LMWH

Aslm w.w.

Dear brothers Shaiful, Risman and all. It is the dream of being in this
circle of brothers and sisters that we strive to be as knowledgeable in
Islam as much as we are in our Scientific/medical/health areas as Islam do
not recognise separation between knowledge of "dunyawi and Ukhrawi". It is
the secularists who have separated the knowledge.

Jazakumullahu khairan for the excellent review of low Molecular weight
heparin.

Alhamdulillah, there is now what appears to be a "solution" with synthetic
LMWH Fondaparinux, (synthetic pentasaccharide).

As brothers Shaiful Risman elegantly reminded us, the shariah is based on a
few principles :

1. The Usul of Fiqh which is based on Dharuriyyat, Hajjiyyat and
Tahsiniyyat

2. The Maqasid of Shariah, which follows the Usul of fiqh

I add....

3. QAWAI'D AL SHARI'AT

4. DHAWAABIT AL SHARI'AT

To add on to the hujjah, let us elaborate on the Qawa'id of Shari'at where
there are 5 principles :

* principle of intention, qa'idat al qasd

* principle of certainty, qa'idat al yaqeen

* principle of injury, qa'idat al dharar

* principle of hardship, qa'idat al mashaqqat

* principle of custom or precedent, qa'idat al urf

The evidence of the use of Fondaparinux in Acute Coronary Syndrome (Unstable
Angina, Non STEMI and STEMI) and deep vein thrombosis / Pulmonary embolism
is good enough for us to use all principles of Usul, Maqasid and Qawa'id
Shari'at as it gives us :

1. Good intention (qasd)

2. Yaqeen

3. Maximum benefit from injury

4. Used in hardship (illness - life threatening condition)

5. And has precedence e.g. use of heparin in ACS

At the same time, the same principles also allows us to still follow the
Qa'edah of Istihalah (conversion in form) and Istihlak (dilution with
purifying water) as it does not automatically nullify this principle.

I am mentioning this so that in certain conditions where Fondaparinux is
still not available due to accessibility, cost or just beaureucracy, one
should not, after reading the postings, say that because a "better
alternative is available" we should stop totally the use of Enoxaparine and
deny patients the only available therapy.

Those who have no choice but still use Enoxaparine, should still feel that
they are within the shariah but should do it with the intention (qasd) of
preserving Dharuriyyat. Then still do it with Yaqeen following the Qa'edah
of Istihalah, in a situation of preventing Dharar in a situation of
Mashaqqat. So Shariah is still prevails. In this situation, the
practitioner knows that it is then his/her duty to recommend to the
authority a better solution and is making da'awah by doing so.

The ultimate solution, is for the muslims to "convert" from being end users
to being manufacturers. Till when are we going to keep on using the
products of companies which contributes to the "Zionists agenda"? We talk
about boycotting McD, Starbucks etc. But we prescribe thousands of ringgit
worth of drugs manufactured by companies contributing to the killings and
murders of the muslim Ummah. We also depend on them for our academic
progress (CME) and free dinners & holidays?

Let us pray that we will be able to produce halal products for the human
race and there will come a time that the "halal label" will be unnescessary
because everything is halal.

"Dialah yang mengutus RasulNya (Muhammad) dengan petunjuk dan cara hidup
yang Haq, supaya kamu memenangkan Deen itu keatas segala system hidup yang
lain. Dan cukuplah Allah sebagai saksi" (surah al Fath)

"Dan perangilah mereka sehingga tiada lagi berlaku fitnah, dan deen (system
hidup) itu segalanya hanya untuk Allah (Al Anfaal)

"Sesungguhnya satu-satunya system hidup yang di terima oleh Allah adalah
ISLAM" (Al Baqarah)

Wallahu a'lam

Abdul Latiff