The KA distributes a full medicine list to rabbis, doctors and pharmacists - please contact your local rabbi. The Kashrut Authority also has access to additional information that may not be on the list. Please email Rabbi Gutnick on
with any specific enquiry, and we will do our best to assist.
The following are guidelines for the uses of medication on Pesach for individuals who are ill:
1. Creams, non-chewable pills and injections may be owned and used on Pesach even if they contain chametz, since they are inedible. This covers most medicines used by adults.
a. It is permissible to grind pills and mix the powder into food items so that a child can take medicine on Pesach. However a doctor must be consulted to make sure that the child is getting the correct dosage and that the potency of the pill is not compromised by grinding it up. If an equally effective chametz free alternative is available it should be used.
2. Liquid medicines, chewable pills and pills coated with a flavoured glaze are edible and contain chametz. Therefore:
a. If possible, they should be replaced - under the direction of a doctor - with a non-chewable, uncoated pill.
b. If substitution is not possible and the person is in a state of sakanah or safek sakanah (any possible danger to human life), they may own and consume the medication. The same applies if the condition is not yet a safek sakanah but may deteriorate. A rabbi should be consulted as to whether it is preferable to purchase the medicine before or on Pesach, and as to how to dispose of the medicine once the danger passes.
c. If substitution is not possible and a doctor determines that there is no possibility of sakana if the person does not take the medicine a rabbi should be consulted. He may be able to determine that the medicine does not contain chametz or he may decide that the medicine may be consumed due to the seriousness of the patients condition.
3. In most cases medicinal items which contain kitniyot are permitted for people who are ill. Questions on this issue should be directed to your local rabbi.
4. People should exercise extreme caution and consult with their doctor and rabbi before making any decision to not take a medicine.