







Kotobuki Enema Hitooshi 40
A glycerin enema delivered directly to the rectum for constipation that won’t clear and a lingering feeling of incomplete evacuation
For people like this · At times like these
Product overview
Kotobuki Enema Hitooshi 40 is an enema that uses the osmotic action of glycerin to stimulate the rectum, encourage the urge to defecate, and help relieve constipation. Used when stool has already reached the rectum, it supports bowel movement locally. It features an accordion-type container and a wave-shaped nozzle, designed for easier squeezing and reach even for first-time users. If stool has not reached the rectum, sufficient effect may not be obtained, so check the package insert for symptoms and directions for use, and consult a pharmacist or registered seller as needed.
Product features
Accordion design for an easy squeeze
One-push designUses the industry-recognized accordion-type container. Designed so it is less likely to require excessive force and is easy to squeeze, even for first-time enema users.
Stimulates the rectum with glycerin’s osmotic pressure
Local actionUses the osmotic pressure of the active ingredient glycerin to stimulate the rectal mucosa and encourage the urge to defecate. This is a constipation medicine used so that the agent tends to be expelled from the body with the stool during a bowel movement.
Wave-shaped nozzle for reliable delivery
Nozzle designFeatures a long wave-shaped nozzle designed with insertion stability and reach in mind. Combined with the container shape, this series is built for ease of use.
Active ingredient
| Ingredient | Amount | Category |
|---|---|---|
| Glycerin | 50% | Active ingredient |
Indications
Dosage and administration
| Age | Amount per use | Times per day |
|---|---|---|
| Adults (15 years and older) | 1 unit per use | Per use |
| 11 to under 15 years | About 2/3 unit per use | Per use |
| 6 to under 11 years | About 1/2 unit per use | Per use |
| 1 to under 6 years | About 1/3 unit per use | Per use |
| 1 month to under 1 year | About 1/4 unit per use | Per use |
- This product is a Class 2 OTC drug. Read the package insert carefully before use.
- The following people should consult a physician, pharmacist, or registered seller before use: those under a physician’s care; those who are pregnant or may be pregnant; older adults; those who personally have or whose family has an allergic predisposition; those who have experienced allergic symptoms due to medicine; those receiving treatment for hemorrhoids or with severe hemorrhoids; those who have symptoms such as abdominal pain, nausea, vomiting, or fever in addition to constipation.
- If rash, redness, itching, worsening abdominal pain, bloody stool, unusual irritation, or similar symptoms occur during or after use, stop use and consult a physician, pharmacist, or registered seller.
- Limit use to a short period; do not use continuously. Avoid habitual use.
- If stool has not reached the rectum, sufficient effect may not be obtained.
- Do not force insertion or push in too hard. Doing so may damage the mucosa.
- Avoid combining with other enemas or laxatives, and avoid overuse based on your own judgment.
- If symptoms do not improve after use, or if constipation keeps recurring, see a medical institution.
- Do not use if you are allergic to any ingredients or additives.
- For detailed precautions and matters requiring consultation, follow the package insert.
- Store in a cool place away from direct sunlight.
- Store out of reach of children.
- Do not transfer to another container (this may cause misuse or a decline in quality).
- Do not use products past their expiration date.
- Avoid extreme high or low temperatures and store so that quality does not change.














































































