[About This Medicine]
* This is an antipyretic and analgesic (granules). A granular type that relieves pain and fever with four active ingredients, including acetaminophen and ethenzamide.
* It is one of the basic medicines included in "Nunokame's First Aid Box," which has been loved in Japan for many years.
--------------------------------------------------
* Manufacturer: Shinshin Pharmaceutical Co., Ltd. (Toyama City)
* Contents: 12 packets

[Features]
Nokai A is a granule that relieves pain and fever.

[Effects and Efficacy]
(1) Pain relief for headache, toothache, pain after tooth extraction, sore throat, earache, joint pain, neuralgia, back pain, muscle pain, stiff shoulder pain, bruise pain, fracture pain, sprain pain, menstrual pain (period pain), and trauma pain.
(2) Antipyretic for chills and fever.

[Dosage and Administration]
Take the following amount up to 3 times a day, avoiding an empty stomach as much as possible.
Maintain an interval of 4 hours or more between doses.
* Adults (15 years and older): 1 packet per dose, up to 3 times a day.
* Children 7 to under 15 years: 1/2 packet per dose, up to 3 times a day.
* Infants under 7 years: Do not take.

[Notes on Dosage and Administration]
(1) Strictly adhere to the prescribed dosage and administration.
(2) When administering to children, do so under the guidance and supervision of a guardian.

[Ingredients and Amounts] (in 3 packets)
* Acetaminophen... 800mg
* Ethenzamide... 900mg
* Allylisopropylacetylurea... 180mg
* Anhydrous caffeine... 250mg
* Additives: Hydrated lactose, carmellose calcium, hydroxypropyl cellulose

[Precautions for Use]
■ Do Not Do
(If you do not follow these instructions, your current symptoms may worsen, and side effects or accidents may occur.)
1. Do not take the following people:
(1) People who have experienced allergic reactions to this drug or its ingredients.
(2) People who have experienced asthma after taking this drug or other antipyretic and analgesic drugs or cold medicines.
2. Do not take any of the following medicines while taking this drug:
Other antipyretic and analgesic drugs, cold medicines, sedatives, motion sickness medicines.
3. Do not operate vehicles or machinery after taking this medicine.
(Drowsiness may occur.)
4. Do not drink alcohol before or after taking this medicine.
5. Do not use for long-term continuous use.

■ Consult a Doctor
1. Consult a doctor, dentist, or pharmacist before taking the following people:
(1) People receiving treatment from a doctor or dentist.
(2) Pregnant women or women who may be pregnant.
(3) Infants and children under 15 years of age with chickenpox or influenza, or suspected of having them.
(4) Elderly people.
(5) People who have experienced allergic reactions to medicines, etc.
(6) People diagnosed with the following conditions:
Heart disease, kidney disease, liver disease, gastric and duodenal ulcers.
2. If any of the following symptoms appear after taking this medicine, discontinue use immediately and consult a doctor or pharmacist, as it may be a side effect.
[Affected Area: Symptoms]
Skin: Rash, redness, itching
Digestive system: Nausea, vomiting, loss of appetite
Psychiatric and nervous system: Dizziness
Other: Excessive lowering of body temperature

In rare cases, the following serious symptoms may occur. If this happens, seek immediate medical attention.
[Name of Symptom: Symptoms]
Shock (anaphylaxis): Immediately after taking, symptoms such as itchy skin, hives, hoarseness, sneezing, itchy throat, difficulty breathing, palpitations, and clouded consciousness may appear.
Stevens-Johnson syndrome: High fever, red eyes, eye discharge, chapped lips, sore throat, widespread rash and redness on the skin, small blisters (pustules) appearing on reddened skin, general malaise, loss of appetite, etc., that persist or rapidly worsen.
Toxic epidermal necrolysis: High fever, red eyes, eye discharge, chapped lips, sore throat, widespread rash and redness on the skin, small blisters (pustules) appearing on reddened skin, general malaise, loss of appetite, etc., that persist or rapidly worsen.
Acute generalized exanthematous pustulosis: High fever, red eyes, eye discharge, chapped lips, sore throat, widespread rash and redness on the skin, small blisters (pustules) appearing on reddened skin, general malaise, loss of appetite, etc., that persist or rapidly worsen.
Interstitial pneumonia: Shortness of breath or difficulty breathing when climbing stairs or exerting oneself slightly, dry cough, fever, etc., which appear suddenly or persist.
Kidney disorder: Fever, rash, decreased urine output, swelling of the whole body, general malaise, joint pain (pain in joints), diarrhea, etc.
Liver dysfunction: Fever, itching, rash, jaundice (yellowing of skin or whites of eyes), dark urine, general malaise, loss of appetite, etc.
Asthma: Wheezing or whistling sound when breathing, difficulty breathing, etc.
3. If the following symptoms appear after taking this medicine, discontinue use and consult a doctor or pharmacist if these symptoms persist or worsen.
Drowsiness
4. If symptoms do not improve after taking for 5 to 6 doses, discontinue use and consult a doctor, dentist, or pharmacist.