Class 2 OTC DrugKampo FormulaTokishakuyakusan
Naripitan Tokishakuyakusan Tablets
When tinnitus or dizziness linked to stress or fatigue is a concern
✦ Tokishakuyakusan✦ 6 herbal ingredients✦ For symptoms such as tinnitus and dizziness
For people like this · Situations like these
🔔
Those bothered by tinnitus
When you notice a ringing sound, ear discomfort, or tinnitus
😣
Those under ongoing stress or fatigue
For those whose ear symptoms become noticeable when tired or stressed
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Those with dizziness or heaviness in the head
When accompanied by dizziness, light-headedness, heaviness in the head, and similar symptoms
❄️
Those prone to chilliness and fatigue
For various symptoms in people with weak constitution, cold sensitivity, a tendency toward anemia, and easy fatigue
Product Overview
Naripitan Tokishakuyakusan Tablets is a Class 2 OTC Kampo medicine from Kobayashi Pharmaceutical containing tokishakuyakusan extract. It is used for various symptoms such as tinnitus, dizziness, heaviness in the head, stiff shoulders, and swelling in people with a weak constitution, cold sensitivity, a tendency toward anemia, and who tire easily. This formula combines herbal ingredients related to blood flow and fluid circulation, and is a Kampo preparation for ear symptoms and bodily discomfort that can accompany stress or fatigue.
Product Features
01
Tokishakuyakusan used for tinnitus and dizziness
Kampo formula
A tokishakuyakusan formula used for various symptoms such as tinnitus, dizziness, heaviness in the head, and swelling in people with a weak constitution, cold sensitivity, a tendency toward anemia, and who tire easily.
02
Kampo extract from 6 herbal ingredients
6 herbs
Contains an extract combining toki (Japanese angelica root), senkyu (cnidium rhizome), shakuyaku (peony root), bukuryo (poria), byakujutsu (atractylodes rhizome), and takusha (alisma rhizome). Aims to ease symptoms in a way suited to the constitution.
03
For discomfort linked to stress and fatigue
When to use
Used as a Kampo medicine when tinnitus, dizziness, heaviness in the head, and similar symptoms that tend to appear against a background of fatigue or stress become a concern.
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Tablet form
Easy-to-take tablets; take according to the prescribed directions for use.
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A formula also known as a women’s medicine
A classical formula also used for menstrual irregularity, menopausal symptoms, and discomfort before and after childbirth, among other uses.
Active Ingredients (Tokishakuyakusan)
Indications
The following symptoms in people with a weak constitution, cold sensitivity, a tendency toward anemia, and who tire easily, and who sometimes complain of lower abdominal pain, heaviness in the head, stiff shoulders, tinnitus, palpitations, etc.:
Menstrual irregularity, menstrual abnormalities, menstrual pain, menopausal disorders, disorders due to pregnancy, postpartum, or miscarriage (anemia, fatigue and lassitude, dizziness, swelling), dizziness/light-headedness, heaviness in the head, stiff shoulders, lower back pain, coldness of the legs and lower back, chilblains, swelling, freckles/dark spots, tinnitus
Dosage and Administration
| Age |
Dose per serving |
Times per day |
| Adults (15 years and older) |
3 tablets per dose |
3 times daily |
| Under 15 years |
Do not take |
— |
Take with water or lukewarm water before meals or between meals. Strictly follow the dosage and administration. Follow the confirmed dose as stated on the product package insert and outer box.
⚠️ Precautions for 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 taking: those under a physician’s care; pregnant women or those who may be pregnant; those with a weak stomach and prone to diarrhea; those who have previously experienced rash, itching, or similar reactions to medicines.
- If skin rash/redness, itching, nausea/vomiting, loss of appetite, stomach discomfort, or similar symptoms appear after taking, stop use and consult a physician, pharmacist, or registered seller.
- If symptoms do not improve after taking for a while, stop use and consult a physician, pharmacist, or registered seller.
- If ear symptoms are severe or suddenly worsen, are accompanied by hearing loss, or dizziness is intense, do not continue on your own judgment—seek medical advice when a healthcare visit is needed.
- Follow the prescribed dosage and administration. Take care when combining with other Kampo medicines, and check with a professional if anything is unclear.
📦 Storage Precautions
- Store in a cool place with low humidity, away from direct sunlight.
- Store out of reach of children.
- Do not transfer to another container (to prevent misuse and maintain quality).
- Do not take the product after the expiration date.
● Features
Effective for symptoms of "tinnitus" such as difficulty hearing voices and inability to concentrate.
The Kampo medicine "Tokishakuyakusan" improves tinnitus through blood flow improvement and diuretic effects.
【Class 2 OTC Drug】
●Efficacy/Effects
For those who are physically weak, have cold sensitivity, tend to have anemia, get fatigued easily, and sometimes complain of lower abdominal pain, heavy head, dizziness, stiff shoulders, tinnitus, palpitations, and the following symptoms: irregular menstruation, abnormal menstruation, menstrual pain, menopausal disorders, disorders due to pre- and post-natal or miscarriage (anemia, fatigue, dizziness, swelling), dizziness/vertigo, heavy head, stiff shoulders, lower back pain, coldness in legs and lower back, chilblains, swelling, spots, tinnitus.
＜Precautions related to Efficacy/Effects＞
●Dosage and Administration
Take the following amount with water or hot water before or between meals.
[Age: Dose per time: Number of doses per day]
Adults (15 years and older): 4 tablets: 3 times a day
7 years and older but under 15 years: 3 tablets: 3 times a day
5 years and older but under 7 years: 2 tablets: 3 times a day
Under 5 years: Do not take
＜Precautions related to Dosage and Administration＞
(1) Strictly adhere to the prescribed dosage and administration.
(2) When administering to children, do so under the guidance and supervision of a guardian.
(3) Since it is prone to moisture absorption, tightly close the cap each time after taking.
● "Between meals" means the time between meals, approximately 2 to 3 hours after eating.
●Ingredients/Quantity
Per 12 tablets
Tokishakuyakusan extract (half amount) 2.3g (1.5g each of Angelica root and Cnidium rhizome, 2g each of Peony root, Poria, Atractylodes rhizome, and Alisma rhizome)
〔Additives〕
Anhydrous silica, aluminum silicate, carmellose calcium (CMC-Ca), magnesium stearate, lactose
＜Precautions related to Ingredients/Quantity＞
● Since this product uses natural ingredients (herbal medicines), the color of the tablets may vary slightly.
●Dosage Form
Tablets (oral - tablets)
●Precautions for Use
■Consult
1. The following people should consult a doctor, pharmacist, or registered seller before taking:
(1) Those receiving medical treatment from a doctor
(2) Those with weak gastrointestinal systems
(3) Those who have previously experienced rash, redness, itching, etc. due to medication
2. If the following symptoms appear after taking this medicine, they may be side effects. Stop taking immediately and consult a doctor, pharmacist, or registered seller with this box.
［Affected area: Symptoms］
Skin: rash, redness, itching
Digestive system: loss of appetite, stomach discomfort
3. If symptoms do not improve after about one month of use, stop taking and consult a doctor, pharmacist, or registered seller with this box.
●Precautions for Storage and Handling
(1) Store tightly sealed in a cool, dry place 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 handle this medicine with wet hands.
(5) The packing material inside the bottle is for preventing damage during transport and should be discarded upon opening.
