Drug intake during Ramadan

Aadil, Nadia; Houti, I; Moussamih, Samya

doi:10.1136/bmj.329.7469.778

Cited by 105 publications

(68 citation statements)

References 14 publications

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“…This potentially might lead to virologic failure and drug resistance. In chronic diseases like asthma, diabetes mellitus and epilepsy poor adherence to prescribed drugs during Ramadan may lead to therapeutic failures (Aadil et al 2004;Benaji et al 2006).…”

Section: Discussionmentioning

confidence: 99%

Adherence to Anti Retroviral Therapy (ART) During Muslim Ramadan Fasting

et al. 2008

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Annual fasting during the month of Ramadan is observed in Muslim countries, some of which have widespread HIV infection. We studied treatment adherence and customary practices among 142 fasting 'FT' and 101 non-fasting 'NFT' patients on anti-retroviral therapy (ART) in Nigeria. Adherence on ART among FT and NFT patients was similar during Ramadan, 96% and 98%, and ever since commencement of ART, 80% and 88%, respectively. FT patients altered their typical daily behaviors by advancing morning and delaying evening doses thereby prolonging dosing intervals, eating heavier meals pre-dawn and on breakfast at sunset (78%), and changing or reducing their sleeping and waking times (40%). This preliminary study suggests that adherence and drug taking frequency appear uncompromised in FT HIV infected patients on ARVs.

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Section: Discussionmentioning

confidence: 99%

Adherence to Anti Retroviral Therapy (ART) During Muslim Ramadan Fasting

et al. 2008

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“…A MEDLINE search of articles containing the word 'Ramadan' or a combination of 'fasting' plus either 'Muslim' or 'Islam' found that researchers have examined the effect of fasting during Ramadan on diabetes (Salti et al 2004, Sari et al 2004, breast milk composition (Rakicioglu et al 2006, Rashid 2007, cholesterol levels (Adlouni et al 1998, Qujeq et al 2002, seizure activity (Gomceli et al 2008), incidence of acute cardiac events (Al suwaidi et al 2004a), incidence of hospitalisation for congestive heart failure (Al Suwaidi et al 2004b), frequency of emergency department visits (Topacoglu et al 2005) and neonatal birth weight (Kavehmanesh and Abolghasemi 2004). Several studies have noted inadequate hydration (Schmahl andMetzler 1991, Leiper andMolla 2003); variations in nutritional intake (Gharbi et al 2003, Lamine et al 2006, Reilly and Waterhouse 2007; challenges with medication, administration and adherence (Aadil et al 2004, Habib et al 2008; and inadequacy of sleep (Roky et al 2003) during Ramadan.…”

Section: Introductionmentioning

confidence: 94%

Health is a spiritual thing: perspectives of health care professionals and female Somali and Bangladeshi women on the health impacts of fasting during Ramadan

et al. 2010

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There are a variety of health beliefs and observances among female Muslim Somali and Bangladeshi women and a range of knowledge, experience and opinions among health care professionals related to fasting during Ramadan and health. Overall, there is a need for improved communication between members of the Muslim community and health professionals in Canada about health issues related to fasting during Ramadan. Strategies could include published practice guidelines endorsed by the Muslim community; patient education materials developed in collaboration with health and religious experts; or further qualitative research to help professionals understand the beliefs and observances of Muslim people.

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“…1 Alterations in the pharmacokinetics and pharmacodynamics of the drugs may be additional problems. 2 It is claimed that people with mild hypertension can safely undertake Ramadan fasting with oncedaily preparations. 3 Grade 2-3 hypertension is associated with moderate to very high added cardiovascular risk, and combination therapy is recommended for effective blood pressure (BP) control in these patients.…”

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confidence: 99%