Assalamu ‘Alaikum wa Rahmatullahi wa Barakatuh honourable Mufti Saheb.
I pray that this email finds you in the best of health.
I refer to your answers to questions #411 and #13.
1. Is it permissible to use an asthma pump (inhaler) whilst fasting? Some scholars are of the opinion that because the medication goes directly to the lungs via the trachea this does not invalidate the fast. The minute residue that may make its way to the stomach (most of it is delivered to the lungs) may be comparable to that left behind when using a siwaak (or toothpaste) and/or rinsing ones mouth (and swallowing moisture left behind) i.e. not considered food and/or drink.
2. I am an asthmatic and if anything, I would consider the nebeuliser more worthy of breaking one’s fast than an inhaler, as the medicine is in a liquid form and although vapourised, a lot more ‘wet’ than that of an inhaler when injested. Kindly clarify the above, in light of your answers to question numbers (#411 and #13) where you allow the use of nebeulisers (makrooh – however not invalidating) whilst fasting, but not that of inhalers (invalidating).
3. With regard to the use of nose sprays during fasting, are they permissable? Here again, medicine is delivered to the sinuses and residue may make its way to the stomach. Is this then not comparable to water taken into nose during wudhu or ghusl that makes its way to the stomach i.e. not food and drink?
4. Is it permissable to do saline flushes whilst fasting? This would involve mixing salt and warm water and injecting it into sinuses through nostrils and immediately blowing out all the mucous and water.
I apologise for the lengthy questions and ask that you please remember us in your duas.