KOTOBUKI ENEMA L40
Category Ⅱ Drug

KOTOBUKI ENEMA L40


Ingredient/content in one tube(40 g)

JP glycerin: 20.0g
Benzalkonium chloride is also included as an additive.
Purified water as solvent.

Indication

Constipation

Dosage and administration

For patients over 12 years of age, one unit(40g) at a time is administered rectally.
If no effect is observed, give the same dose once more.

Package

40 g × 2 tubes, 5 tubes.

Precautions for dosage and administration

  1. Strictly follow the dosage and administration.
  2. Hold back until you feel a strong desire to defecate after injection of the enema (if you evacuate the bowel shortly after use, only the solution is evacuated, resulting in no effect).
  3. Do not use this product for children under 12 years old.
  4. Do not use this product for purposes other than as an enema.
  5. Do not forcibly insert the tube to avoid injury to the rectal mucosa.
  6. Place this product in warm water at body temperature (40°C) before use during the winter for increased comfort.

Administration

  1. Remove the cap from the tip of the tube and squeeze out any air in the container.
  2. Lie down on your side, or bend over, slowly insert the solution with the scale on the insert tube as an indicator. The proper depth of insertion is approximately 6cm (scale).
    (If you cannot smoothly insert the tube, extrude and spread a small amount of the solution or olive oil around the tip of the tube, so that insertion will be easier.)
  3. Hold the tube in one hand and slowly inject the solution by squeezing the bottle with the other hand. (It is okay if a small amount of solution remains in the container.)
  4. After injection of the solution, hold back for 2-5 minutes until you feel a strong desire to defecate.
    • Do not forcibly insert the tube to avoid injury to the rectal mucosa.
    • Place this product in warm water at body temperature (40°C) before use during the winter for increased comfort.

For persons with a tendency for constipation

  1. It is important to have a habit of regular defecation. Try to go to the toilet at a specific time of the day for a certain period.
    Do not hold back if you feel a desire to defecate.
  2. Try to eat food with a high fiber and water content (e.g., vegetables, fruits, yam paste, agar, and seaweed).
  3. Try to perform moderate exercise and stomach massage.
  4. Drinking cold water or milk shortly after rising in the morning helps you to feel a desire to defecate.

Precautions for use

Things not to do

Do not use this product continuously (continuous use may lead to a decreased effect and dependence on the product).

Issues to discuss

  1. The following persons should consult with a physician, pharmacist, or registered pharmacy  before using this product:
    1. Persons who are already being treated by a physician.
    2. Women who are pregnant or are possibly pregnant (use of this product is not recommended due to the risk of miscarriage and premature delivery.)
    3. Elderly persons.
    4. Persons who suffer from severe abdominal pain, nausea, vomiting, and hemorrhoidal bleeding.
    5. Persons who have heart disease.
  2. When no effect is obtained even after using this product 2-3 times, stop using it and obtain advice from a physician, pharmacist, or registered pharmacy, taking this document with you. 

Other precautions

The following symptoms may occur:
Dizziness on standing up, or a sensation of heat in the anal region and anal discomfort may occur.

Precautions for storage and handling

  1. Store this product in a cool place protected from direct sunlight.
  2. Keep this product out of the reach of children.
  3. Do not put the solution into other containers (this may lead to incorrect use or loss of quality).

Contact:  Mune Pharmaceutical Co., Ltd., Customer Service Office
  Tel :
0120-85-0107
 Hours: 8:
30-17:00(closed Saturday, Sunday, and Holidays)
   E-mail: click here

Manufacturer: Mune Pharmaceutical Co., Ltd.
                          859 Osaki, Awaji City, Hyogo, Japan

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