*Please note that the package design, content volume, and list of ingredients are subject to change without notice.
Even if the package design, content volume, or ingredients differ, returns or exchanges cannot be accepted, so please understand in advance.
If the product is out of stock with the manufacturer, shipping may be delayed beyond the scheduled date; please be aware of this.
If it takes more than 7 business days to ship, we will contact you separately.
Product category: Class 2 OTC drug*

**[Kotobuki Enema 30] Product Details**
- An enema for individuals aged 12 and above.
- Made of a transparent, soft container with a reputation for its finish on the nozzle part and an easy-to-use length.
- Shaped like a fig for ease of use.

**Efficacy and Effects**
- Constipation

**Usage and Dosage**
- For those 12 years and older, insert 1 unit (30g) into the rectum at a time.
- If no effect is observed, repeat the same amount again.

**Precautions on Usage and Dosage**
1. Strictly observe the usage and dosage.
2. After use, wait until the urge to defecate becomes strong before attempting to defecate.
*(If you try to defecate immediately after use, only the medication may be expelled, and the effect may not be observed.)*
3. Do not use in children under 12 years old.
4. For enema use only.
5. Be careful not to forcibly insert to avoid damaging the rectal mucosa.
6. During winter, warming the container in warm water (around 40°C) to near body temperature can make it more comfortable to use.

**How to Use**
1. Remove the cap from the tip of the container and insert it as deeply as possible into the anus.
*(If smooth insertion is difficult, dispense a small amount of the liquid and moisten the tip to facilitate insertion.)*
2. Squeeze the container slowly while gradually injecting the liquid.
3. After injecting, wait for 2-5 minutes until the urge to defecate becomes strong, then proceed to defecate.

**Ingredients**
- In one unit (30g):
- Glycerin (Japanese Pharmacopoeia) ... 15.0g
- Additives include benzalkonium chloride-containing solution and purified water.

**Precautions**
*(Usage precautions)*
- Do not use continuously (long-term use may weaken the effect and cause dependence, known as "tolerance").
- Consult a doctor, pharmacist, or registered seller before use if you:
1. Are undergoing medical treatment.
2. Are pregnant or suspect pregnancy (use is undesirable due to risk of premature labor).
3. Are elderly.
4. Have severe abdominal pain, nausea, vomiting, or hemorrhoidal bleeding.
5. Have been diagnosed with heart disease.
- If no bowel movement occurs after 2-3 uses, discontinue use and consult a healthcare professional with this document.

*Other precautions*
- Symptoms such as dizziness, warmth or discomfort in the anal area may occur.

**Storage and Handling**
- Store in a cool place away from direct sunlight.
- Keep out of reach of children.
- Do not transfer to other containers to prevent misuse or deterioration.

**About Pharmaceutical Sales**
1. Gift orders for pharmaceuticals are not accepted.
2. There is a limit on the quantity of the same product ordered; if the order exceeds the limit, a pharmacist or registered seller will contact you to confirm usage.
3. Please check the efficacy, ingredients, and other details carefully.
4. Be sure to confirm the usage and dosage before use.
5. Read the "Precautions for Use" printed on the box or attached inside before using.
6. Those with allergies or pregnant women should consult their doctor before purchasing.

**Country of Origin**: Japan
**Brand**: Kotobuki Enema
**Distributor, Manufacturer, Importer, or Seller**: Mune Pharmaceutical

*Please note that ingredients and packaging are subject to change without notice.*