**Product Overview**
Manufacturer: Rakuru Pharmaceutical Sales
Product Name: Rakupetan DX Liquid α 110 mL
Drug Classification: Class 2 OTC Drug
Category: OTC Medicine
Pediatric Use Category: For Adults only (contains only adult (15 years and older) dosage and usage)
Dosage Form: Spray / Liquid
Contents: 110 mL
Product Description: For joint pain, shoulder pain associated with stiff shoulders, and tenosynovitis.

**Expiration Date**
At the time of shipment, there is more than one year remaining until the expiration date.
JAN Code: 4987435589156
Product Code: 021401412

**Initial and Revision Dates of the Package Insert**
Initial Creation: —
Revision: —

**Things You Should Not Do**
(Doing so may worsen current symptoms or increase the risk of side effects)
1. Do not use if you fall under any of the following:
(1) Have experienced allergic reactions to this product or its ingredients.
(2) Have had asthma.
(3) Are pregnant or suspect you are pregnant.
(4) Are a child under 15 years old.
2. Do not apply to the following areas:
(1) Around the eyes, mucous membranes, etc.
(2) Skin areas with weak skin (face, scalp, armpits, etc.)
(3) Eczema, rashes, wounds.
(4) Tinea, athlete’s foot, or infected areas with pus.
3. Do not use other external pain relief and anti-inflammatory agents simultaneously while using this product.
4. Do not use for long-term continuous application.

**Consultation Before Use**
1. Before use, consult a doctor, pharmacist, or registered seller if you are:
(1) Under medical treatment.
(2) Have experienced allergic reactions to medicines or other products.
(3) Receiving treatment with the following medications: fluoroquinolone antibiotics.
2. If any of the following symptoms appear after use, discontinue immediately and consult a doctor, pharmacist, or registered seller with this leaflet, as side effects may be present:

**Related Area:** Skin
**Symptoms:** Rash/redness, itching, rash, swelling, pain, sensation of irritation, heat, skin roughness, dandruff or peeling skin, blisters, pigmentation.

Rarely, severe symptoms such as the following may occur. In such cases, seek medical attention immediately:
- **Name of symptom:** Shock (Anaphylaxis)
**Symptoms:** Immediately after use, symptoms such as skin itching, hives, hoarseness, sneezing, throat itching, difficulty breathing, palpitations, or altered consciousness may appear.
- **Name of symptom:** Contact dermatitis, photosensitivity
**Symptoms:** Severe skin inflammation with strong itching, rash/redness, swelling, irritation, blisters, erosion, pigmentation, or leukoderma at the application site. Symptoms such as rash, redness, and itching may spread throughout the body. Symptoms may also appear or worsen in areas exposed to sunlight.
3. If symptoms do not improve after 5-6 days of use, discontinue use and consult a doctor, pharmacist, or registered seller with this leaflet.

**Indications and Effects**
- Joint pain
- Shoulder pain associated with stiff shoulders
- Tenosynovitis (hand/wrist pain)
- Elbow pain (e.g., tennis elbow)
- Muscle pain
- Back pain
- Bruises
- Sprains

**Usage and Dosage**
- Apply an appropriate amount to the affected area 3 to 4 times daily. Do not cover the application site with airtight coverings such as plastic wrap.
- Do not use in children under 15 years old.

**Precautions for Use**
(1) Follow the prescribed usage and dosage.
(2) This product does not treat the underlying disease causing pain or swelling; it only alleviates symptoms. Use only when symptoms are present.
(3) For external use only; do not ingest.
(4) Do not use more than 50 mL per week.
(5) Be careful not to get into the eyes. If it gets into the eyes, rinse immediately with water or lukewarm water. If symptoms are severe, see an ophthalmologist.
(6) Do not apply other external agents to the same area simultaneously.
(7) Do not cover the application site with poorly breathable materials such as plastic wrap or braces, and do not seal tightly.
(8) Before applying, press the sponge surface against the affected area to ensure the liquid has soaked into the sponge. (Applying with a dry sponge may cause damage to the sponge.)

**Ingredients and Amounts**
Per 1 g:
- Diclofenac sodium: 10 mg
- L-menthol: 30 mg

Additives: Hydroxypropyl cellulose, ethanol, propylene glycol, and two other ingredients.

**Storage and Handling Precautions**
(1) Store in a cool, dark place away from direct sunlight, tightly sealed.
(2) Keep out of reach of children.
(3) Keep away from fire.
(4) Be careful not to let it contact metals such as glasses, watches, jewelry, synthetic clothing, plastics, or painted surfaces of floors and furniture, as it may cause deterioration.
(5) Do not transfer to other containers (may cause misuse or change in quality).
(6) Do not use products past their expiration date. Even within the expiration date, use promptly after opening.

**Inquiries**
Customer Service Office, Rakuru Pharmaceutical Sales Co., Ltd.
Phone: Toll-free 0120-86-8998

**Manufacturer**
Rakuru Pharmaceutical Sales

**Contents**
110 mL

**Suggested Retail Price**
1,848 yen (tax included)

**OTC Drug Classification**
Class 2 OTC Drug

**Poison and Quarantine Drug Category**
Not classified as poison or quarantine drug

**Agricultural and Veterinary Drug Category**
Not classified as agricultural or veterinary drug

**Dosage Form Category**
External liquid

**Pediatric Use Category**
For adults only (contains only adult (15+) dosage and usage)

**Product Category**
OTC medicine

**Disclaimer**
【Caution】
- 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 the 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**
This product qualifies for the self-medication tax deduction system.