Fatwa ID: 07068

Answered by: Mufti Mohammed Dilwar Hussain

Question:

As a pharmacy, we give them Mifegymiso prescription boxes, that they keep in stock, and use when needed. And periodically they bring us prescription papers with patients, so we can bill those to the patient’s insurance company.

So I would like to ask you if it is ethical and shariah compliant for me to sign these prescriptions with my signature.

I’m not involved in any other parts of the procedure. Simply just giving the Mifegymiso to the clinic, billing the prescriptions and signing off on them.

In the name of Allah, the Most Gracious, the Most Merciful

Answer:

This medication contains two different medications that are taken at different times: mifepristone and misoprostol. Mifepristone belongs to the class of medications called progesterone receptor modulators. It works by disrupting the way the hormone progesterone works in the body. Misoprostol belongs to the class of medications called prostaglandins. It works by causing muscle contractions in uterus, relaxation of the opening of the cervix, and shedding of the endometrium.

Mifepristone-misoprostol is used to terminate a developing pregnancy up to 63 days from the start of the last menstrual period.

Every month, progesterone is produced by the body to prepare the endometrium (the lining of the uterus) for a fertilized egg to implant. When no egg attaches to the wall of the uterus, the body stops producing progesterone and a menstrual bleed occurs. When a fertilized egg attaches to the wall of the uterus, progesterone continues to be produced, to support the growing embryo. When mifepristone is taken, it blocks the effect of the progesterone, causing the endometrium to break down and bleeding to begin. [1]

The consumption of this drug is Haraam unless there are extenuating mitigating circumstances.

From what you have explained, it is clear that you are not the one supplying, procuring, sourcing, or facilitating the Haraam so liability would not fall on you.

[1] https://www.medbroadcast.com/drug/getdrug/mifegymiso

Only Allāh Ta’ālā knows best.

Written by Mufti Mohammed Dilwar Hussain

Checked and approved by Mufti Mohammed Tosir Miah

Darul Ifta Birmingham