[Designated 2nd-Class OTC Drug] LPAIN KOWA Alpha 24 Tablets

Menstrual pain (mainly lower abdominal pain accompanied by loose stools)

Take the following amount with water or warm water, preferably on an empty stomach. Wait at least four hours between doses. [Age: Single Dose: Number of Times Per Day] Adults (15 years and older): 1 tablet, up to two times a day (but if symptoms recur, a third dose is permitted). Children under 15: Do not take.

Per tablet [Ingredients: Amount: Function] Ibuprofen: 200.0 mg: Suppresses excessive production of prostaglandins, which cause pain. Scopolamine butylbromide: 10.0 mg: Suppresses excessive contractions of the uterus and intestines. Additives: Lactose, anhydrous silica, hydroxypropyl cellulose, hypromellose, croscarmellose sodium, talc, triacetin, titanium dioxide, ferric oxide, carnauba wax

■■Things you should not do■■ (Failure to follow these instructions may worsen your current symptoms or increase the risk of side effects or accidents.) 1. Do not take this medicine if you are: (1) People who have experienced allergic symptoms due to this drug or its ingredients. (2) People who have experienced asthma after taking this drug, antipyretics, or cold medicines. (3) Children under 15 years of age. (4) People who are receiving treatment or medication for the following illnesses at a medical institution: Those with gastric or duodenal ulcers, blood disorders, liver disease, kidney disease, heart disease, high blood pressure, or those taking zidovudine (Retrovir) (5) Pregnant women whose due date is within 12 weeks. (6) People who have been diagnosed with the following: glaucoma 2. Do not take any of the following medicines while taking this drug: antipyretics, cold medicines, sedatives, gastrointestinal analgesics and antispasmodics, gastrointestinal medicines containing Scopolia extract, and motion sickness medicines. 3. After taking this medicine, do not drive or operate machinery (you may experience symptoms such as blurred vision or abnormal sensitivity to light). 4. Do not drink alcohol before or after taking this medicine 5. Do not use for long periods of time ■■Things to consult about■■ 1. The following people should consult a doctor, dentist, pharmacist or registered distributor before taking this medicine. (1) A person receiving treatment from a doctor or dentist. (2) Pregnant women or those thought to be pregnant. (3) People who are breastfeeding. (4) People who have experienced allergic symptoms due to medication, etc. (5) People with the following symptoms: difficulty urinating (6) People who have been diagnosed with the following: Heart disease, kidney disease, liver disease, systemic lupus erythematosus, mixed connective tissue disease, bronchial asthma (7) People who have had the following diseases: Gastric and duodenal ulcers, ulcerative colitis, Crohn's disease, blood disorders, liver disease, kidney disease 2. If the following symptoms occur after taking this medicine, these may be side effects, so immediately stop taking the medicine and consult a doctor, dentist, pharmacist, or registered distributor with this package insert. [Affected area: Symptoms] Skin: rash, redness, itching, bruisingDigestive system: nausea, vomiting, loss of appetite, stomach discomfort, stomach pain, stomatitis, heartburn, heavy stomach feeling, gastrointestinal bleeding, abdominal pain, diarrhea, bloody stoolNeuropsychiatric system: dizziness, headache, drowsiness, insomnia, depressed moodCirculatory system: palpitationsRespiratory system: shortness of breathUrinary system: difficulty urinatingOther: blurred vision, tinnitus, swelling, nosebleeds, bleeding gums, difficult to stop bleeding, bleeding, back pain, excessive drop in body temperature, general malaise, abnormal sensitivity to light, hot flashesIn rare cases, the following serious symptoms may occur.If this occurs, consult a doctor immediately. [Name of symptom: Symptom] Shock (anaphylaxis): Immediately after taking the medicine, symptoms such as itchy skin, hives, hoarseness, sneezing, itchy throat, shortness of breath, palpitations, and confusion may occur. Stevens-Johnson syndrome, toxic epidermal necrolysis: High fever, bloodshot eyes, eye discharge, sore lips, sore throat, widespread rash and redness of the skin, etc. may persist or suddenly worsen. Liver dysfunction: Symptoms include fever, itching, rash, jaundice (yellowing of the skin or whites of the eyes), brown urine, general fatigue, and loss of appetite. Kidney damage: Symptoms include fever, rash, decreased urine output, general swelling, general fatigue, joint pain, and diarrhea. Aseptic meningitis: Symptoms include severe headache accompanied by stiffness in the neck, fever, nausea, and vomiting. (These symptoms are particularly common in people receiving treatment for systemic lupus erythematosus or mixed connective tissue disease.) Myocardial infarction: Suffocating chest pain, shortness of breath, cold sweat. Cerebrovascular disorder: Symptoms such as sudden decrease or loss of consciousness, difficulty moving one side of the limbs, headache, vomiting, dizziness, difficulty speaking, and difficulty speaking may suddenly appear. Asthma: Symptoms include wheezing, whistling, and shortness of breath when breathing. Aplastic anemia: Symptoms include bruising, nosebleeds, bleeding gums, fever, pale skin and mucous membranes, fatigue, palpitations, shortness of breath, feeling unwell and dizzy, and blood in the urine. Agranulocytosis: Sudden high fever, chills, sore throat, etc. Digestive disorders: Symptoms include black stools, vomiting blood, bloody stools, and bloody mucus (loose stools mixed with blood, mucus, and pus). 3. If symptoms such as excessive drop in body temperature, weakness, or cold hands and feet occur after taking this medicine, immediately discontinue use and consult a doctor, pharmacist, or registered distributor with this package insert. 4. The following symptoms may occur after taking this medicine. If these symptoms persist or worsen, discontinue use and consult a doctor, pharmacist, or registered distributor with this package insert: constipation, dry mouth 5. If symptoms do not improve after taking this medicine 3 to 4 times, discontinue use and consult a doctor, pharmacist, or registered distributor with this package insert (menstrual pain may be caused by a uterine disorder).

1. Avoid high temperatures and store in a cool, dry place away from direct sunlight. 2. Keep out of reach of children. 3. Do not transfer to other containers. (This may cause misuse or change the quality.) 4. Please store and carry the product with care to prevent the aluminum foil from tearing or the tablets inside from being damaged. 5. Do not take products that have passed their expiration date (listed on the outer box).