If a medicine is applied to the skin near the mouth, and some is accidentally swallowed, is it a problem if the ingredients may not be kosher?
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To properly answer your question, I really have to ask you what you mean by a problem. Are you asking if this person has committed a sin? Are you asking what someone should do in this type of situation? Are you asking if medicine has to be kosher? To be honest, it is very strange for me as a Rabbi to respond to a question framed in this manner. What people generally ask me regards their behaviour – what they should do given a certain set of facts. This may be your question as well; asking, through this word ‘problem’, what should be done in such circumstances. Framing the question in this way, though, does detract from what I believe should be the focus of following Torah guidelines – i.e. our behaviour.
Let us begin with the assumption that you are asking if the person in this case committed a sin. Sin within Halacha is somewhat similar to our criminal law system which generally demands mens rea, a certain type of criminal intent, for someone to be liable. This is not to say that this halachic concept of intent is fully similar to mens rea but it is clear that to commit a sin within the parameters of Halacha, there has to be a certain level in the intent or weakness in the concentration that surrounds an action.
One has clearly sinned if one does a forbidden act, with intent to do such an act, knowing that it is forbidden. That is referred to in the literature as meizid, intentional sin. One is also deemed to have sinned if one is negligent in his/her duty to ensure that he/she does not sin. This type of sin is referred to as shogeg, negligent sin. This case would seem to clearly not be a case of meizid, as the person did not intend to swallow something non-kosher (We will deal later with the question whether kashrut is even an issue in this case). Would this then be a case of shogeg? This would involve the question of whether the person took normative steps to ensure that he/she would not swallow the non-kosher item (if kashrut is an issue) given its proximity to the mouth. As this seems to involve medicine which a person would naturally try to avoid swallowing, and from your use of the word ‘accident’, we can perhaps assume that such steps were also taken – thus it was through no fault of the person that this non-kosher item was swallowed. In such cases, Halacha applies the term anoos, meaning non-responsible, and T.B, Nedarim 27a informs us that anoos Rachmana patur, that God does not hold an individual culpable for behaviour for which he/she had no control.
So if your question was whether this behaviour was a sin or not – still putting off the issue of kashrut itself -- it would seem most likely not, unless the person, knowing the item to be non-kosher and that there was a possibility of swallowing it, was sloppy in putting on the medicine and this resulted in the consumption. But, still, so what? So this happened? The real question, thus, should be what to do and the answer to this would be to do teshuva, repent. This would mean, in this case, to consider and regret what one did and, in such circumstances in the future, take steps to ensure that one is not similarly sloppy.
This is still only part of the necessary discussion. Your question also states that there may be non-kosher items in the medicine. This raises the question of how we are to approach items when the kashrut of the item is in question. The above discussion assumes we are dealing with an item that is not kosher. Your question concerns an item that is not definitely non-kosher. Does that change the response?
In addition, even if the item contained non-kosher items, does the issue of kashrut even apply in such circumstances, to this type of medicine? The kosher laws apply to foodstuffs and for something to be defined as not kosher it has to meet certain standards of being edible. Right from the beginning there would actually seem not to be an issue for we are talking about some type of lotion and not a food product. Assuming it not to be edible, the whole issue of kashrut would seem to not even apply. On the other hand, we should still note, there is a mandate also within the Halacha to take care of oneself (see Devarim 4:15) and thus, if this lotion applied on the skin could make someone ill, aside from a general health directive, there would also be a halachic directive to try and put on the lotion without consuming it for one could get sick thereby. Is there a problem? Yes and learn thereby to be more careful.
What about the question of whether there really was a non-kosher item in the item or not (assuming it to be food). Lack of surety regarding a substance can, at times, indeed lead to a distinction in the halachic conclusion. There are times when a substance for which one is unsure of the kashrut is to be treated exactly the same as if there was absolute knowledge that it was not kosher. There are other times, though, where a question of surety of substance can yield a different conclusion. The application of these laws, though, can be complicated so I won’t go further into this topic at this time; my purpose being to simply point out this issue.
There is, perhaps, one other concept I should also point out before concluding. While our case here did not involve a foodstuff, there is law involving food that has some application to the concepts we have discussed. From what I have presented, we can conclude that eating something not kosher is only a problem if done in a sinful manner, be it meizid or shogeg. The fact that one consumed something not kosher accidently is not a problem, i.e. the person has done nothing wrong. There is a question in the literature, though, regarding a Jewish baby nursing from a non-Jewish woman (with the assumption that she has eaten non-kosher food, albeit, as a non-Jew, she is permitted to do so) and/or a Jewish baby nursing from his/her mother after the mother ate, with halachic permission because of illness, something not kosher. Even though no sin would be involved in this, Rema, Shulchan Aruch, Yoreh De’ah 81:7 still states that this should still be avoided if possible as non-kosher items, even if consumed in a manner without sin, can still be detrimental to our souls. Thus, pursuant to this viewpoint, when it comes to issues of kashrut, our concern can even go beyond the issue of sin. Others, however, still disagree with Rema’s view and permit the nursing of a baby by a mother who, with permission, ate something not kosher for such an item is only detrimental if its consumption is done in sin. Further to our purposes, I would still like to point out that Rema is still dealing with a question of behaviour. What should a nursing mother do? You still don’t find a question of what to do with a baby who nursed from a non-Jewish woman.
Generally speaking, all matters concerning our health and the preservation of our life trump matters of Kashrut. Taking medication is actually not much of a conflict because medication is not food and would never be consumed as a substitute for food. Therefore, the laws of Kashrut do not apply to medication. Any medication that is not taken by mouth, such as injections and creams are obviously not beholden to the laws of Kashrut because they are not ingested by mouth. Therefore, in this specific case, the medication that unintentionally went into the mouth is not a problem because the laws of Kashrut do not apply.
For those medications that are taken by mouth (such as liquids and supplements), again, both the principle of preservation of health and the understanding that medication is not food outweigh the concerns of Kashrut. That being said, it is preferable and encouraged to use certified kosher medications and supplements wherever available.
If a medicine is applied to the skin near the mouth, and some is accidentally swallowed, is it a problem if the ingredients may not be kosher?
A related question is addressed in the Reform responsa literature (Reform Responsa for the Twenty-First Century, vol. I, #5758.8: “Medical Experimentation: Testing Drugs Made of Pork By-Products”). Here are the relevant elements of that responsum:
1. There is a well-established principle in Judaism called pikuaḥ nefesh, “saving life.” For purposes of saving a life, the law allows – even mandates – that all the commandments may be violated, with the exception of three prohibitions: idolatry, forbidden sexual relations, and murder. The Shulchan Arukh states explicitly that in case of serious (i.e., potentially life-threatening) illness it is permitted to use for healing any of the substances prohibited in the Torah, as long as these three prohibitions are not violated in the process. The reasoning is that in medical circumstances the forbidden substance is not being consumed for its hana’ah (“benefit, enjoyment”) as food.
2. If the illness is not serious, it is still permitted to use a non-kosher substance as a medicine if it is not being consumed as food, but rather administered in some other way, e.g., an injection or cream. Even if it is taken orally, it can be mixed with a bitter substance, so that the patient is clearly taking a medicine and not “enjoying” a food.
In this case, the medicine is not intended for consumption, and even consuming it intentionally would not be food hana’ah. Ingesting it accidentally would certainly not be food hana’ah, so there would be no problem.
However, the questioner does not indicate whether the non-kosher substance is the essential medicinal element or merely the medium to deliver the medicine. If the forbidden food is only the medium, one might argue that there is less need to consume it. An extremely stringent individual might ask if there is an alternative. However, even if the forbidden food is merely the medium for the medicine, it is still true that the person using the medicine does not intend to derive food hana’ah from the forbidden substance, so there is still no problem. In any case, whatever the forbidden food was originally, it has certainly been so chemically altered by processing that it is no longer identifiable as food, and therefore is not a problem.
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