添付文書

● Features
● Hemorrhoidal disease is caused by venous congestion, leading to inflammation, pain, itching, and bleeding.
Furthermore, when the resistance of the anal area decreases, symptoms worsen due to infections by intestinal bacteria and pyogenic bacteria, resulting in complicated hemorrhoids. For the treatment of such hemorrhoidal disease, it is important first to calm the local inflammation and promptly remove the causes of pain and bleeding by the correct method.
● Vitatoreal A Injection Ointment is an injection-type ointment for hemorrhoidal disease that contains drugs effective for severe hemorrhoidal pain, itching, bleeding, and other symptoms.

【Designated Class 2 OTC Drug】

● Efficacy/Effects
At injection: Relief of pain, itching, swelling, and bleeding of anal fissures (裂痔) and hemorrhoids.
At application: Relief of pain, itching, swelling, and bleeding of anal fissures (裂痔) and hemorrhoids, and disinfection.

<Precautions related to Efficacy/Effects>


● Dosage and Administration
■ When injecting into the anus
・ Insert the nozzle part into the anus and slowly inject the entire amount.
[Age: Single dose: Number of uses per day]
Adults (15 years and older): 1 piece: 1 to 3 times
Under 15 years: Do not use
■ When applying to the affected area
・ Apply the following amount to the affected area. Do not use what has been used once for injection.
[Age: Single dose: Number of uses per day]
Adults (15 years and older): Appropriate amount: 1 to 3 times
Under 15 years: Do not use


<Precautions related to Dosage and Administration>
(1) Strictly observe the dosage and administration.
(2) Use only on the anal area.
(3) When injecting into the anus, insert only the nozzle part.

● Ingredients/Quantity
Per 1 piece (2g)
Lidocaine 60mg
Prednisolone acetate 1mg
Isopropyl methylphenol 2mg
Allantoin 20mg
Tocopherol acetate 60mg

〔Additives〕
Macrogol, white petrolatum, medium-chain triglycerides, polyoxyethylene hardened castor oil, polyoxyethylene cetyl ether, citric acid, fragrance

<Precautions related to Ingredients/Quantity>


● Dosage Form
Injection ointment (external use - suppository)

● 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 use if:
(1) You have had allergic symptoms caused by this drug or its ingredients.
(2) The affected area is suppurating.
2. Do not use for a long time.
■ Consult
1. Before use, consult a doctor, pharmacist, or registered seller if:
(1) You are receiving medical treatment.
(2) You are pregnant or think you may be pregnant.
(3) You have had allergic symptoms caused by drugs or other substances.
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 document.
[Affected area: Symptoms]
Skin: Rash, redness, itching, swelling
Others: Irritation, suppuration
Rarely, the following serious symptoms may occur. In such cases, seek medical attention immediately.
[Name of Symptom: Symptom]
Shock (anaphylaxis): Immediately after use, itching of the skin, hives, hoarseness, sneezing, throat itching, difficulty breathing, palpitations, clouding of consciousness, etc. may appear.
3. If symptoms do not improve after about 10 days of use, stop use and consult a doctor, pharmacist, or registered seller with this document.

● 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 expiration date. Also, use as soon as possible after opening, even if within the expiration date.
(5) Do not flush used containers, etc., down the toilet.