref>
# Some are lenient to take ibuprofen if a person regularly takes them and if they don't take it they'll be in pain.<ref>Yalkut Yosef v. 4 p. 143 cited by Tiferet 328:2</ref>
 
=== Vitamins ===
=== Vitamins ===
# If the purpose of the vitamin is to serve as a food supplement it is permitted to take such a vitamin on [[Shabbat]]. <ref>The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
# If the purpose of the vitamin is to serve as a food supplement it is permitted to take such a vitamin on [[Shabbat]]. <ref>The Weekly Halachah Discussion (Rabbi Doniel Neustadt)</ref>
Line 169: Line 209:
==A doctor on call==
==A doctor on call==
# A doctor who is on call and there is a sick patient under his or her care, some say that the doctor should stay in the hospital or nearby so that the doctor will not have to travel on [[Shabbat]]<ref>Sh”t Igrot Moshe 1:131 and Shemirat [[Shabbat]] KeHilchata 30:26 </ref>, while others are lenient if it will ruin the doctor and his family’s oneg [[Shabbat]]. <ref>Shemirat [[Shabbat]] KeHilchata (chap 40 note 71) in name of Rav Shlomo Zalman Auerbach explaining that since there is a mitzvah of oneg [[Shabbat]] one is not obligated to leave one’s home on Friday in order to avoid violation of [[Shabbat]]. For background of this topic [[Brit_Milah#Delayed Milah on Thursday or Friday|see here]]. </ref>
# A doctor who is on call and there is a sick patient under his or her care, some say that the doctor should stay in the hospital or nearby so that the doctor will not have to travel on [[Shabbat]]<ref>Sh”t Igrot Moshe 1:131 and Shemirat [[Shabbat]] KeHilchata 30:26 </ref>, while others are lenient if it will ruin the doctor and his family’s oneg [[Shabbat]]. <ref>Shemirat [[Shabbat]] KeHilchata (chap 40 note 71) in name of Rav Shlomo Zalman Auerbach explaining that since there is a mitzvah of oneg [[Shabbat]] one is not obligated to leave one’s home on Friday in order to avoid violation of [[Shabbat]]. For background of this topic [[Brit_Milah#Delayed Milah on Thursday or Friday|see here]]. </ref>
# According to many poskim a doctor who was called into the hospital for an emergency can't drive home afterwards.<ref>Even though Igrot Moshe OC 4:80 was lenient, Rav Shlomo Zalman Auerbach in Minchat Shlomo 1:8 was strict. Rav Ovadia Yosef in Chazon Ovadia v. 3 p. 253 is strict. Tzitz Eliezer 21:59 writes that someone who relies on Rav Moshe has what to rely upon.</ref>
==Public Safety==
#It is permitted to violate any rabbinic prohibition to prevent something dangerous to the public.<Ref>Gemara Shabbat 42a, Shulchan Aruch O.C. 308:18, Mishna Brurah 408:77</ref>
==Related Pages==
==Related Pages==
# [[Tochen]] ([[grinding]])
# [[Tochen]] ([[grinding]])
# [[Brushing Teeth on Shabbat]]
# [[Brushing Teeth on Shabbat]]
==Credits==
==Credits==
Halachipedia is very thankful to Rabbi Doniel Neustadt who gave Halachipedia permission to use his valuable article on this topic to improve the Halachipedia page.
Halachipedia is very thankful to Rabbi Doniel Neustadt who gave Halachipedia permission to use his valuable article on this topic to improve the Halachipedia page.

Revision as of 21:12, 1 July 2020

Medicine.jpg

One of several rabbinic decrees that our Sages enacted in order to guard the sanctity of Shabbat concerns the use of medications. In the opinion and experience of the Rabbis, easy access to medicine could lead to the transgression of certain Shabbat Labors. While issuing the decree, however, the Rabbis were lenient in certain cases of those suffering pain or distress. [1] (See the footnote for some background)[2]. The details of what's permissible and what's forbidden are described below. These laws are true for the first day of Yom Tov and the two days of Rosh Hashana as well. [3]

Taking Medicine

If one has a minor condition (Meychush BeAlma)

  1. If someone has a minor condition which hurts such as a tooth ache, throat ache, head ache, cold, and cough it is forbidden to take any medicine such as pills or drops. However, someone who is in a lot of pain and because of it he is in bed or his body is weakened such as a migraine it permitted to take a medicine. [4]
  2. Some allow someone who is accustomed to take pain killers for a head ache or tooth ache and if he doesn't take it will be in pain to take pain killers on Shabbat.[5]

If one has a sickness (Choleh Shein Bo Sakana)

  1. If one has fever, feels weak all over, or feels bad enough to require bed rest, he can be classified as a “patient not dangerously ill” (Choleh Shein Bo Sakana) and he is permitted to take oral medications. [6]
  2. Since “requiring bed rest” and “weak all over” are subjective terms, it is up to each individual to determine his personal pain threshold. There is no requirement to be overly stringent when judging the degree of illness. [7]
  3. Some poskim hold that it is forbidden to perform a biblically prohibited action on Shabbat (melacha deoritta) for someone who is in the category of "patient not dangerously ill" even if one does it in an abnormal manner (Shinui).[8] Some, however, hold that it is permitted to do actions in an abnormal way (Shinui) for a "patient not dangerously ill".[9]

If One is Critically Ill (Choleh Sheyesh Bo Sakana)

  1. It is permitted and a mitzvah to violate Shabbat in order to safe a Jewish life.[10] Even if there is only a doubt if the patient is critically ill[11] or if there is a doubt if the procedure will safe the patient's life[12], nonetheless, it is a mitzvah to violate Shabbat in order to try to save a Jewish life. Someone who delays in saving a life out of a concern of violating Shabbat is sinning in a way that is tantamount to murder.[13]
  2. A rabbi should be careful to teach his community that it is permitted and a mitzvah to violate Shabbat for life endangering concerns.[14]
  3. A person should violate Shabbat in order to save a non-Jew or non-religious Jew.[15]
  4. A person should violate Shabbat in order to save someone who tried to commit suicide.[16]

Infants

  1. If a child needs a vaporizer to alleviate discomfort (from bronchitis etc.), one may ask a non-Jew to plug it in on Shabbos to ease his pain. While some prohibit adding cold water to a cold water vaporizer,[17] others permit it if you pour it through the spout.[18] If it is a hot water vaporizer one may take previously boiled water from an urn and refill it.[19]
  2. Healthy infants and babies until the age of three (and according to some poskim even older children till the age of six or nine) are also halachically classified as “patients not dangerously ill.”[20] (In the final analysis, it all depends on the strength and maturity of the child.) [21] Therefore, they are permitted to take all forms of medicine, provided, of course, that no Biblical prohibitions are transgressed. [22]
  3. In a case where the child is under three months and appears to be ill, if his temperature is not that high, but merely a notch over 100 degrees, one can still desecrate the Shabbos (call a doctor, drive if a non-Jew cannot be found etc.) as temperature for a newborn can be indicative of something more serious.[23] If time is not of essence one should obviously initially look to engage a non-Jew in any prohibited activity. [24]

Preparing medicine from before Shabbat

  1. One may crush a capsule or tablet of medicine so that it is mixed into a food or drink before Shabbat. Once it becomes disguised by the food one can eat the food or drink on Shabbat.[25] If one didn't do it before Shabbat, some allow mixing in a liquid medicine into a drink on Shabbat.[26]

Continuing to take a daily dosage

  1. Although one who is not classified as “ill” may not begin taking medicine on Shabbat, still, some poskim hold that one who requires daily medication for an ongoing condition may continue doing so on Shabbat as well, [27] while others disagree. [28]
  2. Some say that one may only take an ongoing medication on Shabbat if skipping a day of medication would be detrimental to the patient's health or if the medication must be taken for a number of consecutive days such that it is impossible not to take it on Shabbat. [29]

Non-medical treatment

Using a Band Aid

  1. It is permitted to put on a band aid on a wound. [30]
  2. According to Ashkenazim, one should not remove a band aid on Shabbat if there is hair in the area of the band aid. However, if it is painful one may remove it. [31] However, Sephardim are more lenient as long as there is a need to remove it, it's permissible. [32]
  3. Most authorities permit removing the Band-Aid from the protective tabs, while some are stringent and so to satisfy all opinions one may prepare Band-Aids for Shabbat use by peeling off their protective tabs and re-sealing them before Shabbat. [33]

Cleaning a wound

  1. It is permitted to clean and bandage a wound or to pour hydrogen peroxide over it. [34]

Braces

  1. Braces may be worn on Shabbat because there is no medicine for aligning teeth properly. [35]

Exercise

  1. One may not exercise on Shabbat. If one needs to do physical therapy they should consult their rabbi.[36]
  2. Someone health may not do physical therapy on Shabbat. However, someone who is a Choleh Shein Bo Sakana or someone who whom not doing physical therapy might lead to a worse problem may do physical therapy on Shabbat. Breathing and speech therapy are permitted on Shabbat.[37]

Specific conditions

Abscess

  1. An abscess may be squeezed to relieve pressure from pus, even if some blood is secreted in the process. [38]

Acne

  1. All medication for acne may not be taken on Shabbat. [39]

Angina

  1. All medication for angina are permitted to be taken on Shabbat. [40]

Arthritis

  1. Anti-inflammatory medication for mild arthritis are forbidden. [41]

Asthma

  1. All oral and breathing medications for mild asthma are permitted to be taken on Shabbat. [42]

Athlete’s foot

  1. One may not use any medication for athlete’s foot on Shabbat. [43]

Baby Cream

  1. If a baby has a rash it is permitted to dab on some baby rash cream and not rub it in. If the cream would become completely absorbed into the skin and no trace would be left on the surface of the skin it would be permitted even to rub it in.[44]

Back or Neck Brace

  1. One may put on or remove a back or neck brace on Shabbat. [45]

Bandage

  1. It is permissible to put on an ace bandage on Shabbat as long as you don't tie anything permanent. [46]

Bee sting

  1. If one has a bee or wasp sting the stinger may be removed and the area may be washed with ice water, lemon juice or vinegar, etc. The area may not be soaked, however, in those liquids. [47]
  2. One may use liquid or spray insect repellent on Shabbat. [48]

Birth control

  1. It's permissible to take birth control pills on Shabbat (assuming she received halachic permission to take these pills). [49]

Bone Fracture

  1. For a simple bone fracture a non-Jew may be asked to do anything necessary, e.g., make a phone call, drive a car, take x-rays or put on a cast. [If a non-Jew is not available, some poskim permit a Jew to do these acts if they are done with a shinui, in an abnormal manner. [50]] If there is even a small chance of internal bleeding, e.g., the thigh or pelvis bone was fractured, or if the elbow was shattered, all Shabbat restrictions are lifted. [51]

Bow Legged Baby

  1. It is forbidden to straighten the legs of a bow-legged baby on Shabbat since doing so is considered an act of healing.[52]

Cellulites

  1. Since cellulitis may be life-threatening immediate medical attention is required. [53]

Cold

  1. For a cold one may not take medications or vitamins. [54] unless one is experiencing discomfort in his whole body or is bedridden. However, one may eat chicken soup or tea with honey to obtain relief.[55]

Contact Lenses

  1. It is permitted to soak contact lenses in their solution on Shabbat. [56]

Cough

  1. Cough–medication may not be taken.[57] If the cough may be an indication of pneumonia or asthma, medication is permitted. [58]

Deodorant

  1. It is permitted to use a spray deodorant on Shabbat. Some say that one shouldn't use an antiperspirant deodorant on Shabbat since it is medicinal.[59]

Diabetes

  1. All necessary medications for diabetes may be taken on Shabbat. [60]

Diarrhea

  1. For diarrhea one may not take medication unless one is in severe pain or weak all over. Any food or drink is permitted. A hot water bottle is permitted when one experiences strong pains. [61]

Chapped hands

  1. For dried (or chapped) hands it is prohibited to rub them with either oil, ointment (Vaseline) or lotion. [62]One who regularly uses a pourable, liquid lotion or oil on his hands (whether they are chapped or not) may do so on Shabbat, too, even if his hands are chapped.[63]

Chapped lips

  1. For dried or cracked lips one may not apply chap stick or any other medication, liquid or otherwise. [64]

Conception Pills

  1. Some poskim permit taking pills to help a woman give birth. [65]

Ear Infection

  1. For an ear infection all medications are permitted. Cotton balls may be inserted. [66] Even if the infection is no longer present, prescribed medicine begun on a weekday must be continued until finished in order to avoid a relapse. [67]

Eye Inflammation

  1. For an eye inflammation eye drops (or ointment) may be instilled in the eye. If the eye is not inflamed but merely irritated, no medication is permitted. [68] Some permit putting in eye drops even if they are irritated.[69]
  2. If the patient feels a stabbing pain in the eye, major pains, or has a sharp drop in vision suddenly he can violate Shabbat to be healed.[70]

Fever

  1. For a fever any oral medications may be taken. A mercury thermometer may be used. [71] If a person is suffering from high-grade fever, a non-Jew may be asked to do whatever the patient needs in order to feel better. [72] If the cause of the fever is unknown, a doctor should be consulted.
  2. A regular fever can be treated with oral medication should be treated as a Choleh Shein Bo Sakana who can have medicine. If the fever is abnormal such as if it is 104 degrees Fahrenheit or more, it isn't reduced by medicine and its cause is unknown, a person can violate Shabbat because it is a Safek Choleh Sheyesh Bo Sakana. For a child or elderly person even if the fever isn't so high one can violate Shabbat to heal them.[73]

Headache

  1. For a headache medication should not be taken. If the headache is severe enough so that one feels weak all over or is forced to go to bed, medication may be taken. One who is unsure if he has reached that stage of illness may be lenient and take pain- relieving medication. [74]

Heartburn

  1. For heartburn foods which will have a soothing effect may be eaten. Some poskim permit taking anti-acid medication while others are stringent. If the medicine is prescribed by a doctor, one may be lenient. [75]

Hemorrhoids

  1. For a mild case of hemorrhoids medication may not be taken. For a severe case, it is permitted to sit in a “sitz bath” (with water that heated before Shabbat), or use medicated pads or suppositories. [76]

Herniated disc

  1. For a herniated disc (back and leg pain) ice packs or hot packs are permitted. Physical therapy exercises, e.g. stretching, are permitted. If the pain is severe to the degree that the entire body is in pain, painkillers or other medications are permitted as well. [77]

Indigestion

  1. One may take a leisurely walk in order to help digestion. [78]
  2. One may drink prune juice in order to act as a laxative. [79]

Infection

  1. For an infection all medications are permitted. [80]

Lactose

  1. For lactose intolerance, some poskim rule that one may not take enzyme supplement tablets. But it is permitted to add enzyme drops to liquid dairy foods before Shabbat and drink the dairy on Shabbat. [81] Others are lenient.[82]

Migraine

  1. For a migraine headache any oral medications may be taken. [83]

Mouthwash

  1. There is a discussion in the later poskim if one may use mouthwash on Shabbat. [84]

Nosebleed

  1. For a nosebleed bleeding may be stopped with a tissue or a napkin. If none is available, a cloth napkin may be used. [85]

Raynaud’s Syndrome

  1. One who is ill or in need of using chemical hand warmers on Shabbat, such as in the case of Raynaud's syndrome, or a soldier on guard duty who must remain alert may do so on Shabbat. [86]

Retinal Tear

  1. If the retina of the eye becomes torn or detached one should go to the hospital or one's doctor immediately.[87]

Retainer

  1. One may insert and remove a retainer on Shabbat. [88]

Scab

  1. It is permitted to remove a scab as long as blood is not drawn from the wound. [89]

Sleep disorder

  1. There are conflicting views among contemporary poskim about taking sleeping pills or No-Doze pills. [90] One who is weak all over or bedridden may take them. Cotton balls may be used as ear plugs. It is permitted to use pliable ear plugs, which are made from a wax-like material that spreads to fill the cavity of the ear. [91]

Sore throat

  1. For a sore throat medication may not be taken. Gargling is prohibited. [92] Drinking tea or any other hot drink, or sucking a candy, is permitted even if the intention is for medicinal purposes. [93]

Splinter

  1. A splinter under the skin may be extracted with the fingers, or with tweezers or a needle. If, unavoidably, a little blood is secreted in the process, it is of no consequence. [94]

Sprain

  1. For a sprain if the patient is not experiencing severe pain, nothing may be done. If the patient is experiencing severe pain, medication may be taken and a massage may be given. A makeshift splint may be applied, provided that no Shabbat Labors are transgressed. [95]

Stitches

  1. Only a non-Jew is allowed to stitch any wound, even if the stitching is done only for cosmetic reasons.[96] A Jew may place a butterfly bandage or steri-strips to close a simple laceration or cut. Surgical skin closure glue may also be used. [97]

Stopping bleeding

  1. Pressure may be applied to a cut to stop bleeding. Sucking or squeezing out blood is prohibited. [98]
  2. It is permitted to remove a thorn slowly so that it won’t cause blood to come out. If it is impossible to remove without blood coming out it is nonetheless permitted to relieve pain.[99]

Strep throat

  1. For a strep throat all oral medications may be taken. Even if the infection is no longer present, the prescribed medicine begun on a weekday must be continued until finished. A culture may be taken by a non-Jew. [100]

Sunburn

  1. For a ordinary sunburn medications are not permitted. [101]

Sweating

  1. It is permitted to sprinkle baby powder on those parts of the body which are perspiring. [102]

Swelling

  1. It is permitted to press a knife, etc. against the skin to prevent or minimize swelling. [103]
  2. It is permitted to wash or soak the swollen area in water.[104] It is permitted to place a compress, [105] ice (placed in plastic bag) or any frozen item over a swollen area. [106] Some forbid applying an ice pack if it is clearly being done for medicinal reasons.[107]

Toothache

  1. A minor (cavity) toothache may not be treated with painkillers, but one is permitted to drink whiskey, etc., provided that it is swallowed immediately. [108]A severe toothache (to the point where one feels weak all over) or gum infection may be treated with oral medication. If the tooth needs to be extracted, a non-Jew may be asked to do so. [109]

Wound

  1. Cuts and abrasions may be washed or soaked in water. Hydrogen peroxide may be poured over a cut. It is not permitted, however, to soak absorbent cotton or paper in such a solution and then wash the wound with it. The wound may be covered with a non-medicated Band-Aid. [110]

Medicine after Candle Lighting before Kiddush

  1. One is permitted to drink water while taking a pill on Shabbos after candle lighting before Kiddush.[111]

Carrying a Pill

  1. One who needs to carry a pill on Shabbos in a place which does not have an eiruv should ask his Rav before doing so.[112]

Cutting Pills on Shabbos

  1. One is permitted to cut a tablet in half on Shabbos, and there is no concern of "mechatech" (cutting) on Shabbos.[113]

Purchasing the medicine

  1. In situations where one is considered “ill” and is permitted to take medicine on Shabbat, it is also permitted to ask a non-Jew to drive to a drugstore, buy medicine and bring it to him. [114]

Ripping the Packaging of a Medicine

  1. According to the opinion of some poskim, on Shabbos one should rip the wrapping around a medication by destroying it and making it useless.[115]

Specific medicines

Foods and drinks

  1. Even someone with a minor ailment may eat food which healthy people eat even if one’s intention is for improving one’s health. For example, someone who has a head ache may eat honey, a lemon, or suck on candy. Someone who has a hoarse throat may swallow a raw egg. [116]
  2. Foods and drinks are permitted even when they are consumed for medicinal purposes. For example, one may have tea for a sore throat on Shabbat. [117]

Tylenol or Aspirin

  1. Many poskim are of the opinion that Tylenol® and aspirin should not be taken even though healthy people may take them as well.[118] However, if one is in great pain then taking them is permitted.[119]
  2. Some are lenient to take ibuprofen if a person regularly takes them and if they don't take it they'll be in pain.[120]

Vitamins

  1. If the purpose of the vitamin is to serve as a food supplement it is permitted to take such a vitamin on Shabbat. [121]
  2. If the purpose of the vitamin is to strengthen a weak body or to relieve certain symptoms, in the opinion of many poskim, one may not take those vitamins on Shabbat. [122]
  3. Some say that a multi-vitamin that one takes everyday is permitted since it is a food and not a refuah.[123]

Elective surgery

  1. One should make sure to schedule a non emergency surgery in the first three days of the week but not on or after Wednesday. However, after the fact and if one did the surgery at such a time and there is a situation of Pikuach Nefesh it is totally permissible to violate Shabbat like any other sick person in danger. [124] Sephardim could be lenient to schedule such a surgery on Wednesday but not past Thursday. [125]

Inducing labor

  1. It is permissible for a pregnant woman who is past her term to receive a hormone infusion to induce labor if the doctor feels that there danger to the life of the mother or fetus. [126]

Caesarian section

  1. If according to the doctor a women has to have a caesarian section and she can choose to schedule the surgery, she should schedule for the first three days of the week and not Wednesday through Friday. [127]

A doctor on call

  1. A doctor who is on call and there is a sick patient under his or her care, some say that the doctor should stay in the hospital or nearby so that the doctor will not have to travel on Shabbat[128], while others are lenient if it will ruin the doctor and his family’s oneg Shabbat. [129]
  2. According to many poskim a doctor who was called into the hospital for an emergency can't drive home afterwards.[130]

Public Safety

  1. It is permitted to violate any rabbinic prohibition to prevent something dangerous to the public.[131]

Related Pages

  1. Tochen (grinding)
  2. Brushing Teeth on Shabbat

Credits

Halachipedia is very thankful to Rabbi Doniel Neustadt who gave Halachipedia permission to use his valuable article on this topic to improve the Halachipedia page.

Sources

  1. The Weekly Halachah Discussion (Rabbi Doniel Neustadt). In regard to the muktzah status of pills and other medications see Minchas Shabbos 88:footnote 77, Har Tzvi tal harim tochain 2, Shalmei Yehuda 10:15:footnote 46, Zera Yaakov 13:page 153, Nachlas Yisroel pages 633-650 in depth, Shulchan Shlomo 318:7:2:page 298, Ohr Yisroel 6:pages 17-20, Aruch Ha’shulchan 308:59, Bais Avi 3:52, Avnei Yushfei 5:62.
    • Rashi (Shabbat 53b s.v. Gezerah) explains that there is a rabbinic decree not to do an medical practice on Shabbat because one might come to violate the prohibition of Tochen (grinding) the ingredients for the medicine. Maggid Mishna (Shabbat 2:10) draws a distinction between one is sick but isn't in danger of his life and a person who is pain. Tur and Shulchan Aruch 338:1 rule that a healthy person who is in pain may not do any activity of healing because of the rabbinic decree.
  2. The same halacha applies to the first day of Yom Tov (Refer to Magen Avraham 532:2, Chai Adom 23:1, Kitzur Shulchan Aruch 98:33, Mishna Brurah 532:5, Yom Tov Shenei K’hilchoso 1:22, Nishmas Avraham 1:pages 275-276) and both days of Rosh Hashanah (Nishmas Avraham 1:600:1, see Shemiras Shabbos K’hilchoso 31:28, Yom Tov Shenei K’hilchoso 1:22:footnote 76, Shevet Ha’kehusi 1:156 )
  3. Shemirat Shabbat KeHilchata 34:1,3 and Rav Mordechai Eliyahu's comment on Kitzur Shulchan Aruch 91:1. The Weekly Halachah Discussion (Rabbi Doniel Neustadt) writes that although contemporary poskim debate whether nowadays we can be more lenient with taking medication on Shabbat because of the change in technique, the general consensus is to reject this argument. See Minchas Shabbat 91:9; Ketzos ha-Shulchan 134:7; Chelkas Yaakov 4:41; and Tzitz Eliezer 8:15:15. See also Rabbi Aryeh Lebowitz on YUTorah.org. The Yalkut Yosef 328:52 writes that a choleh shein bo skana (sick in bed) can take pills. He adds that in general someone who is in a lot of pain but isn't choleh shein bo sakana may not take the pills and only makes two exceptions, for someone who has a big headache and someone who has a big stomach ache.
  4. In Yalkut Yosef (Shabbat v. 4, pp. 408-9) he writes that some say that one may take pain killers on Shabbat because they don't cure but only remove pain, and some disagree. He concludes that one should only be lenient if a person is accustomed to taking such pain killers and if one doesn't take them one will be in pain. On page 143 in discussing the same leniency he specifically mentions pills that contain paracetamol which is the active ingredient in Tylenol, a pain killer.
  5. Mishna Brurah 328:121 permits taking an oral medication without any shinui (alteration from the normal procedure). Yalkut Yosef (Shabbat, vol 4, pg 129) and 39 Melachos (Rabbi Ribiat, vol 2, pg 492) agree with the Mishna Brurah. Mishkenot Yacov O.C. 117 seems to disagree.
    • Halachos of Refuah on Shabbat (Rabbi Bodner, pg 55) and The Weekly Halachah Discussion (Rabbi Doniel Neustadt) write that most poskim agree with the Mishna Brurah. See, however, Sh"t Igrot Moshe 3:53, Tzitz Eliezer 8:15:15, and Minchat Yitzchak 1:108, 6:28.
  6. Rabbi Doniel Neustadt on Torah.org. See also Sh"t Tzitz Eliezer 14:50-7 and 17:13.
  7. Shemirat Shabbat KeHilchata 32:2
  8. Eglei Tal (Tochen #18), Rabbi Hershel Schachter in a shiur on yutorah.org (towards end of shiur)
  9. Gemara Yoma 84a, Rambam (Shabbat 2:1), Tur and Shulchan Aruch 328:2
  10. Shulchan Aruch 328:6, Mishna Brurah 328:17, 328:26
  11. Mishna Brurah 328:37
  12. Shulchan Aruch 328:2
  13. Mishna Brurah 328:6
  14. Tiferet 329:4 citing Yabia Omer OC 8:38. He adds that if it could be minimized with shnayim she'asauha they should try to do so. See Mishna Brurah 330:8.
  15. Yabia Omer OC 8:37:5, Chazon Ovadia Shabbat v. 1 p. 125 cited by Tiferet 328:5. Yabia Omer cites as support the Birkei Yosef 301:6, Maharam Yafa 13, Divrei Yisachar 169, Kli Chemda Ki Tzetsei, Maharam Rotenbuerg 39, Mishna Halachot 8:56, Maharil Diskin Kuntres Acharon 34, Tzitz Eliezer 8:15:4, Yeshuot Yisrael CM 21 to allow pikuach nefesh for someone who tried to commit suicide. On the other hand, Minchat Chinuch Kometz Mincha 230 and Vzot Lyehuda Kuntres Hashalom 11c seem to hold that pikuach nefesh doesn't apply to someone who tried to commit suicide.
  16. Minchas Yitzchok 7:28, Be'er Moshe 6:51
  17. Sefer Hilchos Shabbos 8: footnote 64, B'shem R' Moshe Feinstien ZT”L
  18. Shalmai Yehudah pg. 44
  19. Chazon Ish, O.C. 59:3, Rav S.Z. Auerbach in Nishmas Avraham 328:54, and Rav Y.S. Elyashiv in Eis Laledes, pg. 57, quote the age of 2-3. Tzitz Eliezer 8:15-12 quotes ages of 6. Minchas Yitzchak 1:78 quotes age of 9.
  20. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)
  21. Rama, O.C. 328:17. Note, however, that not all of a baby’s needs are exempt from the prohibition against medication; see, for instance, Mishna Brurah 328:131. See Tehillah l’David 328:24 and Minchas Yitzchak 4:124 who deal with this difficulty
  22. Igros Moshe O.C. 1:129
  23. Rabbi Heshy Kahn (What's Doing, Greater Connecticut, 3/3/11)
  24. 39 Melachos (Rabbi Ribiat, vol 2, pg 481), Rabbi Aryeh Lebowitz on YUTorah.org, Menuchat Ahava 1:21:75 cited by Tiferet 328:3
  25. Tiferet 328:3 citing Shevet Halevi 3:37, 8:82:2. See also Menuchat Ahava 1:21:75
  26. Chazon Ish (oral ruling, quoted in Imrei Yosher on Moed 97, Daat Chazon Ish 7:19, Dinim Vihanhagot Chazon Ish 15:1), Shulchan Shlomo 328:59, Beer Moshe 1:33:8, 4:31, Avnei Yushfei 1:90:3, Rivevos Ephraim 3:227, 4:97:54, 5:202, Oz Nedberu 1:31:5, 4:24. Refer to Shemiras Shabbos K’hilchoso 34:footnote 76, chelek 3:34:footnote 76.
    Rav S. Kluger (Sefer ha-Chayim 328:10 and Shenos Chayim 1:152) go even further and permit continuing taking medicine on Shabbat, even of the patient is not medically required to take the medicine on a daily basis. Minchas Shabbat 91:9; Tzitz Eliezer 8:15-15:15; Rav Y.S. Elyashiv (Koveitz Teshuvos, O.C. 1:40, and oral ruling, quoted in Refuas Yisrael, pg. 14) agree with Rav Kluger.
  27. Igros Moshe, O.C. 3:53. Refer also to Da’as Torah 328:37 who is stringent.
  28. Rav S.Z. Auerbach (Shemiras Shabbat K’hilchasah 34, note 77, in the new edition). Rav Shlomo Zalman Auerbach held that it was only permitted to take an ongoing medication on Shabbat if skipping a day in middle of continuous medication would cause the patient damage or if the medication must be done for a certain number of days which would automatically include Shabbat. Rav Hershel Schachter (in a shiur on yutorah.org (min 44-48)) explained that the gemara Avoda Zara 28a seems to clearly support the opinion of those who say that one may not take medication on Shabbat even if one began to take the medication before Shabbat. However, he also cited the opinion of the Brit Olam who held that if the only way to take a certain medication was to take it for a number of consecutive days which includes Shabbat, it would be permitted to take the medication on Shabbat.
  29. Shemirat Shabbat KeHilchata 34:3,Tzitz Eliezer 8:15:14:6, Chazon Ovadiah Shabbat vol. 3, page 403, Piskeh Teshuvot 328:46
  30. Shemirat Shabbat KeHilchata 35:30 (in the new edition) writes that a band aid shouldn’t be removed on Shabbat in an area where there’s hair because removing the band aid will certainly pull out hairs. However, the Shemirat Shabbat KeHilchata writes that it’s permissible to use a Benzine to remove the band aid so it won’t rip out any hairs that’s assuming the cream was set aside before Shabbat and isn’t Muktzeh. Nonetheless in the footnote he quotes Rav Shlomo Zalman saying that if it’s painful it may be removed because it’s a pesik reisha delo nicha leih (פסיק רישא דלא ניחא ליה), keleacher yad (כלאחר יד), and mekalkel (מקלקל).
  31. The Yalkut Yosef (Shabbat 4 pg 179, kitzur S”A 328:101, 340:6) writes that if there’s a need, it’s permissible to remove a band aid from an area of hair on Shabbat because it’s a pesik reisha delo nicha leih (פסיק רישא דלא ניחא ליה) for a Derabbanan. In the footnote he writes that even though the Or Letzion (vol 2, pg 259) is strict, his father (Rav Ovadyah, in Haskama to Lev Avraham), Rav Yitzchak Elchanan (Bear Yitzchak Siman 15), and Rav Shlomo Zalman (from Shemirat Shabbat KeHilchata) are lenient.
  32. Most poskim (oral ruling by Rav M. Feinstein, quoted in Kitzur Hilchos Shabbat 44, note 117); Rav S.Z. Auerbach in Shulchan Shelomo 328:45; Ohr l’Tziyon 2:36-15; Az Nidberu 7:34, 35; Rav C.P. Scheinberg, quoted in Children in Halachah, pg. 88; Rav N. Karelitz, quoted in Orchos Shabbat 11:35) permit removing the protective tabs from a Band-Aid, while others (Minchas Yitzchak 5:39-2; 9:41; Rav Y.S. Elyashiv, quoted in Machazeh Eliyahu 70) are stringent. To satisfy all opinions, one may prepare Band-Aids for Shabbat use by peeling off their protective tabs and re-sealing them before Shabbat; once they have been prepared in this fashion, they may be used on Shabbat (Tzitz Eliezer 16:6-5). Sh”t Bear Moshe 1:36 writes that it is obvious that it is permitted to remove the plastic tabs from the sides of a bandaid on Shabbat and it isn't Koreah.
  33. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)based on Shulchan Aruch 328:23
  34. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)writes that it is permissible to wear braces on Shabbat because the goal of the treatment or procedure can only be achieved without the use of medicine.
  35. Shulchan Aruch OC 328:42 writes that one may not do exercise to break a sweat on Shabbat as it is considered refuah. Shemirat Shabbat Kehilchata 34:22 agrees.
  36. Shemirat Shabbat Kehilchata 34:23
  37. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)quoting Shulchan Aruch O.C. 328:28 and Mishna Brurah 328:89
  38. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)
  39. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)
  40. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)
  41. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)
  42. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)
  43. Rabbi Mansour explained that according to Rav Ovadia it was permitted to use a medicine for a baby who is in pain because they are considered a choleh shein bo sakana (Rama 328). Dabbing on the cream without rubbing or smoothing it is permitted based on the Chazon Ish. Furthermore, it is permitted to rub in the cream completely and it isn't considered memare'ach (Yabia Omer 4:27 based on Magen Avraham).
  44. The Weekly Halachah Discussion (Rabbi Doniel Neustadt) based on ruling of Rav S.Z. Auerbach in Shemiras Shabbat K’hilchasah 34, note 113.
  45. Contemporary Questions in Halacha and Hashkafa pg. 144 writes that this is because it wasn't included in the initial gezeira of refuah since its benefits cannot be duplicated with pills or other standard medicines.
  46. 39 Melachos (Rabbi Ribiat, vol 2, pg 478), Rabbi Doniel Neustadt on Torah.org, See Mishna Brurah 328:141,142
  47. Shemiras Shabbat K’hilchasah 14:35; Shalmei Yehudah, pg. 179, Rabbi Doniel Neustadt on Torah.org
  48. Rabbi Mansour on DailyHalacha.com, Chacham Ovadia Yosef Halacha Yomit
  49. This is the view of Shulchan Aruch ha-Rav 328:19 and Eglei Tal (Tochen 18). Some poskim (Rav S.Z. Auerbach, quoted in Shemiras Shabbat K’hilchasah 33, note 18; Shevet ha-Levi 8:93) rule that one may rely on this view, especially when there is “danger to a limb.” Note, however, that Mishna Brurah, Aruch ha-Shulchan and most poskim do not agree with this leniency.
  50. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)
  51. Rav Schachter (Brachot Shiur 64 min 107)
  52. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)
  53. 39 Melachos (Rabbi Ribiat, vol 2, pg 481), Rabbi Doniel Neustadt on Torah.org, Rav S.Z. Auerbach (Shemiras Shabbat K’hilchasah 34, note 52) write that there is room for leniency in kavod ha-beriyos situations, e.g., a constantly dripping nose which is disturbing to people who are around him.
  54. 39 Melachos (Rabbi Ribiat, vol 2, pg 481), The Weekly Halachah Discussion (Rabbi Doniel Neustadt)
  55. Rabbi Eli Mansour
  56. Shmirat Shabbat KiHilchata 34:1,3).
  57. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)
  58. Rabbi Heinemann quoted by the Star-K
  59. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)
  60. Mishna Brurah 326:19, The Weekly Halachah Discussion (Rabbi Doniel Neustadt)
  61. 39 Melachos (Rabbi Ribiat, vol 2, pg 481)
  62. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)based on S”A 327:1
  63. 39 Melachos (Rabbi Ribiat, vol 2, pg 481), The Weekly Halachah Discussion (Rabbi Doniel Neustadt)
  64. Chacham Ovadia Yosef, Rav Moshe Stern, and Rav Shlomo Zalman Auerbach cited on Halacha Yomit
  65. Rabbi Doniel Neustadt on Torah.org, It is prohibited to tear cotton balling on Shabbat; Minchas Yitzchak 4:45; Shemiras Shabbat K’hilchasah 35:20.
  66. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)
  67. The Weekly Halachah Discussion (Rabbi Doniel Neustadt) based on S”A O.C. 328:20. Shulchan Aruch O.C. 328:9 states that if someone's eyes are inflamed or it has pus or blood coming out, or tears pouring out, one can violate Shabbat. Mishna Brurah 328:22 quotes the Gemara which explains that even though for a regular Sakanat Ever we shouldn't violate Shabbat since the health of a person's eyes are linked to his entire health he can violate Shabbat.
  68. Chazon Ovadia Shabbat v. 3 p. 233 cited by Tiferet 328:31
  69. Chazon Ovadia v. 3 p. 234 and Chut Shani 4:89:16 cited by Tiferet 328:31. Chazon Ovadia explains that even though the doctors say that today there's no concern that a loss of a person's vision will lead to a premature death we can continue to follow the health concern of the gemara.
  70. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)based on S”A O.C. 306:7
  71. Mishna Brurah 328:46, 47
  72. Chazon Ovadia v. 3 p. 244-6 cited by Tiferet 328:26
  73. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)See Ketzos ha-Shulchan 138, pg. 100; Minchas Yitzchak 3:35; Be’er Moshe 1:33; 2:32.
  74. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)See Ketzos ha-Shulchan 138, pg. 98; Tzitz Eliezer 8:15 (15-21); Az Nidberu 1:31; Shemiras Shabbat K’hilchasah 34:4
  75. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)
  76. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)
  77. 39 Melachos (Rabbi Ribiat, vol 2, pg 477)
  78. 39 Melachos (Rabbi Ribiat, vol 2, pg 481)
  79. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)
  80. The Weekly Halachah Discussion (Rabbi Doniel Neustadt). See Refuas Yisrael, pg. 245.
  81. Rav Yisroel Belsky (Shu"t Shulchan HaLevi 10:2) ruled that lactase pills may be taken because they are not viewed as medicines. Chazal only forbade medicines because a person who is ill is physically distressed and might impetuously grind the ingredients on Shabbos. Lactase pills are not used to treat an illness. They simply provide the body with the missing enzymes that are necessary for the digestion of the milk sugars.
  82. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)
  83. see Beer Moshe 1:34:7page 78 is lenient as is Rivevot Ephraim 2:115:23:page 192, 3:536:6, 4:97:5, 6:195, Nishmas Shabbos 5:318, Cheshev Ha’efod 2:59
  84. Mishna Brurah 328:146
  85. Yeshiva.org based on Rav Dov Lior in his book Dvar Chevron Siman 236 pg. 125
  86. Chazon Ovadia v. 3 p. 234 cited by Tiferet 328:31
  87. Shemiras Shabbat K’hilchasah 34:29
  88. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)based on S”A O.C. 328:22 and Mishna Brurah 90.
  89. Rav Shlomo Zalman Auerbach and Chacham Ovadia Yosef are lenient See Minchas Yitzchak 3:21, Tzitz Eliezer 9:17, Be’er Moshe 1:33 and Shalmei Yehudah, pg. 176, for the various views.
  90. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)quoting Rav S.Z. Auerbach (Shemiras Shabbat K’hilchasah 14:45); Shraga ha-Meir 5:23. Rav Y.S. Elyashiv, however, recommends not using pliable ear plugs on Shabbat; see Ashrei ha-Ish 17:117; 33:7
  91. S”A 328:32
  92. S”A 328:37
  93. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)quoting Mishna Brurah 328:88 and Sha’ar ha-Tziyun 63. 39 Melachos (Rabbi Ribiat, vol 2, pg 478) writes one may remove a splinter even if it may bleed, but one may not remove if it will certainly bleed unless it is very painful.
  94. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)
  95. Minchat Shelomo 2:34-33 and Nishmas Avraham, vol. 4, O.C. 340. See also Shemiras Shabbat K’hilchasah 33, note 26, and 35, note 65-66.
  96. The Weekly Halachah Discussion (Rabbi Doniel Neustadt). See [1].
  97. Rabbi Doniel Neustadt on Torah.org, Mishna Brurah 328:147
  98. Machasit Hashekel 328:32 is lenient if it is impossible to avoid since it is only derabbanan and for tzaar it is permitted. Kaf Hachaim 308:96 agrees. However, Shulchan Aruch Harav 308:38, Gedulat Elisha 308:53, and Ben Ish Chai Miketz Shana Sheniya n. 12 are strict if it is a pesik reisha. Tehilah LDovid 328:47 asks why would it be forbidden if it is a pesik reisha since it is only a derabbanan of chavala and for tzaar it is permitted. He rejects the implication otherwise from Tosfot Sanhedrin 85a s.v. vrabbi shimon. Biur Halacha 308:11 s.v. hakotz explained the Magen Avraham like the Shulchan Aruch Harav and cites the Chemed Moshe who is lenient like the Machasit Hashekel. Rav Nevinsal in Byitzchak Yikareh 308:11 that he thinks the opinion of the Chemed Moshe is reasonable. See Leviat Chen who agrees.
  99. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)
  100. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)
  101. Shemiras Shabbat K’hilchasah 34:12
  102. Mishna Brurah 328:144
  103. Tzitz Eliezer 8:15 (15-12)
  104. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)writes in order to avoid sechitah and/or libun, only paper towels or napkins should be used and care should be taken not to squeeze them.
  105. Be’er Moshe 1:33-18, Contemporary Questions in Halacha and Hashkafa pg. 144, Rabbi Meyer Yedid. Rabbi Yedid says that this is because the refuah cannot be replicated through medicines and therefore wasn't included in the rabbinic enactment against refuah. See also Shemiras Shabbat K’hilchasah 35:35
  106. Rabbi Heinemann cited by the Star-K. See Shulchan Shlomo 328:37 and Halachos of Refuah on Shabbos p. 29.
  107. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)based on S”A O.C. 328:32. See also Mishna Brurah 328:102
  108. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)based on Rama, O.C. 328:3. See Tzitz Eliezer 9:17 (2-11)
  109. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)
  110. Refer to Minchas Yitzchok 8:18, Shevet Ha’kehusi 1:109, Nishmas Shabbos 2:9.
  111. Refer to Shemiras Shabbos K’hilchoso 40:7, Tzitz Eliezer 13:34.
  112. Shemiras Shabbos K’hilchoso 33:4, Shulchan Shlomo 314:13:3, Avnei Yushfei 4:58 quoting the opinion of Harav Elyashiv Shlita. Refer to there footnote 30 for the reason.
  113. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)
  114. Nishmas Avraham 1:340:5:page 245.
  115. Shemirat Shabbat KeHilchata 34:4 based on Shulchan Aruch 328:37, Aruch Hashulchan 328:48. Refer to Mishna Brurah 328:117-118. See Ketzos Ha’shulchan 134:16:pages 31-32 in depth on what constitutes a health persons food.
  116. Rabbi Doniel Neustadt on Torah.org, 39 Melachos (Rabbi Ribiat, vol 2, pg 477)
  117. Minchas Yitzchok 3:35:2, Be’er Moshe 1:33:5, 2:32, 6:39, Shraga Hameir 2:40, Refuas Yisroel page 16:footnote 42. Refer to Divrei Chachumim pages 137-138:389 who quotes a lenient opinion.
  118. Minchas Yitzchok 3:35:2, Be’er Moshe 1:33:5, Refuas Yisroel page 16:footnote 42, Chazon Ovadia v. 4 p. 141 cited by Tiferet 328:1
  119. Yalkut Yosef v. 4 p. 143 cited by Tiferet 328:2
  120. The Weekly Halachah Discussion (Rabbi Doniel Neustadt)
  121. The Weekly Halachah Discussion (Rabbi Doniel Neustadt) references Igros Moshe, O.C. 3:54, Minchas Shelomo 2:37 and Shemiras Shabbat K’hilchasah 34, note 86, quoting Rav S.Z. Auerbach. See, however, Tzitz Eliezer 14:50, who takes a more lenient approach concerning vitamins on Shabbat.
  122. Opinion of Harav Yaakov Kamenetsky zt”l quoted in Divrei Chachumim page 137:footnote 389, Shemiras Shabbos K’hilchoso 34:footnote 85. In regard to regular vitamins see Divrei Chachumim pages 137-138, Igros Moshe O.C. 3:54, Nishmas Avraham 1:328:pages 212-213, Shulchan Shlomo 328:58, Tzitz Eliezer 14:50, Oz Nedberu 6:72, Be’er Moshe 1:33, Shalmei Yehuda 10:footnote 51.
  123. Shemirat Shabbat KeHilchata 32:33 based on the idea of Baal HaMoer quoted in S”A 248:4. Shemirat Shabbat KeHilchata (chap 32 note 99) quotes Rav Shlomo Zalman who says that if an expert doctor who is needed for this surgery is only available on Wednesday through Friday it is permissible to schedule the surgery then. For background of this topic see here.
  124. Yalkut Yosef (Shabbat, vol 1, pg 60)
  125. Shemirat Shabbat KeHilchata (chap 32, note 98 (note 100, in new one)).For background of this topic see here.
  126. Shemirat Shabbat KeHilchata 36:4 based on the principle of the Baal HaMoer. For background of this topic see here.
  127. Sh”t Igrot Moshe 1:131 and Shemirat Shabbat KeHilchata 30:26
  128. Shemirat Shabbat KeHilchata (chap 40 note 71) in name of Rav Shlomo Zalman Auerbach explaining that since there is a mitzvah of oneg Shabbat one is not obligated to leave one’s home on Friday in order to avoid violation of Shabbat. For background of this topic see here.
  129. Even though Igrot Moshe OC 4:80 was lenient, Rav Shlomo Zalman Auerbach in Minchat Shlomo 1:8 was strict. Rav Ovadia Yosef in Chazon Ovadia v. 3 p. 253 is strict. Tzitz Eliezer 21:59 writes that someone who relies on Rav Moshe has what to rely upon.
  130. Gemara Shabbat 42a, Shulchan Aruch O.C. 308:18, Mishna Brurah 408:77