Ramadan, fasting and Parkinson's

If you are Muslim and have Parkinson’s, you may have questions around Ramadan and fasting, and how it might affect you. We find out more.

In Islam, Ramadan is a holy month and remembers when the Qur’an (the Muslim holy book) was first revealed to the Prophet Muhammad. 

During Ramadan, Muslims fast from sunrise to sunset and will not eat any food, drink anything (including water), have sex or smoke. 

The Qur’an says not everyone is expected to fast. This includes young children, pregnant women or older people who are frail or ill. 

Can I fast if I have Parkinson's?

If you have Parkinson’s, it’s important to take your medication on time, every time so your symptoms are well controlled and easier to manage. 

Taking oral medication is considered breaking a fast during Ramadan. 

Before you consider fasting, you should speak to your specialist or Parkinson’s nurse. They may be able to adjust your medication regime.

For example, if you are taking a low dose of a dopamine agonist, you may be able to switch to a single daily dose of your medication. Some people may be able to wear a skin patch, which you wear on your skin and it releases medication.

If you are taking higher doses of levodopa or have more complex symptoms, you may be advised not to fast. 

A bowl of dates that have been scattered.

Making a decision to fast

Fasting is one of the 5 pillars of Islam. Fasting is an act of worship for Muslims. It is also a chance to feel closer to God and a way for people to become more compassionate to others in need.  

Deciding whether to fast if you have Parkinson’s is an important decision for you, and you may have lots of thoughts, feelings and questions around it.  

You should talk to your specialist or Parkinson’s nurse about how fasting may impact your Parkinson’s. 

Your Imam can offer you spiritual advice and support. 

What if I can't fast?

Islamic teachings say that if you’re unable to fast, you can pay Fidya. This is a charitable donation you make when you have a good reason for missing the fast and will be unable to make up for it at a later date. 

People who need to take certain medication, such as Parkinson’s medication, are allowed to pay Fidya. 

You should speak to your Imam about arranging this.