Class 2 OTC DrugCataplasm (Pap)Warming Type
Vantelin Kowa Pap EX Hot
A warming pap with indomethacin that delivers relief directly to the affected area for stiff shoulders, lower back pain, and joint pain that often worsen in the cold
✦ Contains indomethacin✦ Warming type✦ Strong adhesion✦ Gentle on the skin
Who it’s for & when to use it
😣
When stiff shoulders are troublesome
For those whose shoulders feel tight and painful from cold or fatigue
🦴
When you have lower back or joint pain
For those bothered by chronic pain or discomfort in the lower back, knees, and similar areas
💪
Muscle pain & overuse soreness
For those who want to ease pain and swelling from muscle fatigue or overuse
🩹
Pain from bruises, sprains, and similar injuries
For those seeking topical pain relief for bruises, sprains, fracture pain, and related conditions
Product overview
When muscles or joints are irritated (abnormally stimulated), the body produces substances (prostaglandins) that cause pain and inflammation. Vantelin Kowa Pap EX Hot is a topical medicine whose active ingredient, indomethacin, helps suppress inflammation and provide analgesic action. By inhibiting prostaglandin production, it helps calm inflammation and address pain and swelling. This warming-type pap is designed for chronic pain such as stiff shoulder pain, lower back pain, and joint pain that often worsen in cold weather, with strong adhesion and a gentle feel that make it easy to apply to areas such as the shoulders and knees.
Product features
01
Indomethacin acts directly on the affected area
Active ingredient
It inhibits production of prostaglandins (PG) that trigger inflammation, helping calm inflammation and ease pain and swelling. Designed to penetrate from the skin to the site of pain.
02
Warming type for chronic pain that worsens in the cold
Warming sensation
A warming type suited to situations involving chronic pain—such as stiff shoulder pain, lower back pain, and joint pain—that tend to become more noticeable with cold.
03
Strong adhesion and a gentle feel
Comfort in use
Designed for strong adhesion that fits areas such as the shoulders and knees and is easy to use on larger areas like the lower back, with a gentle feel when applied.
✦
Simple application
Peel the center film in the direction of the arrow, place the exposed side on the center of the affected area, then peel the remaining film one side at a time while applying.
✦
Kowa’s expertise in topical indomethacin
In 1980, Kowa became the first in the world to successfully deliver indomethacin through the skin directly to the site of pain. The Vantelin series builds on that know-how with a focus on effectiveness and ease of use.
Indications
Stiff shoulders, joint pain, lower back pain, muscle pain, tenosynovitis (hand/wrist pain), elbow pain (e.g., tennis elbow), bruises, sprains, fracture pain
Dosage and administration
| Age |
Amount per use |
Times per day |
| Adults (15 years and older) |
Apply to the affected area |
Up to twice daily |
Do not use on children under 15 years of age. Follow the dosage and administration strictly. Do not apply to areas of delicate skin, mucous membranes, or around the eyes. Check the package insert for details, and consult a pharmacist or registered seller if you have any questions.
🌱 Brand story
In 1980, Kowa became the first in the world to successfully deliver indomethacin through the skin directly to the site of pain. Vantelin Kowa continues to develop products that harness the action of indomethacin, with a focus on intended use and convenience.
⚠️ Precautions for use
- Read the package insert carefully before use.
- Do not use if you: have ever had an allergic reaction to this product or any of its ingredients, or have aspirin-induced asthma or a history of it.
- Do not apply to the face, around the eyes, mucous membranes, areas with eczema or contact dermatitis, open wounds, or infected/suppurating sites.
- If rash, redness, itching, swelling, irritation, blisters, or similar symptoms appear during or after use, stop use and consult a doctor, pharmacist, or registered seller.
- Do not use continuously for a long period.
- Take care when using with other topical analgesic anti-inflammatory products such as patches or tapes, and avoid applying multiple products on the same site.
- If you are pregnant or think you may be pregnant, or if you are breastfeeding, consult a doctor, pharmacist, or registered seller before use.
- If you are unsure about storage or use of this medicine, do not decide on your own—consult a healthcare professional.
📦 Storage precautions
- Store in a cool place away from direct sunlight.
- Keep out of reach of children.
- Do not transfer to another container.
- Do not use the product after the expiration date.
● Features
Directly effective for severe pain!
Shoulder stiffness pain, lower back pain
Warming type
TIAAS formulation (thin aqueous adhesive patch)
Triple analgesic formula
Indomethacin, Arnica tincture, Capsicum extract
【Class 2 OTC Drug】
● Efficacy/Effects
Pain in the shoulder due to shoulder stiffness, lower back pain, joint pain, muscle pain, tenosynovitis (pain in hand/wrist), elbow pain (such as tennis elbow), bruises, sprains
＜Precautions related to Efficacy/Effects＞
● Dosage and Administration
Peel off the plastic film and apply to the affected area up to twice a day.
＜Precautions related to Dosage and Administration＞
(1) Follow the dosage and administration instructions.
(2) This medicine does not treat the underlying disease causing pain or swelling, but only treats symptoms such as pain and swelling, so use only when symptoms are present.
(3) When sweating or if the affected area is wet, wipe well before use.
(4) When using for bruises or sprains, use after symptoms such as heat sensation in the affected area have subsided.
(5) You may feel irritation if you sweat after using this medicine.
(6) Be careful not to touch mucous membranes such as eyes, nasal cavity, or lips with hands that have touched this medicine.
(7) Do not warm the affected area with a kotatsu or electric blanket while this medicine is applied.
(8) You may feel irritation if you bathe with the patch on or immediately after removing it, so remove it at least one hour before bathing. Also, wait about 30 minutes after bathing before use.
(9) People with sensitive skin should apply a small piece about 1–2 cm square to a weak area on the inside of the arm for more than half a day before use, and confirm that no rash, redness, itching, swelling, or irritation occurs.
● Ingredients/Quantity
Per 100g of ointment base
Indomethacin 1g
Arnica tincture 1mL (Arnica 0.2g)
Capsicum extract 0.4g (Capsicum 5g)
(One sheet 7×10 cm²)
〔Additives〕
l-menthol, partially saponified polyvinyl alcohol, methyl acrylate-acrylic acid-2-ethylhexyl copolymer resin, polyoxyethylene nonylphenyl ether, partially neutralized polyacrylic acid, carmellose sodium (CMC-Na), sorbitan oleate, glycerin, D-sorbitol, sodium bisulfite, edetate sodium, dihydroxyaluminum aminoacetate, lactic acid, macrogol, diisopropyl adipate
＜Precautions related to Ingredients/Quantity＞
● Dosage Form
Plaster (external use - adhesive patch)
● Precautions for Use
■Do not do (Contraindications)
(Failure to follow may worsen current symptoms or increase the likelihood of side effects)
1. Do not use if you:
(1) Have had allergic reactions to this medicine or its ingredients.
(2) Have had asthma attacks.
(3) Are under 15 years old.
2. Do not use on the following areas:
(1) Around the eyes, mucous membranes, etc.
(2) Eczema, rash, wounds.
(3) Areas with athlete’s foot, ringworm, or infected areas.
3. Do not use continuously for more than 2 weeks.
■Consult
1. Consult a doctor, pharmacist, or registered seller before use if you:
(1) Are receiving medical treatment.
(2) Are pregnant or think you may be pregnant.
(3) Have had allergic reactions to medicines.
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 outer box:
［Affected area: Symptoms］
Skin: rash, redness, itching, swelling, pain, irritation, stinging, heat sensation, dryness
3. If symptoms do not improve after 5–6 days of use, stop use and consult a doctor, pharmacist, or registered seller with this outer box.
●Precautions for Storage and Handling
(1) Store sealed in a cool, dry place away from direct sunlight and high temperatures.
(2) Keep out of reach of children.
(3) Do not transfer to other containers (may cause misuse or quality changes).
(4) For quality preservation, place unused portions after opening in the medicine bag, seal the opening tightly, and store.
(5) Do not use products past the expiration date (printed on the outer box and medicine bag).
