Jikinin First Tablets 60 Tablets Zenyaku Kogyo [Designated Class 2 Drug]

Relief of cold symptoms (sore throat, fever, cough, phlegm, runny nose, stuffy nose, headache, chills (chills caused by fever), sneezing, joint pain, muscle pain).

(12 tablets)
Acetaminophen 900mg
Dihydrocodeine phosphate 24mg
Noscapine 48mg
dl-methylephedrine hydrochloride 60mg
Licorice extract powder 121.6mg (950mg equivalent to original herbal medicine)
d-chlorpheniramine maleate 3.5mg
Anhydrous caffeine 75mg
Glycine 240mg
[Additives]
Hydroxypropyl cellulose, D-mannitol, acesulfame K, croscarmellose Na, titanium oxide, Mg stearate, cellulose, hypromellose, macrogol, Mg aluminate metasilicate

Take the following amount three times a day, preferably within 30 minutes after meals.
Over 15 years old: 4 tablets at a time
12 years old or older and under 15 years old: 2 tablets at a time
Children under 12 years of age: Do not take

1. Do not take this medicine 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 cold medicines or antipyretic analgesics.
(3) Children under 12 years of age.
2. Do not use any of the following medicines while taking this drug.
Other cold medicines, antipyretic analgesics, sedatives, antitussive expectorants, oral medicines containing antihistamines, etc. (oral medicines for rhinitis, motion sickness medicine, allergy medicines, etc.)
3. Do not drive a vehicle or operate machinery after taking this medicine. (Drowsiness, etc. may occur.)
4. Do not take this drug if you are breastfeeding, or avoid breastfeeding if you are taking this drug.
5. Do not drink alcohol before or after taking this medicine.
6. Please do not use it for a long period of time.

1. The following people should consult a doctor, pharmacist, or registered salesperson before taking this medicine.
(1) Persons receiving treatment from a doctor or dentist.
(2) Pregnant women or people who appear to be pregnant.
(3) Elderly people.
(4) People who have had allergic symptoms due to medicines, etc.
(5) People who have the following symptoms. High fever, difficulty urinating
(6) Persons who have received the following diagnosis. Thyroid dysfunction, diabetes, heart disease, high blood pressure, liver disease, kidney disease, gastric/duodenal ulcer, glaucoma, respiratory dysfunction, obstructive sleep apnea syndrome, obesity
2. If the following symptoms appear after taking this medicine, it may be a side effect, so please stop taking the medicine immediately and consult your doctor, pharmacist, or registered salesperson with this package insert.
●Skin: Rash/redness, itching
●Gastrointestinal system: Nausea, vomiting, loss of appetite
●Psychiatric nervous system: dizziness
●Urinary system: Difficulty urinating
●Others: Excessive decrease in body temperature
In rare cases, the following serious symptoms may occur. In that case, please see a doctor immediately.
●Shock (anaphylaxis): Immediately after taking the drug, symptoms such as itchy skin, hives, hoarseness, sneezing, itchy throat, difficulty breathing, palpitations, and clouded consciousness may occur.
●Oculomucocutaneous syndrome (Stevens-Johnson syndrome), toxic epidermal necrolysis, acute generalized exanthematous pustulosis:
High fever, bloodshot eyes, eye discharge, sore lips, sore throat, widespread rash/redness on the skin, small bumps (pustules) appearing on reddened skin, general malaise, loss of appetite, etc. that persist or suddenly worsen.
●Liver dysfunction: Fever, itching, rash, jaundice (yellowing of the skin and whites of the eyes), brown urine, general malaise, loss of appetite, etc. may appear.
●Kidney disorder: Fever, rash, decreased urine output, general swelling, general malaise, joint pain (pain in the joints), diarrhea, etc. may appear.
●Interstitial pneumonia: When climbing stairs or pushing yourself too hard, you may experience shortness of breath, difficulty breathing, dry cough, fever, etc., which may appear suddenly or persist.
●Asthma: wheezing, whistling, and difficulty breathing when breathing.
●Aplastic anemia: Bruises, nosebleeds, bleeding gums, fever, pale skin and mucous membranes, feeling of fatigue, palpitations, shortness of breath, feeling sick and dizzy, blood in the urine, etc. appear.
●Agranulocytosis: Sudden onset of high fever, chills, sore throat, etc.
●Respiratory depression: Shortness of breath, difficulty breathing, etc. appear.
3. The following symptoms may appear after taking this medicine. If these symptoms persist or worsen, please stop taking this medicine and consult your doctor, pharmacist, or registered salesperson with this package insert.
Constipation, dry mouth, drowsiness
4. If your symptoms do not improve after taking 5 to 6 times, please stop taking this medicine and consult your doctor, pharmacist, or registered salesperson with this package insert.

(1) Store in a cool, dry place away from direct sunlight.
(2) Store out of reach of children.
(3) Do not transfer to another container. (This may cause misuse or change the quality.)
(4) Do not take the product after the expiration date.

Zenyaku Kogyo Co., Ltd.
5-6-15 Otsuka, Bunkyo-ku, Tokyo 112-8650
03(3946)3610