【Product Expiration Date】

We sell products with an expiration date of at least 120 days remaining.

Product Category: Class 2 OTC Drug

【Tsumura Kampo Otsuji-tō Extract Granules Product Details】

● These easy-to-take granules are made from extract derived from Otsuji-tō.

● Suitable for individuals experiencing pain during bowel movements (hemorrhoids, external hemorrhoids, constipation).

【Indications and Effects】

For individuals with moderate or higher physical strength, hard stools, and tendencies toward constipation, the following symptoms:

- Hemorrhoids (piles)
- External hemorrhoids
- Constipation
- Mild rectal prolapse

【Usage and Dosage】

Take the following amounts before meals with water or hot water.

(Age: Single dose: Number of doses per day)

- Adults (15 years and older): 1 packet (1.875g): 2 times daily
- Children 7 to under 15 years: 2/3 packet: 2 times daily
- Children 4 to under 7 years: 1/2 packet: 2 times daily
- Children 2 to under 4 years: 1/3 packet: 2 times daily
- Under 2 years: Do not use

【Precautions Regarding Usage and Dosage】

When administering to children, do so under the guidance and supervision of a guardian.

【Ingredients】

In 2 packets (3.75g) of this product, contains 2.0g of Otsuji-tō extract (half the amount), which includes the following components:

- Japanese Pharmacopoeia Tōki (Angelica root): 3.0g
- Japanese Pharmacopoeia Saiko (Bupleurum root): 2.5g
- Japanese Pharmacopoeia Ougon (Scutellaria root): 1.5g
- Japanese Pharmacopoeia Kanzo (Licorice root): 1.0g
- Japanese Pharmacopoeia Shoma (Magnolia bark): 0.5g
- Japanese Pharmacopoeia Dio (Rhamnus): 0.25g

Contains excipients such as Japanese Pharmacopoeia Magnesium Stearate and Japanese Pharmacopoeia Lactose Monohydrate.

【Precautions】

(Precautions for Use)

*Do not do the following (Failure to comply may worsen current symptoms or increase the risk of side effects):

1. Do not take other laxatives (purgatives) while taking this medication.

2. Pregnant or breastfeeding women should not take this medication, or if necessary, should avoid breastfeeding during use.

*Consultation required:

1. Before use, consult a doctor, pharmacist, or registered salesperson if you are:

- Under medical treatment
- Pregnant or suspect pregnancy
- Physically weak (debilitated or frail)
- Have weak gastrointestinal function or are prone to diarrhea
- Elderly
- Have experienced rash, redness, itching, etc., from medications
- Have symptoms such as swelling
- Diagnosed with hypertension, heart disease, or kidney disease

2. If any of the following symptoms appear after taking the medication, discontinue immediately and consult a doctor, pharmacist, or registered salesperson:

(Related parts and symptoms)

- Skin: Rash, redness, itching
- Digestive system: Nausea, vomiting, loss of appetite, severe diarrhea with abdominal pain, abdominal pain

Rarely, serious symptoms may occur. In such cases, seek medical attention immediately.

(Symptom names and symptoms)

- Interstitial pneumonia: Shortness of breath or difficulty breathing when climbing stairs or exerting oneself, cough, fever, appearing suddenly or persisting.
- Pseudoaldosteronism, myopathy: Weakness, numbness, stiffness, or rigidity in limbs, along with fatigue and muscle pain, gradually worsening.
- Liver dysfunction: Fever, itching, rash, jaundice (yellowing of skin and eyes), dark urine, general fatigue, loss of appetite.

3. After taking the medication, symptoms such as diarrhea may occur. If these symptoms persist or worsen, stop taking the medication and consult a healthcare professional.

4. If symptoms do not improve after about one month (or 5-6 days for external hemorrhoids or constipation), discontinue use and consult a healthcare professional.

5. For long-term use, consult a healthcare professional, pharmacist, or registered salesperson.

【Storage and Handling Precautions】

1. Store in a cool, dry place away from direct sunlight.

2. Keep out of reach of children.

3. If you split a packet and take part of it, fold the opening of the bag and consume within 2 days.

4. Since this product uses crude herbs (medicinal grasses, roots, bark, etc.), the color and appearance of the granules may vary slightly, but efficacy and effects remain unchanged.

5. Do not use products past their expiration date.

【About the Sale of Pharmaceuticals】

1. We do not accept gift orders for pharmaceuticals.

2. There is a limit to the quantity of the same product that can be ordered. If your order exceeds our prescribed limit, a pharmacist or registered salesperson will contact you to confirm your usage.

3. Please review the indications, ingredients, and other details carefully.

4. Be sure to check the usage and dosage before use.

5. Read the "Precautions for Use" printed on the product box or attached inside before using.

6. If you have allergies, are pregnant, or have other concerns, consult your doctor before purchasing.

7. For inquiries about the use of pharmaceuticals, our pharmacists are available to assist.

【Country of Origin】

Japan

【Distributor, Manufacturer, Importer, or Seller】

Tsumura

*Please note that packaging and contents may change without notice due to renewal. Thank you for your understanding.*