Jikinin Firstneo Granules 16 Packets 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)

(in 1 package 1.2g) Acetaminophen…60mg, Ibuprofen…120mg, Tranexamic acid…250mg, Licorice extract powder…40.53mg, Dihydrocodeine phosphate… …8 mg, dl-methylephedrine hydrochloride…20 mg, d-chlorpheniramine maleate…1.17 mg, anhydrous caffeine…25 mg (original drug equivalent amount 316.67 mg), glycine…60 mg
Contains aspartame (L-phenylalanine compound), talc, fragrance, acesulfame K, erythritol, calcium silicate, stevia extract, hypromellose, and silicic anhydride as additives.

Adults (15 years of age or older): Take 1 packet at a time, 3 times a day, preferably within 30 minutes after meals.

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 15 years of age.
(4) Pregnant women within 12 weeks of due date.
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 (oral medicines for rhinitis, motion sickness medicine, allergy medicines, etc.), oral medicines containing tranexamic acid.
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.
Do not take for more than 6.5 days.

1. The following people should consult a doctor, pharmacist, or registered salesperson before taking this medicine.
(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, glaucoma, systemic lupus erythematosus, mixed connective tissue disease, people with blood clots (cerebral thrombosis, myocardial infarction, thrombophlebitis), people who are at risk of thrombosis, respiratory dysfunction, obstructive sleep apnea syndrome, obesity (7) People 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 the medicine immediately and consult your doctor, pharmacist, or registered salesperson with this package insert.
●Skin: Rash/redness, itching, and bruising may occur.
●Gastrointestinal: Nausea/vomiting, loss of appetite, stomach discomfort, stomach pain, stomatitis, heartburn, heaviness in the stomach, gastrointestinal bleeding, abdominal pain, diarrhea, bloody stools
●Psychiatric nervous system: dizziness
●Circulatory system: palpitations
●Respiratory: shortness of breath
●Urinary system: Difficulty urinating
●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.
●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.
●Mucocutaneous ocular 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 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 appear.
●Kidney disorder: Fever, rash, decreased urine output, general swelling, general malaise, joint pain (pain in the joints), diarrhea, etc. may appear.
●Aseptic meningitis: Severe headache accompanied by stiffness in the neck, fever, nausea, and vomiting appear. (Such symptoms are particularly frequently reported in people receiving treatment for systemic lupus erythematosus or mixed connective tissue disease.)
(1) Persons receiving treatment from a doctor or dentist.

(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