Class 3 OTC Drug External Patch
ROIHI-TSUBOKO™ / ROIHI-TSUBOKO™ Large
For shoulder stiffness and lower back pain. Round warming Patch available in sizes to suit the application area.
Regular: Diameter 2.8 cm, 156 sheets Large: Diameter 3.9 cm, 78 sheets Warming Stimulation Shoulder Stiffness & Lower Back Pain
Product Overview
The ROIHI-TSUBOKO™ series is a round warming Patch applied to areas of concern such as stiff shoulders and lower back pain. The active ingredient nonyl vanillylamide promotes blood circulation in the affected area through warming stimulation, relieving symptoms like shoulder stiffness and lower back pain.
Choose from two types: Regular size (diameter 2.8 cm, 156 sheets) for easy targeting of stiff points, and Large size (diameter 3.9 cm, 78 sheets) for covering wide areas like lower back and back, according to the area of use and preference.
Choose from two sizes
Regular
ROIHI-TSUBOKO™
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JAN Code:4987167007263
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Product Number: RT156
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Size: Diameter 2.8 cm
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Contents: 156 sheets (12 sheets × 13 sheets)
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Recommended: For those who want to target points of stiffness and pain like neck, shoulders, and knees
Large
ROIHI-TSUBOKO™ Large Size
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JAN Code:4987167059101
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Product Number: RT78
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Size: Diameter 3.9 cm
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Contents: 78 sheets (6 sheets × 13 sheets)
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Recommended: For those who want to cover wide areas like lower back and back with fewer patches
| Comparison Items |
Regular Size |
Large Size |
| Product Name |
ROIHI-TSUBOKO™ |
ROIHI-TSUBOKO™ Large Size |
| Diameter |
2.8cm |
3.9cm |
| Area |
For pinpoint use |
About twice the size of the regular |
| Number of Sheets |
156 sheets |
78 sheets |
| Usage Differentiation |
Neck, shoulders, joints, etc. |
Wide areas like lower back and back |
| Ingredients and Efficacy |
Active ingredients, efficacy, and usage are the same for both. |
Please select "Regular 156 sheets" or "Large 78 sheets" in the product page options.
Common Features of Both Sizes
① Two sizes to choose from according to the area Choose from a 2.8 cm diameter for pinpoint targeting or a large 3.9 cm diameter for wider areas.
② Strong warming stimulation Promotes blood circulation in the affected area with warming stimulation, targeting stiffness and pain.
③ Discreet and adhesive Beige color blends with skin and has strong adhesion that resists peeling even with movement.
④ Dirt-resistant material Uses rayon fabric designed to resist water and dirt.
Check Features with Images
Easy-to-apply round shape
Small round size, easy to apply to specific stiff points.
Warming Stimulation
Gentle warming stimulation promotes blood circulation in the affected area.
Discreet
Skin-friendly color, easy to use on shoulders and back.
Dirt-resistant
Designed with a material resistant to water and dirt, making it easy to use in daily life.
Active Ingredients
| Ingredients |
Function |
| Nonyl vanillylamide |
Promotes blood circulation in the affected area through warming stimulation. |
| Methyl salicylate |
Helps relieve pain and inflammation in the affected area. |
| l-Menthol |
Provides a refreshing sensation and soothes the affected area. |
Efficacy and Effects
Shoulder stiffness Lower back pain Bruise Sprain Joint pain Muscle pain Muscle fatigue Chilblains
How to Use
STEP 1
Lightly fold the film and lift the edge slightly.
STEP 2
Peel off the lifted part with your finger.
STEP 3
Press with your finger to find points of pain or stiffness.
STEP 4
Apply targeting the specific points.
STEP 5
For areas with strong stiffness, it is also recommended to apply multiple patches together.
STEP 6
Wait for a while.
STEP 7
The warming sensation gradually takes effect.
STEP 8
Replace when the warming sensation fades.
Application Examples
Stiff Shoulders

ROIHI Shoulder Patch

ROIHI Shoulder Blade Patch

ROIHI Shoulder and Back Patch
Lower Back Pain

ROIHI Lower Back Patch

ROIHI Abdomen Patch

ROIHI Buttocks Patch
Knee pain and others

Around the knee

Legs and calves

Around the ankle
Dosage and Administration
Apply to the affected area several times a day.
⚠️ Please read the attached instructions carefully before use. If symptoms do not improve or you feel any abnormalities, stop use and consult a doctor, pharmacist, or registered seller.
Frequently Asked Questions (FAQ)
QHow long can I keep ROIHI-TSUBOKO™ Large Patch on?
AReplace the patch when the warming sensation fades. Continuous long-term use may burden the skin, so always remove it before bathing.
QDo I need to remove it before bathing?
AYes, but be sure to remove it. Bathing while wearing the patch may cause excessive warming irritation due to overlapping heat effects. It is recommended to remove it 30 minutes to 1 hour before bathing.
QCan it be used with disposable body warmers or electric blankets?
ANot recommended. Using together with heating devices such as kotatsu, hot carpets, disposable body warmers, or electric blankets may cause excessive warming irritation.
QHow many sheets can be applied at the same time?
AYou can apply multiple sheets together on areas with strong stiffness. However, avoid applying large amounts over wide areas as it may cause strong irritation; use cautiously while monitoring.
QCan children and the elderly use it?
AAvoid use on children under 15 years old. Elderly people may have sensitive skin, so start with short use and remove immediately if any abnormalities occur. Consult a pharmacist or registered seller if you have concerns.
QWhat should I do if I develop a rash or redness?
ADiscontinue use immediately and keep the affected area clean. If symptoms persist, consult a doctor, pharmacist, or registered seller.
QWhat is the difference between the regular 156 sheets and large 78 sheets packs?
AThe regular size has a diameter of 2.8 cm and is suitable for targeting points like the neck, shoulders, and knees. The large size has a diameter of 3.9 cm, about twice the area of the regular size, and is convenient for covering wider areas like the lower back or back.
QAre the ingredients and effects different between the regular size and large size?
AThe active ingredients, effects, and usage are the same. Please choose the size according to the area you want to apply and ease of use.
QWhat should I do if it peels off easily?
ABefore applying, thoroughly wipe off dirt, moisture, and oil from the skin to enhance adhesion. Also, be careful as patches tend to peel off easily on joints or areas with frequent movement.
Brand Story
Born in 1973
ROIHI-TSUBOKO™ is Japan’s first round-shaped warming Patch developed by Nichiban Co., Ltd. in 1973. Inspired by the concept of acupressure points in Oriental medicine, the small round design allows precise application to stiff or painful spots.
A long-selling product loved in Japanese households for over 50 years since its launch. Nichiban, founded in 1918, is a long-established manufacturer that has introduced many trusted brands such as "Cellotape®" and "Battlewin®." Among them, ROIHI-TSUBOKO™ is supported across generations as a product that combines "effective warming," "easy to apply," and "discreet appearance."
Currently, users are increasing not only in Japan but also across Asia and worldwide, and it is internationally known as "ROIHI-TSUBOKO™."
Usage Precautions
⚠️ Do not bathe while wearing ROIHI-TSUBOKO™ Large Patch. Be sure to remove it 30 minutes to 1 hour before bathing.
⚠️ Avoid using with heating devices such as kotatsu, hot carpets, disposable body warmers, or electric blankets, as it may increase irritation.
Storage Precautions
📦 Store in a cool, dry place away from direct sunlight. Keep out of reach of children.
● Features
Roihi Tsubokou promotes blood circulation in the affected area through the warming stimulation of nonylic vanillylamide, and together with the analgesic and anti-inflammatory effects of methyl salicylate, l-menthol, and others, it shows excellent effects.
【Class 3 OTC Drug】
●Efficacy/Effects
Stiff shoulders, lower back pain, bruises, sprains, joint pain, muscle pain, muscle fatigue, chilblains
<Precautions related to Efficacy/Effects>
●Dosage and Administration
Peel the plaster surface of Roihi Tsubokou from the film and apply it to the affected area.
<Precautions related to Dosage and Administration>
(1) When using for children, use under the guidance and supervision of a guardian.
(2) People with sensitive skin should apply a small piece about 1 cm square to the inside of the arm for more than half a day before use to confirm that no symptoms such as rash, redness, itching, or irritation occur.
(3) Wipe off sweat well and clean the affected area before applying.
(4) People with sensitive skin should not apply continuously to the same area.
(5) Because irritation such as rash may occur depending on constitution, avoid applying immediately after bathing.
(6) This product is for external use only; do not take internally.
(7) Be careful when using with heat sources (kotatsu, hot carpet, disposable body warmers, electric blankets, etc.) as stimulation may increase.
●Ingredients/Quantity
Per 100g of plaster base
Methyl salicylate 7.17g
l-Menthol 3.25g
Peppermint oil 0.35g
dl-Camphor 2.51g
Thymol 0.05g
Nonyl vanillylamide 0.03g
〔Additives〕
Raw rubber, polyisobutylene, polybutene, petroleum resin, dibutylhydroxytoluene (BHT), heavy calcium carbonate, carbon black, ferric oxide, Red No. 227, and one other ingredient
<Precautions related to Ingredients/Quantity>
●Dosage Form
Plaster (external use - plaster)
●Precautions for Use
■Do not do (Contraindications)
(If not followed, current symptoms may worsen or side effects may occur more easily)
1. Do not use on the following areas:
(1) Around the eyes, mucous membranes, etc.
(2) Eczema, irritation, wounds.
■Consult
1. Consult a doctor, pharmacist, or registered seller before use if:
(1) You or your family have an allergic constitution.
(2) You have had allergic symptoms (such as rash, redness, itching, irritation, etc.) caused by medicine.
2. If the following symptoms appear after use, they may be side effects; stop use immediately and consult a doctor, pharmacist, or registered seller with this leaflet.
[Affected area: Symptoms]
Skin: rash, redness, itching, swelling, irritation, pigmentation, skin peeling, pain, etc.
3. If symptoms do not improve after 5 to 6 days of use, stop use and consult a doctor, pharmacist, or registered seller with this leaflet.
■Other Precautions
When bathing, if the applied area feels stinging, be sure to remove the plaster about 30 minutes to 1 hour before bathing. Do not bathe with the plaster still applied.
●Precautions for Storage and Handling
(1) Keep out of reach of children.
(2) Avoid direct sunlight and store in a cool, dry place as much as possible.
(3) To avoid misuse and maintain quality, after opening, store in the original bag and close the zipper tightly.
(4) When storing, try not to press down on the product inside as much as possible.