Otonano Shinpure 24 Tablets Arax [Designated Class 2 Drug]

1) Relief of menstrual pain, headache, lower back pain, toothache, sore throat, joint pain, muscle pain, neuralgia, stiff shoulders, pain after tooth extraction, bruise pain, earache, fracture pain, sprain pain, trauma pain 2) Chilling due to fever, antipyretic at the time of fever

2 tablets (1 dose)
Ingredients…amount…effect
Ibuprofen: 150mg: Acts on pain and fever, exhibiting excellent analgesic and antipyretic effects.
Allyl isopropyl acetylurea: 60mg: Supports the action of analgesic ingredients and relieves menstrual pain and headaches.
Anhydrous caffeine…80mg…Helps the action of analgesic ingredients and relieves headaches.
Dry aluminum hydroxide gel (200mg in 6 tablets (daily dose))…66.7mg…Protects the gastric mucosa and prevents stomach irritation.
Contains CMC-Ca, hydroxypropyl cellulose, silicic anhydride, cellulose, Mg stearate, hypromellose, talc, titanium oxide, macrogol, and carnauba wax as additives.

Adults (over 15 years old): Maximum of 2 tablets 3 times a day, avoid taking on an empty stomach as much as possible.
Please wait at least 4 hours between doses.
Do not administer to children under 15 years of age.
[Precautions related to usage and administration]
(1) Please strictly follow the prescribed usage and dosage.
(2) How to take out the tablet Press the convex part of the PTP sheet containing the tablet firmly with your fingertips to break the aluminum foil on the back, take it out and take it.
(If you accidentally swallow it as it is, it may pierce the esophageal mucosa or cause an unexpected accident.)

Things you should not do (If you do not follow these rules, your current symptoms may worsen or side effects/accidents may occur)
1. Do not use this product for the following people:
(1) Persons who have had allergic symptoms due to this drug or its ingredients.
(2) People who have had asthma while taking this drug or other antipyretic analgesics or cold medicines.
(3) Children under the age of 15.
(4) Pregnant women within 12 weeks of due date.
2. Do not take any of the following medicines while taking this drug.
Other antipyretic analgesics, cold medicines, sedatives, motion sickness medicines
3. Do not drive a vehicle or operate machinery after taking this medicine (you may experience drowsiness, etc.)
4. Do not drink alcohol before or after taking the drug.
5. Do not use it for a long time

1. The following people should consult a doctor, dentist, pharmacist, or registered salesperson before taking the drug.
(1) Persons receiving treatment from a doctor or dentist.
(2) Pregnant women or people who appear to be pregnant.
(3) People who are breastfeeding.
(4) Elderly people.
(5) People who have had allergic symptoms due to medicines, etc.
(6) Persons who have received the following diagnosis.
Heart disease, kidney disease, liver disease, systemic lupus erythematosus, mixed connective tissue disease
(7) Persons who have had the following diseases.
Gastric/duodenal ulcer, ulcerative colitis, Crohn’s disease
2. If the following symptoms appear after taking this medicine, it may be a side effect, so please stop taking it immediately and consult your doctor, dentist, pharmacist, or registered salesperson with this document.
Related areas/symptoms Skin/rash/redness, itching, bruising
Gastrointestinal/nausea/vomiting, loss of appetite, stomach discomfort, stomach pain, stomatitis, heartburn, heaviness in the stomach, gastrointestinal bleeding, abdominal pain, diarrhea, bloody stools
Neuropsychiatric system/dizziness
Cardiovascular system/palpitations
Respiratory/shortness of breath
Others/blurred vision, ringing in the ears, swelling, nosebleeds, bleeding gums, difficulty in stopping bleeding, bleeding, back pain, excessive drop in body temperature, feeling tired
In rare cases, the following serious symptoms may occur.
In that case, please see a doctor immediately.
Symptom Name / Symptoms Shock (Anaphylaxis) / Immediately after taking the drug, symptoms such as itching of the skin, hives, hoarseness, sneezing, itchy throat, difficulty breathing, palpitations, and clouded consciousness appear.
Mucocutaneous oculomucocutaneous syndrome (Stevens-Johnson syndrome), toxic epidermal necrolysis/high fever, redness of the eyes, eye discharge, sore lips, sore throat, widespread rash/redness of the skin, etc. persist or worsen rapidly.
Liver dysfunction/fever, itching, rash, jaundice (yellowing of the skin and whites of the eyes), brown urine, general malaise, loss of appetite, etc. may occur.
Kidney damage/fever, rash, decreased urine output, general swelling, general malaise, joint pain (pain in joints), diarrhea, etc. may occur.
Aseptic meningitis/Symptoms include severe headache with stiffness in the neck, fever, nausea, and vomiting.
(Such symptoms are particularly frequently reported in people receiving treatment for systemic lupus erythematosus or mixed connective tissue disease.)
Asthma: wheezing, whistling, and difficulty breathing when breathing.
Aplastic anemia/Bruising, nosebleeds, bleeding gums, fever, pale skin and mucous membranes, feeling of fatigue, palpitations, shortness of breath, feeling sick and dizzy, hematuria, etc. may appear.
Agranulocytosis/Sudden high fever, chills, sore throat, etc. appear.
3. After taking this medicine, the following symptoms may appear. If these symptoms persist or worsen, please stop taking this medicine and consult your doctor, pharmacist, or registered salesperson with this document.
constipation, drowsiness
4. If your symptoms do not improve after taking 5 to 6 times, please stop taking this medicine and consult your doctor, dentist, pharmacist, or registered salesperson with this document.

(1) Store in a cool, dry place away from direct sunlight.
(2) Please keep out of reach of children.
(3) Do not replace it with another container (this may cause misuse or change the quality).
(4) Do not take the product after the expiration date.
(5) Do not place it in a high temperature place such as inside a car.

Arax Co., Ltd.
3-2-26 Marunouchi, Naka-ku, Nagoya, Aichi 460-0002
0120-225-081 (Reception: 9:00-16:30, excluding Saturdays, Sundays, and holidays)