Jikineen First Neo CZ

Jikineen First Neo CZ

ジキニンファーストネオCZ

Cold Medicine
Designated Class 2 — Use with special caution
Abuse-Prevention Designated · 指定濫用防止医薬品
Drug Type

Multi-symptom cold relief with a focus on cough (acetaminophen-based)

Form

Tablets

Indication

Relief of cold symptoms: cough, phlegm, sore throat, fever, runny nose, nasal congestion, headache, chills (due to fever), sneezing, joint pain, and muscle pain

Active Ingredients (per 9 tablets (adult daily dose))

Dihydrocodeine phosphate 24 mg
Noscapine 48 mg
dl-Methylephedrine hydrochloride 60 mg
Nandina fruit fluid extract 1,000 mg (equivalent to 1,000 mg of crude drug)
Licorice root extract powder 121.6 mg (equivalent to 950 mg of crude drug)
Acetaminophen 900 mg
d-Chlorpheniramine maleate 3.5 mg
Anhydrous caffeine 75 mg

Inactive Ingredients

Talc, corn starch, hydroxypropyl cellulose, acesulfame potassium, glycine, croscarmellose sodium, titanium oxide, magnesium stearate, cellulose, hypromellose, macrogol, anhydrous silicic acid, magnesium aluminometasilicate

Instructions for Use

  • ✓Take within 30 minutes after a meal if possible, with water or lukewarm water.
Age Dose per use Times per day
Adults (15 years and older) 3 tablets 3 times daily
12 years to under 15 years 2 tablets 3 times daily
Under 12 years Do not use —
  • ✓Children should take under adult supervision.
  • ✓To remove a tablet from the PTP sheet, press firmly on the raised side of the sheet with your fingertip to break the aluminum foil on the back, then take out the tablet. Do not swallow the PTP sheet, as it may puncture the esophageal lining and cause serious injury.
  • ✕Do not use this product if you:
  • (1) Have ever had an allergic reaction to this product or any of its ingredients.
  • (2) Have ever had asthma after taking this product, another cold medicine, or a pain reliever/fever reducer.
  • (3) Are under 12 years of age.
  • ✕Do not use any of the following medicines while taking this product: other cold medicines, pain relievers/fever reducers, sedatives, cough and phlegm medicines, or oral medicines containing antihistamines (such as medicines for rhinitis, motion sickness, or allergies).
  • ✕Do not operate vehicles or machinery after taking this product (drowsiness may occur).
  • ✕Do not take this product while breastfeeding, or avoid breastfeeding if you take it.
  • ✕Do not drink alcohol before or after taking this product.
  • ✕Do not take more than the recommended dose, and do not take it for more than 5 days.
  • ✓Seek immediate medical attention if any of the following serious symptoms appear:
  • • Shock (anaphylaxis): Itching of skin, hives, hoarseness, sneezing, itchy throat, difficulty breathing, palpitations, or clouded consciousness immediately after taking it.
  • • Stevens-Johnson syndrome / toxic epidermal necrolysis / acute generalized exanthematous pustulosis: High fever, redness of eyes, eye discharge, sores on lips, sore throat, widespread rash or redness on skin, small blisters (pustules) on reddened skin, general fatigue, or loss of appetite that persists or rapidly worsens.
  • • Drug-induced hypersensitivity syndrome: Widespread redness of the skin, rash over the whole body, fever, general fatigue, or swelling of lymph nodes (neck, armpits, groin).
  • • Liver disorder: Fever, itching, rash, jaundice (yellowing of the skin or whites of the eyes), dark urine, general fatigue, or loss of appetite.
  • • Kidney disorder: Fever, rash, decreased urine output, swelling throughout the body, general fatigue, joint pain, or diarrhea.
  • • Interstitial pneumonia: Shortness of breath with climbing stairs or slight exertion, dry cough, or fever that appears suddenly or persists.
  • • Asthma: Wheezing or whistling breath sounds, or difficulty breathing.
  • • Aplastic anemia: Bruising, nosebleeds, bleeding gums, fever, pale skin or mucous membranes, tiredness, palpitations, shortness of breath, feeling faint and dizzy, or blood in urine.
  • • Agranulocytosis: Sudden high fever, chills, or sore throat.
  • • Respiratory depression: Shortness of breath or difficulty breathing.
  • ⚠Consult a doctor, pharmacist, or registered salesperson before use if you:
  • (1) Are under treatment by a doctor or dentist.
  • (2) Are pregnant or possibly pregnant.
  • (3) Are elderly.
  • (4) Have ever had an allergic reaction to a medicine or other substance.
  • (5) Have any of the following symptoms: high fever, or difficulty urinating.
  • (6) Have been diagnosed with: thyroid disorder, diabetes, heart disease, high blood pressure, liver disease, kidney disease, gastric or duodenal ulcer, glaucoma, respiratory impairment, obstructive sleep apnea syndrome, or obesity.
  • ✓Stop use immediately and consult a doctor, pharmacist, or registered salesperson — bringing this package insert with you — if any of the following appear after taking this product, as they may be side effects:
  • Skin: Rash, redness, or itching
  • Gastrointestinal: Nausea/vomiting, or loss of appetite
  • Nervous system: Dizziness
  • Urinary: Difficulty urinating
  • Other: Excessive drop in body temperature
  • ✓Stop use and consult a doctor, pharmacist, or registered salesperson — bringing this package insert with you — if the following symptoms persist or worsen: constipation, dry mouth, or drowsiness.
  • ✓If symptoms do not improve after 5–6 doses, stop and consult a doctor, pharmacist, or registered salesperson, bringing this package insert with you.
  • ✓Store in a cool, dry place away from direct sunlight. Keep out of reach of children. Do not transfer to another container (this can cause mistaken use or affect quality). Do not use after the expiry date.

Abuse-Prevention Designated Medicine 指定濫用防止医薬品

  • Purchase is limited to 1 unit per person per transaction, both in-store and online
  • A pharmacist or registered salesperson must confirm appropriate use before the sale is completed
  • Additional restrictions apply for buyers under 18
  • Do not exceed the prescribed dose — taking more than directed may cause serious adverse effects

Additional Information

Five of the eight active ingredients act on cough, including noscapine and Nandina fruit fluid extract.

Sources & Documents

Related Medicines

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For informational purposes only. Always consult a doctor or pharmacist before taking any medication.