What is the ruling on using an asthma inhaler in Ramadan

Question : Honorable Shaykh, regarding the inhaler used by asthma patients, they are also inquiring about its ruling, Shaykh?

Answer : We hold that what is used for asthma comes in two types. The first type is like pills; it is released from the device in one's hand, then bursts in the mouth and descends from there to the stomach. This is not permissible except in cases of dire necessity. In that case, it is permissible, and the person breaks his fast and must make up that day. In this situation, if he breaks his fast, he may eat and drink for the rest of the day, because fasting is no longer obligatory for him. The second type is a gas that does not reach the stomach. This does not break the fast, because it is neither eating nor drinking, and it has no substance that reaches the stomach, so it does not invalidate the fast.