An epileptic patient taking medicine continuously during the daytime of Ramadaan

Question: All praise be to Allaah Alone, and peace and blessings be upon the Last of the Prophets. To proceed:

The Permanent Committee for Scholarly Research and Iftaa’ reviewed the submitted question by the Director of Da`wah and Guidance Center to His Eminence the Grand Muftee at Abha in his letter no. A/9/566, dated 5 Sha`ban 1414 A.H, which was referred to the Committee from the Secretariat General of the Council of Senior Scholars no. 3590, dated 8 Sha`ban 1414 A.H. His Eminence attached a question from a person stating:

My daughter is about thirteen and half years old, meaning she is pubescent and Mukallaf (person meeting the conditions to be held legally accountable for their actions). She has been diagnosed with epilepsy, and is currently being treated with medication which must be administered during the day and night. Taking into consideration that she still suffers from this disease and has seizures if she does not take the pills to be swallowed with water – on their prescribed time either day or night – is it permissible to pay Kaffaarah (expiation) for not observing Sawm (Fast)? Is it permissible to pay the Kaffaarah of the entire month all at once? The girl in question has been ill for eleven years and is still undergoing treatment. Please advise, may Allaah grant you success.

Then, a reply was sent to His Eminence with a letter no. 2/2395, dated25 Sha`baan 1414 A.H, requesting him to send the attached medical report. His Eminence’s reply was sent in letter no. A/9/641, dated 3 Ramadaan 1414 A.H, with a medical report stating: “The patient suffers from epileptic attacks. She regularly takes medicine for this reason five times a day during the day: 6 am, 7am, 8 am, 3 pm, and 4 pm. The medicine cannot be given only once or twice during the day or night.”

Answer: After studying the question the Committee answered that her father should pay 15 Saa` (1 Saa` = 3 kg. Approx.) if Ramadaan is thirty days. If it is twenty nine days, he should pay 14.5 Saa`. He should pay them to the poor, even if to one poor person either in the beginning of the month, during it, or at the end of it until Allaah cures more here.