**Product Overview*** **Manufacturer:** Kobayashi Pharmaceutical* **Product Name:** Harenurse 18 Packets* **Pharmaceutical Classification:** Class 3 OTC Drug* **Pediatric Classification:** For both adults and children* **Dosage Form:** Powder / Granules* **Content:** 18 Packets* **Product Summary:*** A treatment to reduce swelling of the tonsils.* Two anti-inflammatory ingredients, Tranexamic acid and Licorice (Kanzou) extract, suppress tonsil swelling.* Can be taken without water and provides a pleasant cooling sensation to the affected area.
**[Expiration Date]**At least one year remaining until the expiration date at the time of shipment.* **JAN Code:** 4987072043844* **Product Code:** 075651863
**Package Insert Dates and Version*** First Edition: 2012/07* Revised: 2016/09* Please read this package insert carefully before use.* Keep it in a safe place for future reference.* Do not take products that have passed the expiration date (printed on the side of the package).
**Features*** Two anti-inflammatory ingredients, Tranexamic acid and Licorice extract, suppress tonsil swelling.* Can be taken without water, delivering a pleasant cooling sensation to the affected area.
**Contraindications**(Failure to observe these instructions may worsen current symptoms or increase the risk of side effects.)1. **Do not take any of the following medicines while taking this drug:**(1) Oral medicines containing Licorice (Kanzou) or its main component, Glycyrrhizin (may cause edema, increased blood pressure, or muscle disorders (myopathy), etc.).(2) Oral medicines containing Tranexamic acid (rhinitis medicine, cold medicine, antipyretics/analgesics, antitussives/expectorants, etc.).2. **Do not use for long periods.**
**Consultation**1. **The following persons should consult a doctor, pharmacist, or registered salesperson before use:**(1) Persons receiving treatment from a doctor or dentist.(2) Pregnant women or those who appear to be pregnant.(3) Elderly persons.(4) Persons who have experienced allergic symptoms due to drugs, etc.(5) Persons with the following symptom: Edema.(6) Persons diagnosed with: High blood pressure, heart disease, kidney disease, or those with blood clots (cerebral thrombosis, myocardial infarction, thrombophlebitis, etc.), or those at risk of thrombosis.2. **If the following symptoms appear after use, they may be side effects. Stop use immediately and consult a doctor, pharmacist, or registered salesperson with the package insert:*** **Skin:** Rash, redness, itching* **Digestive system:** Nausea, vomiting, heartburn, loss of appetite or increased appetite, stomach discomfort, abdominal bloating* **Psychoneurotic system:** Dizziness* **Other:** Frequent urination* **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 legs, weakness and muscle pain appear and gradually intensify.3. **The following symptom may occur after use. If such a symptom persists or intensifies, stop use and consult a doctor, pharmacist, or registered salesperson with the package insert:*** Diarrhea4. **If symptoms do not improve after taking the medicine for 5 to 6 days, stop use and consult a doctor, pharmacist, or registered salesperson with the package insert.**
**Indications**Tonsillitis (throat swelling, sore throat), Pharyngitis, Stomatitis (canker sores)
**Dosage and Administration**Take the following amount in the morning, at noon, and in the evening:* **Adults (15 years and older):** 1 packet per dose, 3 times a day* **7 to 15 years old:** 1/2 packet per dose, 3 times a day* **Under 7 years old:** Do not use(1) Strictly follow the prescribed dosage and administration.(2) When administered to children, use under the supervision of a guardian.* Can be taken without water.
**Ingredients and Amount**Per daily dose (3 packets: 3.9g):* **Tranexamic acid (750mg):** Anti-inflammatory effect; improves symptoms such as throat swelling and pain.* **Licorice (Kanzou) extract (198mg) (Equivalent to 990mg of crude drug):** The anti-inflammatory effect of the main component, glycyrrhizic acid, improves throat swelling and pain.* **Pyridoxine hydrochloride (Vitamin B6) (50mg):** Functions to maintain normal mucous membrane function.* **Riboflavin (Vitamin B2) (12mg):** Functions to maintain normal mucous membrane function.* **L-Sodium Ascorbate (Vitamin C Sodium) (500mg):** Supplements Vitamin C during physical exhaustion.
**Additives:** Erythritol, pregelatinized starch, silicon dioxide, talc, caramel, anhydrous silicic acid, l-menthol, and fragrance.(1) Urine may turn yellow due to the Riboflavin (Vitamin B2) in this medicine.(2) Taking this medicine may affect urine and stool test values. If undergoing a medical examination, inform the doctor that you are taking a preparation containing Vitamin C.* Since this product uses natural ingredients (crude drugs), the color of the granules may vary slightly.
**Storage and Handling Precautions**(1) Store in a cool, dry place out of direct sunlight.(2) Keep out of reach of children.(3) Do not transfer to another container (may lead to misuse or change in quality).(4) When taking a divided packet, fold the opening of the bag twice or more to store the remaining medicine. Take or discard the remaining medicine within the same day.
**Inquiries**For inquiries about the product, please contact the store where you purchased it or the Customer Service Office.Kobayashi Pharmaceutical Co., Ltd. Customer Service Office4-4-10 Doshomachi, Chuo-ku, Osaka0120-5884-019:00–17:00 (Excluding Saturdays, Sundays, and national holidays)Adverse Drug Reaction Relief System: 0120-149-931Website: http://www.kobayashi.co.jpHarenurse Website: http://www.kobayashi.co.jp/brand/harenurse/case/index.html
**Common Product (JAN) Code by Packaging**4987072024324
**Manufacturer Name**Kobayashi Pharmaceutical
**Content**18 packets x 1 unit
**Suggested Retail Price**2,420 Yen
**OTC Drug Classification**Class 3 OTC Drug
**Poisonous/Powerful Drug Classification**Not a poisonous or powerful drug
**Pesticide/Veterinary Drug Classification**Not a pesticide or veterinary drug
**Dosage Form Classification**Granules
**Pediatric Classification**For both adults and children
**Product Category**OTC Drug
**Disclaimer**[Note]* The product description above, excluding price information, is provided by the manufacturer or the Self-Medication Database Center.* When using pharmaceuticals, if you have any questions or concerns, please be sure to consult a doctor or pharmacist.* We assume no responsibility for any health damage caused by taking pharmaceuticals purchased through this service.