**Product Overview*** **Manufacturer:** Tsumura* **Product Name:** Tsumura Kampo Keishito Extract Granules 20 Packets* **Pharmaceutical Classification:** Class 2 OTC Drug* **Category:** OTC Drug* **Pediatric Use:** For both adults and children* **Dosage Form:** Powder/Granules* **Content:** 20 packets* **Product Summary:** For the early stages of a cold in individuals with a weak constitution.* **Expiration Date:** At least one year from the time of shipment.* **JAN Code:** 4987138390455* **Product Code:** 012907747
**Package Insert Creation and Revision Dates*** Initial Creation: 2012/10* Revision: 2012/10Please read this instruction leaflet carefully before use. Keep it in a safe place so that you can refer to it when necessary.
**Features**Tsumura's Kampo Formulation
"Keishito" is a Kampo medicine described in the "Shanghan Lun," a classic text of Chinese medicine. It is used for individuals with low physical strength in the "early stages of a cold" who experience symptoms such as headache, hot flashes, fever with chills, and spontaneous sweating."Tsumura Kampo Keishito Extract Granules" are easy-to-take granules prepared from an extract of Keishito.
**Contraindications**(Failure to observe these instructions may worsen current symptoms or increase the risk of side effects.)* Limit use to a short period; do not use continuously.
**Consultation**1. The following persons should consult a physician, pharmacist, or registered salesperson before use:(1) Persons receiving medical treatment from a physician.(2) Women who are pregnant or thought to be pregnant.(3) Elderly persons.(4) Persons who have previously experienced rashes, redness, itching, etc., due to medication.(5) Persons with the following symptoms: Edema.(6) Persons diagnosed with the following: High blood pressure, heart disease, kidney disease.
2. If the following symptoms appear after use, they may be side effects. Discontinue use immediately and consult a physician, pharmacist, or registered salesperson with this document:* **Skin:** Rash, redness, itching.In rare cases, the following serious symptoms may occur. In such cases, seek medical attention immediately:* **Pseudoaldosteronism, Myopathy:** In addition to sluggishness, numbness, tightness, and stiffness in the limbs, weakness and muscle pain appear and gradually increase in intensity.
3. If symptoms do not improve after taking the medicine 5 to 6 times, discontinue use and consult a physician, pharmacist, or registered salesperson with this document.
**Indications and Effects**The following symptoms in individuals with weak physical strength who experience sweating:* Early stages of a cold.
**Dosage and Administration**Take the following amount with water or warm water before meals:* **Adults (15 years and older):** 1 packet (1.875g) — 2 times daily* **7 to 15 years:** 2/3 packet — 2 times daily* **4 to 7 years:** 1/2 packet — 2 times daily* **2 to 4 years:** 1/3 packet — 2 times daily* **Under 2 years:** Do not use.
When administering to children, use under the guidance and supervision of a guardian.
**Ingredients and Amounts**Two packets (3.75g) of this product contain 1.5g of a dried extract of the following mixed crude drugs:* JP Cinnamon Bark: 2.0g* JP Peony Root: 2.0g* JP Jujube: 2.0g* JP Glycyrrhiza: 1.0g* JP Ginger: 0.75g(JP: The Japanese Pharmacopoeia)Additives include JP Magnesium Stearate and JP Lactose Hydrate.
**Storage and Handling Precautions**1. Store in a cool, dry place out of direct sunlight.2. Keep out of reach of children.3. When taking a divided packet, fold the opening of the bag to store it and take the remainder within 2 days.4. Since this product uses crude drugs (medicinal roots, barks, etc.), the color tone of the granules may vary slightly depending on the product, but this does not affect the efficacy or effects.5. Do not use products past their expiration date.
**Inquiries**If you have any comments regarding the contents of this product, please contact the store where you purchased it or the following:Customer Service Office2-17-11 Akasaka, Minato-ku, Tokyo0120-329-9309:00–17:30 (Excluding Saturdays, Sundays, and public holidays)http://www.tsumura.co.jp/
**Common Product (JAN) Code by Packaging**1.875g x 20 packets: 4987138390455
* **Manufacturer Name:** Tsumura* **Content:** 20 packets x 1 unit* **Suggested Retail Price:** 2,640 yen (including tax)* **OTC Drug Classification:** Class 2 OTC Drug* **Poisonous/Deleterious Substance Category:** Not applicable* **Pesticide/Veterinary Drug Category:** Not applicable* **Dosage Form Category:** Granules* **Pediatric Use:** For both adults and children* **Product Category:** OTC Drug
**Disclaimer**[Note]* The product descriptions listed above, excluding price information, are provided by the manufacturer or the Self-Medication Database Center.* When using pharmaceuticals, please consult a physician or pharmacist if you have any questions or concerns.* No responsibility shall be assumed for any health damage caused by the consumption of pharmaceuticals purchased through this service.