Ichijiku Enema E 40g x 2 (category II drug)

**Product Description**
Convenient long nozzle, also suitable for nursing care. For stubborn constipation.

Provides fast relief from constipation.
Features a soft, flexible container with a movable neck.

● Also for home nursing care.

**Precautions for Use**
● **What Not to Do**
Do not use consecutively. (Frequent use may lead to reduced effectiveness (so-called “tolerance”) and may result in dependency on the medication.)

● **When to Consult**
1. The following individuals should consult a doctor, pharmacist, or registered seller before use:
(1) Those undergoing medical treatment.
(2) Pregnant women or those who may be pregnant. (It is advisable to avoid use due to the risk of miscarriage or premature birth.)
(3) The elderly.
(4) Those with the following symptoms:
Severe abdominal pain, nausea/vomiting, hemorrhoidal bleeding.
(5) Those with the following diagnosis:
Heart disease.
2. If there is no bowel movement after 2-3 uses, discontinue use and consult a doctor, pharmacist, or registered seller, bringing this document with you.

● **Other Precautions**
The following symptoms may occur:
Dizziness upon standing, a sensation of heat in the anal region, discomfort.

**Indications**
Constipation

**Dosage and Administration**
For ages 12 and over: Administer 1 piece (40g) into the rectum once.
If no effect is observed, administer the same amount once more.
(When using a second dose, it is more effective to wait for 1 hour.)
(1) Strictly follow the dosage and administration instructions.
(2) After using this product, try to hold it in for a while until the urge to defecate becomes strong. (Attempting to defecate immediately after use may result in only the medication being expelled, and the desired effect may not be achieved.)
(3) Do not allow use by children under 12 years of age.
(4) Be careful as forcing the insertion may damage the rectal mucosa.
(5) During winter, the product can be used more comfortably by warming the container to near body temperature in warm water (approx. 40°C).
(6) For rectal use only. (Do not ingest.)

**Ingredients**
[In 1 piece (40g)]
Glycerin (Japanese Pharmacopoeia)… 20.00g
Additives: Benzalkonium Chloride
Solvent: Purified Water

**Storage and Handling Precautions**
(1) Store in a cool place away from direct sunlight.
(2) Keep out of reach of children.
(3) Do not transfer to another container. (This may cause misuse or a change in quality.)
(4) Do not use products that have passed their expiration date.