**Product Overview**
Manufacturer: Kowa
Product Name: Shin Ribimex Kowa Cream 8g
Drug Classification: Designated Type 2 OTC Drug
Category: OTC Medicine
Pediatric Use Category: Suitable for both adults and children
Dosage Form: Ointment / Cream
Contents: 8g
Product Description: Treatment medication for eczema and dermatitis

**Expiration Date**
At the time of shipment, the product has at least one year remaining until the expiration date.
JAN Code: 4987973113813
Product Code: 050411964

**Initial Package Insert Creation Date and Revision Date, Version**
Initial creation: March 2023
Revisions: None
Version: R1K
Please read this package insert carefully before use and keep it in a safe place.

**Features**
Shin Ribimex Kowa Cream is a topical medication that quickly relieves inflammation caused by eczema, dermatitis, rashes, etc., demonstrating excellent efficacy.

**Product Features**
- Contains 0.3% prednisolone grass acid ester acetate (PVA), which has "excellent anti-inflammatory effects."
- PVA is a steroid called an "antidote drug." It exerts a strong effect immediately upon application to the affected area and is designed for safety and efficacy, as it is an active metabolite that is broken down in the body to produce a gentle effect.

**Precautions Before Use**
Long-term use of this medication may cause blood vessels in the skin to dilate, resulting in redness, or cause the skin to become thin. Be especially careful on the face, where redness is more likely to occur. Do not use this medication under makeup or after shaving. Also, do not continue use aimlessly after symptoms improve.

**Things Not to Do**
(Doing so may worsen current symptoms or increase the risk of side effects)

1. Do not use on the following areas:
- Chickenpox (varicella), tinea infections such as ringworm, or infected areas with pus.
2. Do not use extensively on the face.
3. Do not use for long-term continuous application.

**Consultation**
1. Before use, consult a doctor, pharmacist, or registered salesperson if you are:
- Undergoing medical treatment.
- Pregnant or suspected to be pregnant.
- Have experienced allergic reactions to medicines or other substances.
- Have large areas of affected skin.
- Have severe moisture or rawness.
2. If any of the following symptoms appear after use, discontinue immediately and consult a doctor, pharmacist, or registered salesperson with this package insert:
- Skin: Rash, redness, itching.
- Affected skin: Tinea infections, acne, suppuration, persistent irritation.
3. If symptoms do not improve after 5-6 days of use, discontinue use and consult a healthcare professional with this document.

**Efficacy and Indications**
- Eczema, dermatitis, rashes, itching, heat rash, insect bites, hives.

**Usage and Dosage**
- Apply an appropriate amount to the affected area several times a day by gentle rubbing.

**Important Usage Instructions**
1. Follow the prescribed usage and dosage.
2. When used by children, use under the supervision and guidance of a guardian.
3. Be careful not to get into the eyes. If it does, rinse immediately with water or lukewarm water. If symptoms are severe, see an ophthalmologist.
4. For external use only.
5. Do not cover the treated area with airtight materials such as plastic wrap or film after applying the medication. When used on diaper areas, do not use tight-fitting diapers or sealed pants made of vinyl or similar materials.

**Ingredients and Amounts**
Per 1g:
- Prednisolone grass acid ester acetate: 3mg
- A steroid that works well at the affected site and is broken down in the body to produce a gentle effect, relieving inflammation from eczema, dermatitis, and rashes.
- Other ingredients:
- Vaseline, liquid paraffin, cetanol, stearyl alcohol, sorbitan stearate, polyethylene hardened castor oil, polysorbate 60, parabens, sodium edetate, citric acid, sodium hydroxide.

**Storage and Handling Precautions**
1. Store in a cool, dry place away from direct sunlight, with the cap tightly closed.
2. Keep out of reach of children.
3. Do not transfer to other containers (may cause misuse or change in quality).
4. Do not use products past the expiration date (indicated on the outer box and tube).

**Additional Package Insert Information**
〔How to use the container〕
- Use the protrusion on the top of the cap to puncture the aluminum seal at the tube opening.
- After use, always tighten the cap securely.
- Do not bend or fold the tube, as this may cause it to tear.

**Contact Information**
For inquiries about this product or to purchase, please contact the store where purchased or the following:
Kowa Co., Ltd. Pharmaceutical Business Division Customer Consultation Center
Address: 3-4-14 Nihonbashi Honcho, Chuo-ku, Tokyo 103-8433
Phone: 03-3279-7755
Hours: Monday to Friday (excluding holidays) 9:00–17:00
● Kowa Product Website: https://hc.kowa.co.jp/otc

**Common Product (JAN) Codes by Packaging**
- 8g: 4987973113813
- 15g: 4987973113820

**Manufacturer Name**
Kowa

**Contents**
8g × 1 tube

**Suggested Retail Price**
Open price

**OTC Drug Classification**
Designated Type 2 OTC Drug

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

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

**Dosage Form Category**
Cream

**Pediatric Use Category**
Suitable for both adults and children

**Product Category**
OTC Medicine

**Disclaimer**
【Caution】
- The above product description, excluding price information, is provided by the manufacturer or the Self-Medication Data Center.
- If you have any questions or concerns about using this medicine, 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**