Does an asthma patient break his fast by using an inhaler during the day in Ramadan?

The questioner : The questioner says: A man has asthma, and he has treatment with an inhaler. Is it permissible to use it during the day in Ramadan? Does it break his fast or not?

The Shaykh : This question states that a man has asthma. Asthma is a disease that constricts the breath, and the patient needs something they call a trap, which he inhales into his mouth, so the airways open up and he breathes. The questioner asks: Is it permissible to use it during the day in Ramadan, and does it break the fast of the one who is fasting or not?
We tell him: It is permissible for you to use it during the day in Ramadan while you are fasting, and it does not break your fast. This is because what comes from this device is something that disperses and evaporates, as it is a gas that is not swallowed or cut off. Its benefit is that it opens the airways so the patient can breathe. Therefore, it is permissible for the patient to use this inhaler during the day in Ramadan while fasting, and also outside of Ramadan if he is fasting. The important point is that it does not break the fast. A fatwa has been issued by the Council of Senior Scholars in this Kingdom stating that it does not break the fast. This is correct, because it is not eating or drinking, nor is it the equivalent of eating and drinking.
On this occasion, given the importance of the topic, we also say that the injections a patient receives do not break the fast, whatever these injections may be, whether they are injected into the muscles or into the veins, and whether or not he tastes them in his mouth. They do not break his fast because they are not eating, nor drinking, nor the equivalent of eating or drinking. If they are not described as such, and are not based on what is explicitly stated in the texts, then the default is to preserve the fast and its validity. This is because the fasting person fasts by the command of Allah and in accordance with the will of Allah, so we cannot invalidate his fast except by a ruling from Allah. There is no text indicating that what reaches the veins is a breaker of the fast. However, there are some injections that replace eating and drinking. If a person of legal age uses them and relies on them instead of eating and drinking, and thus satisfies his hunger, look, there are also those who are ignorant. Skins? The scholars call this type of injection... The closest opinion to me is that it breaks the fast, because it replaces eating and drinking. It is possible that someone might say that this also does not break the fast, because eating and drinking are breakers of the fast because they are nourishing, satisfying, and pleasant. The person who eats and drinks finds pleasure in consuming food and drink, which the one who uses this type of injection does not find. So in food and drink, there are two purposes: nourishment and pleasure.
These injections have only one purpose, and it has been clarified. In that case, the truth prevails. But I say, from the perspective of scholarly disagreement, that these injections break the fast, and it is not permissible for the fasting person to take them unless he is in a state of dire necessity, in which case he takes them and breaks his fast.