BENZA BLOCK L PREMIUM DX JO
ベンザブロックLプレミアムDX錠

• Contains ibuprofen 600 mg (daily dose) to improve sore throat and reduce fever.
• Tranexamic acid relieves mucosal inflammation and relieves sore throat.
• Dextromethorphan hydrobromide hydrate acts on the cough center to relieve cough.
• Contains 8 ingredients to relieve various cold symptoms.
• Easy-to-take, small, white to yellowish round tablet.

Relief of various cold symptoms: sore throat, cough, fever, stuffy nose, runny nose, sneezing, phlegm, feeling cold (chills due to fever), headache, joint pain, and muscle pain.

Precautions regarding dosage and directions

Please follow the recommended dosage and directions.

In 9 tablets (daily dose)

Inactive ingredients:

Corn starch, cellulose, maltitol syrup, croscarmellose sodium, hydroxypropyl cellulose, magnesium aluminometasilicate, magnesium stearate, partially hydrolyzed polyvinyl alcohol, hypromellose, talc, titanium oxide

What you should NOT do

(If you do not follow the precautions, it may worsen your symptoms, or you may be at an increased risk of side effects and accidents.)

1. The following persons should not take this medicine:
   1. Persons who have experienced allergic reactions to this medicine or any of its ingredients.
   2. Persons who have experienced asthma after taking this medicine or other cold medications or antipyretic analgesics.
   3. Children under 15 years of age.
   4. Pregnant women within 12 weeks of the expected delivery date.
   5. Persons who have suffered from the following symptoms: Dysuria due to prostatic hypertrophy
   6. Persons diagnosed with the following conditions: Hypertension, heart disease, thyroid disorders, diabetes
   7. Persons who are receiving medical treatment for the following diseases or medical supplies at medical institutions: Gastroduodenal ulcer, blood diseases, liver diseases, kidney diseases, or persons who are receiving Zidovudine (Retrovir, etc.)
2. Do not use any of the following medications while you take this medicine:
   Other cold medicines, antipyretic analgesics, sedating drugs, cough and expectorant drugs, oral remedies containing an antihistamine agent (such as oral remedies for rhinitis, motion sickness drugs, medicines for allergies, and sedative hypnotics), etc., oral remedies containing tranexamic acid
3. After taking this medicine, do not operate vehicles or machinery. (Drowsiness or other symptoms may occur.)
4. Do not drink alcohol before or after taking this medicine.
5. Do not take this medicine continuously for more than 5 days.

Who should seek consultation

1. The following persons should consult a physician, pharmacist, or registered salesperson before taking this medicine:
   1. Persons currently receiving treatment from a physician or dentist.
   2. Women who are or may be pregnant.
   3. Breastfeeding women.
   4. Elderly persons.
   5. Persons who have experienced allergic reactions to medicines or other substances.
   6. Persons with the following symptoms: high fever, difficulty in urination.
   7. Persons diagnosed with the following conditions: Glaucoma, systemic lupus erythematosus, mixed connective tissue disease, persons with blood clots (cerebral thrombosis, myocardial infarction, thrombophlebitis), persons who may develop thrombosis, bronchial asthma.
   8. Persons who have had the following diseases: Gastroduodenal ulcer, ulcerative colitis, Crohn's disease, blood diseases, liver diseases, or kidney diseases.
   9. Persons on treatment with monoamine oxidase inhibitors (such as selegiline hydrochloride).
   10. Persons who have experienced insomnia, dizziness, feeling of weakness, shaking, or palpitations due to cold medicines, cough and expectorant medicines, oral medicines for rhinitis, etc.
2. Stop taking this medicine immediately and consult a physician, pharmacist, or registered salesperson if the following symptoms appear after taking this medicine because they might be side effects of the medicine. Take this leaflet with you.

   Affected area	Symptoms
   Skin	Rash, redness, itching, and bruising
   Digestive organs	Nausea and vomiting, loss of appetite, stomach discomfort, stomach pain, stomatitis, heartburn, feeling of heaviness in the stomach, gastrointestinal bleeding, abdominal pain, diarrhea, bloody stools
   Neuropsychiatric system	Dizziness, spasm, insomnia, nervous irritability, feeling depressed
   Circulatory system	Palpitation
   Respiratory system	Shortness of breath, breathing difficulties
   Urinary system	Difficulty in urination
   Others	Blurred vision, buzzing in the ear, swelling, nose bleeding, bleeding of the gums, difficulty in stopping bleeding, bleeding, back pain, excessive body temperature decrease, heaviness of the body, weakness, cold hands and feet, hot flushed of the face, flushing

   In rare cases, serious symptoms might occur. In such a case, immediately consult a physician.

   Name of symptoms	Symptoms
   Shock (Anaphylaxis)	Symptoms such as itching of the skin, hives, hoarseness, sneezing, itching of the throat, shortness of breath, palpitations, and clouding of consciousness occurring immediately after taking this medicine.
   Mucocutaneous ocular syndrome (Stevens-Johnson syndrome), toxic epidermal necrolysis, acute generalized exanthematous pustulosis	Symptoms such as high fever, hyperemia of the eyes, eye discharge, ulceration of the lips, sore throat, rashes and redness of a large area of the skin, small rashes (small pustules) on reddened skin, heaviness of the whole body, and no appetite persist or suddenly worsen.
   Hepatic Dysfunction	Symptoms such as fever, itching, rash, jaundice (yellowing of the skin or whites of the eyes), brown urine, general malaise, and loss of appetite.
   Renal Disorders	Symptoms such as fever, rash, decreased urine output, generalized swelling, general malaise, joint pain, and diarrhea.
   Aseptic meningitis	Symptoms such as severe headache with stiffness of the neck, fever, and nausea and vomiting. (These symptoms have been particularly reported in persons being treated for systemic lupus erythematosus or mixed connective tissue disease.)
   Myocardial infarction	Symptoms such as crushing chest pain, shortness of breath, and cold sweats.
   Cerebrovascular disorders	Symptoms such as decreased or loss of consciousness, difficulty moving one side of the body, headache, vomiting, dizziness, difficulty speaking, and difficulty finding words may suddenly occur.
   Interstitial pneumonia	Shortness of breath or difficulty breathing may occur when climbing stairs or with slight exertion. Dry cough and fever may also appear, and these symptoms may occur suddenly or persist.
   Asthma	Symptoms such as wheezing (whistling sounds when breathing) and difficulty breathing.
   Aplastic anemia	Symptoms such as bruising, nosebleeds, bleeding gums, fever, pale appearance of the skin or mucous membranes, fatigue, palpitations, shortness of breath, feeling unwell or dizzy, and hematuria.
   Agranulocytosis	Symptoms such as sudden high fever, chills, and sore throat.
   Blood disorders	Symptoms such as easy bruising, sudden high fever, chills, sore throat, easy bleeding (bleeding gums, nosebleeds), and difficulty stopping bleeding.
   Gastrointestinal disorders	Symptoms such as stool turning black, hematemesis, bloody stools, and mucous and bloody stools (soft stools mixed with blood, mucus, and pus).

3. Stop taking this medicine and consult a physician, pharmacist. or registered sales person if the following symptoms appear after taking this medicine and continue or worsen. Take this leaflet with you.
   Constipation, dry mouth, drowsiness.
4. Stop taking this medicine and consult a physician, pharmacist, or registered salesperson if symptoms do not improve after taking this medicine 5 to 6 times (especially if a fever persists three days or longer or repeats). Take this leaflet with you.

1. Store the medicine in its box in a dry, cool place away from direct sunlight.
2. Keep out of the reach of children.
3. To prevent improper use or loss of quality, do not transfer the medicine to another container.
4. Once the bottle is opened, throw away the filler in the bottle. (Putting the filler back into the bottle may change the quality by absorbing moisture. The filler in the bottle protects the tablets from breakage during transportation.)
5. Be sure to close the cap tightly after each use. (Failure to tightly close the bottle may result in loss of the quality of the medicine due to moisture.)
6. Do not take this medicine after the expiration date.
7. Fill in the date when the bottle was opened in the column provided on the box and bottle.
8. Once the bottle is opened, take this medicine within about 6 months to maintain quality.