**[Pharmaceutical Expiration Date]**We sell products with an expiration date of 120 days or more.
**Product Classification:** Class 2 Pharmaceutical
---
### **[Tsumura Kampo Makyokansekito Extract Granules Product Details]*** These easy-to-take granules are made from an extract derived from Makyokansekito.* For those with a wheezing cough (bronchitis, bronchial asthma).
---
### **[Indications and Effects]**The following symptoms in individuals with moderate or greater physical strength who have a cough and occasional thirst:* Cough, childhood asthma, bronchial asthma, bronchitis, common cold, hemorrhoid pain.
---
### **[Dosage and Administration]**Take the following amount with water or hot water before meals.(Age: Amount per dose: Number of doses per day)* **Adults (15 years and older):** 1 sachet (1.875g): 2 times* **7 to 15 years:** 2/3 sachet: 2 times* **4 to 7 years:** 1/2 sachet: 2 times* **2 to 4 years:** 1/3 sachet: 2 times* **Under 2 years:** 1/4 sachet: 2 times
**Precautions related to Dosage and Administration:**1. When administered to children, use only under the guidance and supervision of a guardian.2. For infants under 1 year old, prioritize seeking medical attention from a doctor and administer only when unavoidable.
---
### **[Ingredients]**In 2 sachets (3.75g) of this product, 0.875g of a dried extract of the following mixed crude drugs is contained:* JP Gypsum (Sekko): 5.0g* JP Apricot Kernel (Kyounin): 2.0g* JP Ephedra Herb (Maou): 2.0g* JP Glycyrrhiza (Kanzo): 1.0g* Inactive ingredients: JP Light Anhydrous Silicic Acid, JP Magnesium Stearate, JP Lactose Hydrate.
---
### **[Precautions]****Usage Precautions****Do Not Do:**(Failure to comply may worsen current symptoms or increase the risk of side effects)* Do not administer to infants under 3 months of age.
**Consultation:**1. The following persons should consult a doctor, pharmacist, or registered salesperson before use:(1) Persons receiving medical treatment.(2) Pregnant women or those who appear to be pregnant.(3) Persons with a weak physical constitution (declining strength or physical weakness).(4) Persons with a weak gastrointestinal tract.(5) Persons with a marked tendency to sweat.(6) Elderly persons.(7) Persons with the following symptoms: Edema, difficulty urinating.(8) Persons diagnosed with: High blood pressure, heart disease, kidney disease, thyroid dysfunction.
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 this document:* **Skin:** Rash, redness, itching.* **Digestive system:** Nausea, loss of appetite, stomach discomfort.
In rare cases, the following serious symptoms may occur. In such cases, seek medical attention immediately:* **Pseudoaldosteronism, Myopathy:** Sluggishness, numbness, tightness, or stiffness in the limbs, along with weakness and muscle pain that gradually increases in intensity.
3. If symptoms do not improve after taking the medicine for about one month (5 to 6 days for a common cold), stop use and consult a doctor, pharmacist, or registered salesperson with this document.4. For long-term continuous use, consult a doctor, pharmacist, or registered salesperson.
---
### **[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 the remainder of a divided sachet, fold the opening of the bag and store it, then take it 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 the efficacy and effects remain the same.5. Do not take products that have passed their expiration date.
---
### **[Regarding Pharmaceutical Sales]**1. Gift orders are not accepted for pharmaceutical products.2. We limit the quantity of the same pharmaceutical product per order. If the quantity exceeds our regulations, a pharmacist or registered salesperson will contact you to confirm usage status.3. Please check the indications, effects, and ingredients.4. Always check the dosage and administration before use.5. Always read the "Usage Precautions" printed on the box or included inside the box.6. Persons with allergies or who are pregnant should consult their primary physician before purchasing.7. Our pharmacists are available to answer inquiries regarding the use of pharmaceuticals.
---
**Country of Origin:** Japan**Manufacturer/Distributor:** Tsumura & Co.
*Note: Packaging and contents are subject to change without notice due to renewals.*
**Tsumura & Co.**2-17-11 Akasaka, Minato-ku, Tokyo 107-852103-5574-6600
Pharmaceuticals, Contact Lenses, Nursing Care / Beauty, Cosmetics, Perfume / Diet, Health / Cosmetics / Medicines, Health Foods, Supplements, Food / Health Care, Daily Necessities, Stationery.