The Only
Menstrual Pain Medication in Japan
Elpain Kowa
・For throbbing pain
Before menstruation, prostaglandins are produced in the endometrium to push out the unnecessary uterine lining from the body. Excessive production of prostaglandins is the main cause of throbbing pain.
・For cramping, twisting pain
Before menstruation, prostaglandins are produced in the endometrium to push out the unnecessary uterine lining from the body. When prostaglandins are excessively produced, the uterus contracts strongly. This excessive uterine contraction causes cramping, twisting pain.
・For menstrual pain accompanied by loose stomach
Prostaglandins produced in the endometrium to push out the unnecessary uterine lining also enter the bloodstream and increase. This causes the intestines to contract, making lower abdominal pain with soft stools more likely.
Double Formula Designed Based on the Mechanism of Menstruation
Ibuprofen: Suppresses the excessive production of prostaglandins that cause pain.
Butylscopolamine Bromide: Suppresses excessive contractions of the uterus and intestines.
Other Features!
・Fast and effective
・1 Tablet per dose
・Small and easy to swallow
・Less likely to cause drowsiness
● Features
Elpain Kowa α is a W-formulation medicine specifically designed for menstrual pain, prioritizing effectiveness against menstrual cramps.
■ Product Features
● Contains ibuprofen, effective for "throbbing pain."
● Contains butylscopolamine bromide, effective for "cramping, twisting pain."
● Acts quickly and effectively on menstrual-specific pain.
● Does not contain ingredients that cause drowsiness.
● One small tablet per dose, easy to swallow.
■ For those with the following menstrual pain
● Experiencing throbbing pain.
● Experiencing cramping, twisting pain.
● Menstrual pain accompanied by abdominal looseness.
【Designated Class 2 OTC Drug】
● Efficacy/Effects
Menstrual pain (mainly when accompanied by soft stools and lower abdominal pain)
＜Precautions related to Efficacy/Effects＞
● Dosage and Administration
Take the following amount with water or warm water, preferably avoiding an empty stomach.
Maintain an interval of at least 4 hours between doses.
[Age: Dose per time: Maximum daily doses]
Adults (15 years and older): 1 tablet: up to 3 times daily
Children under 15 years: Do not take
＜Precautions related to Dosage and Administration＞
(1) Strictly follow the dosage and administration instructions.
(2) How to remove the tablet: Press firmly on the raised part of the PTP sheet with your fingertip to break the aluminum foil on the back, then take out the tablet and swallow it.
(Accidentally swallowing the tablet with the foil can cause injury to the esophageal mucosa.)
● Ingredients/Quantity
Per 1 tablet
Ibuprofen 200 mg
Butylscopolamine bromide 10 mg
〔Additives〕
Lactose, anhydrous silica, hydroxypropyl cellulose, hypromellose (hydroxypropyl methylcellulose), croscarmellose sodium (cross CMC-Na), talc, triacetin, titanium dioxide, ferric oxide, carnauba wax
＜Precautions related to Ingredients/Quantity＞
● Dosage Form
Film-coated tablet (oral tablet)
● Precautions for Use
■ Do not do (Contraindications)
(Failure to comply may worsen current symptoms or increase the risk of side effects or accidents)
1. Do not take if you:
(1) Have had allergic reactions to this product or its ingredients.
(2) Have experienced asthma triggered by this product, antipyretic analgesics, or cold medicines.
(3) Are under 15 years old.
(4) Are pregnant within 12 weeks before the expected delivery date.
(5) Have been diagnosed with glaucoma.
2. Do not take any of the following medicines while using this product:
Antipyretic analgesics, cold medicines, sedatives, gastrointestinal analgesic antispasmodics, gastrointestinal medicines containing Rohto extract, motion sickness medicines.
3. Do not drive vehicles or operate machinery after taking this medicine.
(You may experience blurred vision, abnormal glare, or other symptoms.)
4. Do not drink alcohol before or after taking this medicine.
5. Do not use for a long period continuously.
■ Consult
1. Consult a doctor, dentist, pharmacist, or registered seller before use if you:
(1) Are receiving treatment from a doctor or dentist.
(2) Are pregnant or think you may be pregnant.
(3) Are breastfeeding.
(4) Have had allergic reactions to medicines.
(5) Have difficulty urinating.
(6) Have been diagnosed with heart disease, kidney disease, liver disease, systemic lupus erythematosus, or mixed connective tissue disease.
(7) Have a history of stomach or duodenal ulcers, ulcerative colitis, or Crohn’s disease.
2. If you experience any of the following symptoms after taking this medicine, stop use immediately and consult a doctor, dentist, pharmacist, or registered seller with this leaflet, as these may be side effects:
［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 stools
Central nervous system: Dizziness, headache
Circulatory system: Palpitations
Respiratory system: Shortness of breath
Urinary system: Difficulty urinating
Others: Blurred vision, tinnitus, swelling, nosebleeds, bleeding gums, prolonged bleeding, bleeding, back pain, excessive lowering of body temperature, fatigue, abnormal glare, flushing
Rare but serious symptoms may occur. If so, seek medical attention immediately.
［Name of Symptom: Symptoms］
Shock (Anaphylaxis): Immediately after taking, itching skin, hives, hoarseness, sneezing, throat itching, difficulty breathing, palpitations, loss of consciousness, etc.
Stevens-Johnson syndrome (skin mucous membrane eye syndrome): High fever, eye redness, eye discharge, lip erosion, sore throat, widespread rash or redness that persists or rapidly worsens.
Toxic epidermal necrolysis: High fever, eye redness, eye discharge, lip erosion, sore throat, widespread rash or redness that persists or rapidly worsens.
Liver dysfunction: Fever, itching, rash, jaundice (yellowing of skin or whites of eyes), dark urine, general fatigue, loss of appetite.
Kidney disorder: Fever, rash, decreased urine output, generalized swelling, fatigue, joint pain, diarrhea.
Aseptic meningitis: Severe headache with neck stiffness, fever, nausea, vomiting. (These symptoms are often reported in patients treated for systemic lupus erythematosus or mixed connective tissue disease.)
Asthma: Wheezing, difficulty breathing.
Aplastic anemia: Bruising, nosebleeds, bleeding gums, fever, pale skin or mucous membranes, fatigue, palpitations, shortness of breath, dizziness, blood in urine.
Agranulocytosis: Sudden high fever, chills, sore throat.
3. If symptoms such as constipation or dry mouth appear or persist or worsen after taking this medicine, stop use and consult a doctor, pharmacist, or registered seller with this leaflet.
4. If symptoms do not improve after 5 to 6 doses, stop use and consult a doctor, pharmacist, or registered seller with this leaflet.
(This may indicate menstrual pain caused by some uterine condition.)
● Precautions for Storage and Handling
(1) Store in a cool, dry place away from high temperatures and direct sunlight.
(2) Keep out of reach of children.
(3) Do not transfer to another container. (This may cause misuse or quality changes.)
(4) Handle and store carefully to avoid tearing the aluminum foil of the PTP or damaging the tablets inside.
(5) Do not use products past the expiration date indicated on the outer box.
