{"id":5585,"date":"2011-03-04T08:07:33","date_gmt":"2011-03-04T06:07:33","guid":{"rendered":"https:\/\/ph.yhb.org.il\/en\/?p=5585"},"modified":"2021-03-21T10:27:07","modified_gmt":"2021-03-21T08:27:07","slug":"04-08-07","status":"publish","type":"post","link":"https:\/\/ph.yhb.org.il\/en\/04-08-07\/","title":{"rendered":"07.\u00a0Medicines on Pesa\u1e25"},"content":{"rendered":"

Medicines are the subject of some of the most common questions on Pesa\u1e25. For example, there is concern that pills contain wheat-based starch. The purpose of the starch is to solidify and harden the pills. Had the starch been produced from potatoes or kitniyot<\/strong>, there would be no problem even for Ashkenazim, as for medicinal purposes one may swallow pills containing kitniyot<\/strong>. But what about starch extracted from a type of grain that can become \u1e25ametz<\/strong>? It must be emphasized that a dangerously ill person whose treatment requires eating \u1e25ametz<\/strong> has a mitzva to eat \u1e25ametz<\/strong>. Saving a life overrides the prohibition against eating \u1e25ametz<\/strong>. The question applies to an ill person whose life is not at risk.<\/p>\n

The answer depends on the taste of the medicine: if it is flavored, like syrup, lozenges, or chewables, then one must ascertain that it is kosher for Pesa\u1e25. In cases of uncertainty, it is forbidden to ingest them. Under pressing circumstances, if there is no way to clarify the uncertainty, one may be lenient (see the note).<\/p>\n

However, if the medicine is bitter or tasteless to the point that it is not fit as food, it may be swallowed on Pesa\u1e25. Even if the starch was derived from wheat, since it has been mixed with various bitter substances it is inedible and has lost its status as \u1e25ametz<\/strong>. As we have seen, \u1e25ametz<\/strong> that was rendered unfit for a dog\u2019s consumption before Pesa\u1e25 is no longer considered \u1e25ametz<\/strong> and may be kept on Pesa\u1e25. The fact that one wants to swallow the medicine does not demonstrate that the \u1e25ametz<\/strong> in the medicine is important to him, since the medicine, not the \u1e25ametz<\/strong>, is significant for him, and the \u1e25ametz <\/strong>itself is bitter and unfit for consumption. The \u1e25ametz<\/strong> in it is thus batel<\/strong> and not prohibited (\u1e24azon Ish, <\/strong>Mo\u2019ed 116:8; Igrot Moshe<\/strong>, O\u1e24 2:92).<\/p>\n

Some meticulously observant people try to avoid even bitter medicines that contain \u1e25ametz<\/strong>. They show concern for the opinion of the few poskim<\/strong> who maintain that medicine is not considered unfit for a dog\u2019s consumption since we deem it significant, and it is thus rabbinically prohibited. Other poskim<\/strong> permit swallowing bitter medicines that contain \u1e25ametz <\/strong>starch for one who is bedridden or whose entire body is in pain, but rule stringently for one suffering from mild aches and pains. But the view of most poskim<\/strong> is that bitter medicines containing \u1e25ametz<\/strong> starch may be taken by any ill person and even only to reduce mild pain, as a prophylactic, or to fortify the body.<\/p>\n

Practically speaking, if one is uncertain whether certain bitter or tasteless medicines contain wheat starch, he may swallow them without checking that they are free of wheat starch. As we have learned, most poskim<\/strong> maintain that medicines rendered unfit for a dog\u2019s consumption before Pesa\u1e25 may be consumed during Pesa\u1e25 even if they are known to contain \u1e25ametz<\/strong>. Even one who prefers to comply with the stringent opinion on this issue need not be strict if he is uncertain whether the medicine contains \u1e25ametz<\/strong>. This is especially true nowadays, when we know that potato and corn starch are used more widely than wheat starch. Thus, in practice, one may consume bitter or tasteless medicines on Pesa\u1e25 without ascertaining whether they contain \u1e25ametz<\/strong>. When one knows for certain that a particular medicine contains \u1e25ametz<\/strong> starch, he may choose to rely on the lenient opinion of most poskim<\/strong> or the stringent minority.[9]<\/a><\/sup><\/p>\n

\n
\n
\n[9]<\/a>. \u1e24ametz <\/strong>that was rendered unfit for a dog\u2019s consumption prior to Pesa\u1e25 is no longer considered \u1e25ametz<\/strong>, and according to Ha-m<\/strong>a\u2019or<\/strong>, Ran, and other Rishonim it may even be eaten on Pesa\u1e25. Conversely, Rosh, Rabbeinu Yeru\u1e25am, and other Rishonim maintain that this type of \u1e25ametz<\/strong> is rabbinically prohibited, since by eating it the person assigns importance (\u201ca\u1e25shevei<\/strong>\u201d) to it and shows that, for him, the food is still edible. Accordingly, SA 442:9 and MB 43 ad loc<\/strong>. rule that one may keep such an item over Pesa\u1e25 since it is unfit for a dog\u2019s consumption and thus not considered \u1e25ametz<\/strong>. However, he may not eat it, since by eating it he assigns significance to it. However, even according to the view of Ha-ma\u2019or<\/strong> and Ran, it is not clear that it would be forbidden to swallow bitter \u1e25ametz<\/strong>-containing pills on Pesa\u1e25, and even according to Rosh and those who agree with him it may be permissible, since the A\u1e25aronim debate whether swallowing \u1e25ametz<\/strong> that is unfit for a dog\u2019s consumption for medicinal purposes assigns significance to the \u1e25ametz<\/strong>. Sha\u2019agat Aryeh<\/strong> \u00a775 states this indeed assigns significance to the \u1e25ametz<\/strong>, whereas Ktav Sofer <\/strong>O\u1e24 \u00a7111 states that it does not impart significance. If the \u1e25ametz<\/strong> is not the main ingredient in the pill, most A\u1e25aronim maintain that even Rosh would concede that swallowing a bitter pill does not impart significance to the \u1e25ametz<\/strong>. See \u1e24avalim Ba-ne\u2019imim<\/strong> 5:4; \u1e24azon Ish, <\/strong>Mo’ed 116:8; Igrot Moshe <\/strong>O\u1e24 2:92; Ye\u1e25aveh Da\u2019at<\/strong> 2:60; SSK 40:74; and many others. However, it seems that SAH 442:22 derives from the case of tiryaka<\/strong>, an edible type of medicine, that Rosh would prohibit swallowing a pill as well. Most authorities, who are lenient, would differentiate between tiryaka<\/strong>, which is eaten<\/strong> by the ill, and medicines that are swallowed but not eaten.<\/p>\n

Moreover, even when the starch is from wheat flour, it generally did not have time to rise, and at worst would be classified as \u1e25ametz<\/strong> nuksheh<\/strong>, which did not undergo a complete leavening and is only rabbinically prohibited. Since this \u1e25ametz<\/strong> nuksheh<\/strong> is part of a mixture within a bitter pill, there is no reason to be stringent. Nevertheless, some incline toward stringency (Arugat<\/strong> Ha-bosem<\/strong> 2:99, and Atzei Ha-Levanon<\/strong> \u00a719). Some have written that although these pills are technically permitted, the holy people of Israel are strict even about \u1e25ametz <\/strong>mixed into a bitter pill (Tzitz Eliezer<\/strong> 10:25:20). But Nishmat Avraham<\/strong> O\u1e24 1:466:1 states that most pills do not contain \u1e25ametz<\/strong> at all. It is further stated there in the name of R. Ovadia Yosef that even though he writes in Ye\u1e25aveh Da\u2019at<\/strong> 2:60 that only a genuinely sick person may be lenient, if it is uncertain whether or not the pill contains \u1e25ametz<\/strong>, there is no need to ascertain. As noted, the vast majority of poskim<\/strong> maintain that it is not at all prohibited to swallow a bitter pill, and even one with a minor ailment may take a pill that contains \u1e25ametz <\/strong>rendered unfit for a dog before Pesa\u1e25 started.<\/p>\n

A tasty medicine requires kosher certification. However, under pressing circumstances, and when it is uncertain whether there is \u1e25ametz<\/strong> in this medicine and there is no way to clarify (generally because companies guard the composition of medicines like a trade secret), since the vast majority of medicines do not contain \u1e25ametz<\/strong>, one may be lenient based on the majority, as explained in SA YD 110:3. Regarding concern for a prohibited substance in tasty medicines, I wrote in Peninei Halakha: Kashrut <\/strong>37:8 that if there is no medicine with kosher certification, one may take a tasty medicine without kosher certification. However, in the present case, due to the stringency of the prohibition of \u1e25ametz<\/strong>, I wrote that one may be lenient only under pressing circumstances.<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Medicines are the subject of some of the most common questions on Pesa\u1e25. For example, there is concern that pills contain wheat-based starch. The purpose of the starch is to solidify and harden the pills. Had the starch been produced from potatoes or kitniyot, there would be no problem even for Ashkenazim, as for medicinal […]<\/p>\n","protected":false},"author":10,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[61],"tags":[],"class_list":["post-5585","post","type-post","status-publish","format-standard","hentry","category-08-pesah-kashrut"],"yoast_head":"\n07.\u00a0Medicines on Pesa\u1e25 - Peninei Halakha<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ph.yhb.org.il\/en\/04-08-07\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"07.\u00a0Medicines on Pesa\u1e25 - Peninei Halakha\" \/>\n<meta property=\"og:description\" content=\"Medicines are the subject of some of the most common questions on Pesa\u1e25. 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