**Product Overview**
Manufacturer: Daisho Pharmaceutical
Product Name: Pediatric Efstirin Syrup 120 mL
Drug Classification: Designated Class 2 OTC Drug
Category: OTC Medicine
Pediatric Use Category: For children (only dosage and usage for children under 15 years)
Dosage Form: Drink / Liquid
Content Volume: 120 mL
Product Description: This medication is effective for cough and sputum. It is a sweet, easy-to-drink syrup with a strawberry flavor designed for children.
【Expiration Date】
At the time of shipment, there is more than one year remaining until the expiration date.
JAN Code: 4987402332006
Product Code: 214900249

**Initial Package Leaflet Creation Date and Revision Date, Version Number**
Initial Creation: —
Revision: —

**Features**
Pediatric Efstirin Syrup contains dextromethorphan hydrobromide, which is effective against cough; dl-methylephedrine hydrochloride, which dilates the bronchi and suppresses cough; and guaifenesin, which helps loosen phlegm. It is a medication effective for cough and sputum.
This syrup is flavored with strawberry, sweet, and easy for children to drink.

**Do Not Use**
1. Do not take if you have had an allergic reaction to this medication or its ingredients.
2. Do not use any other medications containing cough suppressants, expectorants, cold remedies, sedatives, or antihistamines (such as nasal allergy medications, motion sickness drugs, allergy medications) while taking this medication.
3. Do not operate vehicles or machinery after taking this medication (drowsiness may occur).
4. Do not overdose or use for long-term continuous use.

**Consultation**
1. Before use, consult a doctor, pharmacist, or registered salesperson if you are:
(1) Under medical treatment.
(2) Pregnant or suspected to be pregnant.
(3) Breastfeeding.
(4) Elderly.
(5) Have had allergic reactions to medications or other substances.
(6) Experiencing symptoms such as high fever or difficulty urinating.
(7) Diagnosed with heart disease, hypertension, diabetes, glaucoma, or thyroid dysfunction.

2. If any of the following symptoms appear after taking the medication, there is a possibility of side effects. Immediately stop taking the medication and consult a doctor, pharmacist, or registered salesperson with this document:

**Related Parts and Symptoms**
- Skin: Rash, redness, itching
- Digestive System: Nausea, vomiting, loss of appetite
- Nervous System: Dizziness
- Respiratory: Shortness of breath, difficulty breathing
- Urinary System: Difficulty urinating

Rarely, severe symptoms such as the following may occur. In such cases, seek medical attention immediately:

**Serious Symptoms and Conditions**
- Shock (Anaphylaxis): Symptoms such as itching, hives, hoarseness, sneezing, throat itching, difficulty breathing, palpitations, or altered consciousness may appear immediately after taking the medication.
- Aplastic anemia: Symptoms include pale bruising, nosebleeds, bleeding gums, fever, pallor of skin and mucous membranes, fatigue, palpitations, shortness of breath, dizziness, hematuria, etc.
- Agranulocytosis: Sudden high fever, chills, sore throat, etc.

3. After taking the medication, symptoms such as dry mouth or drowsiness may occur. If these persist or worsen, stop taking the medication and consult a doctor, pharmacist, or registered salesperson with this document.

4. If symptoms do not improve after 5-6 doses, discontinue use and consult a healthcare professional.

**Efficacy and Effects**
- Cough
- Sputum

**Usage and Dosage**
Take the following amount 3 to 4 times daily after meals, and before bedtime if necessary. If taking 5-6 times a day, generally space doses about 4 hours apart.

| Age | Single Dose |
|-------|--------------|
| 5–<8 years | 10 mL |
| 3–<5 years | 6 mL |
| 3 months–<3 years | 3 mL |
| Less than 3 months | Do not use |

**Precautions on Usage and Dosage**
(1) When administering to children, do so under the supervision and guidance of a guardian.
(2) For infants under 2 years old, prioritize consulting a doctor; use only if unavoidable.
(3) Strictly adhere to the prescribed usage and dosage.

**Ingredients and Amounts (per 60 mL daily dose)**
- Dextromethorphan hydrobromide 20 mg
- Guaifenesin 100 mg
- dl-Methylephedrine hydrochloride 25 mg
- Chlorpheniramine maleate 4 mg

**Storage and Handling Precautions**
1. Store in a cool, dry place away from direct sunlight, tightly sealed.
2. Keep out of reach of children.
3. Do not transfer to other containers (to prevent misuse or quality deterioration).
4. Do not consume products past their expiration date.

**Inquiries**
Daisho Pharmaceutical Co., Ltd.
Customer Service Office
168 Oharamachi, Koka-shi, Shiga 520-3433
Phone: 0748-88-4181
Weekdays 9:00–17:00 (excluding weekends and holidays)

**Manufacturer**
Daisho Pharmaceutical

**Content Volume**
120 mL

**Suggested Retail Price**
1,485 yen (tax included)

**OTC Drug Classification**
Designated Class 2 OTC Drug

**Poison and Quasi-Drug Category**
Not classified as poison or quasi-drug

**Pesticide/Animal Drug Category**
Not classified as pesticide or animal drug

**Dosage Form Category**
Internal liquid medication

**Pediatric Use Category**
For children (only dosage and usage for children under 15 years)

**Product Category**
OTC medicine

**Disclaimer**
【Note】
- The product description above, excluding price information, is provided by the manufacturer or the Self-Medication Database Center.
- If you have any questions or concerns about using this medication, be sure to consult a doctor or pharmacist.
- We assume no responsibility for health damages caused by taking medicines purchased through this service.

**Self-Medication Tax Deduction Eligible Product**