Is expiation obligatory for someone who engaged in sodomy during the day in Ramadan while under the influence of medications that affect his consciousness, knowing that he had not committed this act before taking the medications?

Homosexuality (liwat) is a major sin. Allah punished its practitioners with destruction. Whoever commits this act in Ramadan (definition), being aware of what he is doing, must repent sincerely, seek forgiveness, and offer expiation (kaffarah (definition)), which is: freeing a slave. If he cannot find one, then fasting for two consecutive months. If he is unable to do that, then feeding sixty poor people. This crime becomes even more sinful during the daytime in Ramadan, because a sin is magnified by the time and place in which it is committed.