Daiichi Sankyo Healthcare Lulu Attack EX (Sore Throat)

● Features
This is a comprehensive cold medicine containing 8 ingredients with excellent effects on painful cold symptoms such as sore throat and fever.
　1. Two anti-inflammatory ingredients, tranexamic acid and ibuprofen, suppress inflammation that causes painful cold symptoms, demonstrating excellent effects on sore throat and fever.
　2. The sustained antihistamine ingredient, clemastine fumarate, suppresses allergic cold symptoms (runny nose, nasal congestion).
　3. The expectorant ingredient, bromhexine hydrochloride, makes it easier to expel phlegm that causes coughing.
　4. Dihydrocodeine phosphate and dl-methyl ephedrine hydrochloride suppress painful coughs.
　5. Convenient aluminum PTP packaging for portability.

【Designated Class 2 OTC Drug】

● Efficacy/Effects
Relief of various cold symptoms (sore throat, fever, chills, headache, runny nose, nasal congestion, sneezing, cough, phlegm, joint pain, muscle pain)

＜Precautions related to Efficacy/Effects＞


● Dosage and Administration
Take the following amount with water or hot water.
［Age: Dose per time: Number of doses per day］
Adults (15 years and older): 2 tablets: 3 times a day, take preferably within 30 minutes after meals.
Under 15 years old: Do not take.


＜Precautions related to Dosage and Administration＞
(1) Strictly follow the dosage and administration instructions.
(2) How to remove tablets:
　Press strongly on the convex part of the PTP sheet containing the tablets with your fingertip to break the aluminum foil on the back, then take out and take the tablet. (Swallowing it as is by mistake may cause unexpected accidents such as piercing the esophageal mucosa)

● Ingredients/Quantity
Per 6 tablets
Tranexamic acid 750mg
Ibuprofen 450mg
Clemastine fumarate 1.34mg (Clemastine 1mg)
Bromhexine hydrochloride 12mg
dl-Methyl ephedrine hydrochloride 60mg
Dihydrocodeine phosphate 24mg
Thiamine nitrate 25mg
Riboflavin 12mg

〔Additives〕
Trehalose, cellulose, macrogol, croscarmellose sodium (cross CMC-Na), polyvinyl alcohol (partially saponified), anhydrous silica, hardened oil, magnesium stearate, hypromellose (hydroxypropyl methylcellulose), titanium oxide, carnauba wax

＜Precautions related to Ingredients/Quantity＞
Riboflavin (vitamin B2) contained in this product may cause urine to turn yellow.

● Dosage Form
Film-coated tablets (oral - tablets)

● Precautions for Use
■Do not do (Contraindications)
(If not followed, current symptoms may worsen or side effects/accidents may occur more easily)
1. Do not take if you fall under the following:
　(1) Have had allergic symptoms caused by this product or its ingredients
　(2) Have had asthma caused by this product or other cold medicines, antipyretic analgesics
　(3) Children under 15 years old
　(4) Pregnant women within 12 weeks before expected delivery date
2. Do not use any of the following medicines while taking this product:
　Other cold medicines, antipyretic analgesics, sedatives, antitussive expectorants, oral medicines containing antihistamines (oral medicines for rhinitis, motion sickness medicines, allergy medicines, etc.), oral medicines containing tranexamic acid
3. Do not drive vehicles or operate machinery after taking this product.
　(Drowsiness or other symptoms may appear)
4. Nursing mothers should either not take this product or avoid breastfeeding while taking it.
5. Do not drink alcohol before or after taking this product.
6. Do not take for more than 5 days.
■Consult
1. Consult a doctor, pharmacist, or registered seller before taking if you fall under the following:
　(1) Receiving treatment from a doctor or dentist
　(2) Pregnant or possibly pregnant
　(3) Elderly
　(4) Have had allergic symptoms caused by drugs, etc.
　(5) Have the following symptoms: high fever, difficulty urinating
　(6) Have been diagnosed with: thyroid dysfunction, diabetes, heart disease, hypertension, liver disease, kidney disease, glaucoma, systemic lupus erythematosus, mixed connective tissue disease, thrombosis (cerebral thrombosis, myocardial infarction, thrombophlebitis, etc.), risk of thrombosis, respiratory dysfunction, obstructive sleep apnea syndrome, obesity
　(7) Have had the following diseases:
　　Gastric or duodenal ulcer, ulcerative colitis, Crohn's disease
2. If the following symptoms appear after taking, they may be side effects; stop taking immediately and consult a doctor, pharmacist, or registered seller with this document.
［Affected area: Symptoms］
Skin: rash, redness, itching, bruising
Digestive system: nausea, vomiting, loss of appetite, stomach discomfort, stomach pain, stomatitis, heartburn, indigestion, gastrointestinal bleeding, abdominal pain, diarrhea, bloody stool
Nervous system: dizziness, excitement, convulsions
Circulatory system: palpitations
Respiratory system: shortness of breath
Urinary system: difficulty urinating
Others: blurred vision, tinnitus, swelling, nosebleed, bleeding gums, bleeding that is hard to stop, bleeding, back pain, excessive body temperature drop, fatigue
　Rarely, the following serious symptoms may occur. In such cases, seek medical attention immediately.
［Name of Symptom: Symptom］
Shock (anaphylaxis): Immediately after taking, itching skin, hives, hoarseness, sneezing, itchy throat, difficulty breathing, palpitations, clouded consciousness, etc. appear.
Stevens-Johnson syndrome (skin mucous membrane eye syndrome): High fever, eye redness, eye discharge, lip erosion, sore throat, widespread rash/redness on skin persist or worsen rapidly.
Toxic epidermal necrolysis: High fever, eye redness, eye discharge, lip erosion, sore throat, widespread rash/redness on skin persist or worsen rapidly.
Liver dysfunction: Fever, itching, rash, jaundice (yellowing of skin and whites of eyes), brown urine, general fatigue, loss of appetite, etc.
Kidney disorder: Fever, rash, decreased urine output, generalized swelling, general fatigue, joint pain, diarrhea, etc.
Aseptic meningitis: Severe headache with neck stiffness, fever, nausea, vomiting, etc. (These symptoms are especially reported in patients treated for systemic lupus erythematosus or mixed connective tissue disease)
Interstitial pneumonia: Shortness of breath or difficulty breathing when climbing stairs or exerting slightly, dry cough, fever, etc. appear suddenly or persist.
Asthma: Wheezing or whistling when breathing, difficulty breathing, etc.
Aplastic anemia: Bruising, nosebleeds, bleeding gums, fever, pale skin and mucous membranes, fatigue, palpitations, shortness of breath, dizziness, hematuria, etc.
Agranulocytosis: Sudden high fever, chills, sore throat, etc.
Respiratory depression: Shortness of breath, difficulty breathing, etc.
3. The following symptoms may appear after taking; if these symptoms persist or worsen, stop taking and consult a doctor, pharmacist, or registered seller with this document.
　Constipation, dry mouth, drowsiness
4. If symptoms do not improve after 5 to 6 doses, stop taking and consult a doctor, pharmacist, or registered seller with this document.
　(Especially if fever continues for more than 3 days or recurs)

●Precautions for Storage and Handling
(1) Store in a cool place with little humidity, away from direct sunlight.
(2) Keep out of reach of children.
(3) Do not transfer to other containers. (May cause misuse or quality changes)
(4) Do not use products past the indicated expiration date.