The Holy month of Ramazan, is observed by "Fasting".

Many patients on long term therapy are confused how to manage the timings, dose quantity & dose frequency of essential drugs, prescribed to them.

The best option would be to have the "treating Doctor" suggest solutions, but in this busy world the best option may not be the available one.

So here is a small list on how you may proceed:

1) Patients using Anti TB, Diabetes (insulin & oral), Cardiac (Heart failure Drugs, BP, Cholesterol), GERD (Gastritis & Reflux), Asthma & COPD medicines should not stop medicines.

2) The timings can be shifted from after Breakfast to "Iftaar" and Dinner to "Sehari".

3) Since the period of Sehari to Iftaar is a long one, hence Sehari Doses should be reduced for 

a) Anti Hypertensive (BP) medicines

b) Anti Diabetic (Insulin & Oral)

the dose reduction would depend on the Blood Pressure & Blood Glucose (Sugar) levels (most people have better control of BP & Sugar during fasting & may require less doses)

4) BP & Heart Medicines containing "Diuretics" (excess water removing medicines) & Anticoagulants (Blood thinning medicines) are best to be used after Iftaar.

5) Asthma, COPD, GERD (Gastritis & Reflux), Cholesterol medicines should be taken in same doses.

Other precautions:

1) Maintain proper Hydration (Water & Salt intake) to prevent dehydration.

2) Dry fruits are good source of energy and can be used (unless stopped by your Doctor) 

3) Avoid excess of oily, fatty, salty & sweet food items.

Kindly remember, in any emergency / health dilemma, your treating Doctor is your BEST GUIDE.

Wishing all Good Health during Holy Ramazan.