Lulu A Premium PTP Sheet Type
ルルAプレミアム（PTPシートタイプ）
Multi-symptom cold relief (acetaminophen/tranexamic acid-based)
White sugar-coated tablets, PTP sheet type
Relief of cold symptoms: sore throat, fever, runny nose, nasal congestion, cough, phlegm, chills, headache, sneezing, joint pain, and muscle pain
Active Ingredients (per 9 tablets (daily dose))
Clemastine fumarate 1.34 mg
Belladonna total alkaloids 0.6 mg
Bromhexine hydrochloride 12 mg
Tranexamic acid 750 mg
Acetaminophen 900 mg
dl-Methylephedrine hydrochloride 60 mg
Dextromethorphan hydrobromide hydrate 48 mg
Inactive Ingredients
Cellulose, hydroxypropyl cellulose, magnesium aluminometasilicate, carmellose calcium, magnesium stearate, fumaric acid, polyvinyl acetal diethylaminoacetate, stearic acid, hypromellose, sucrose, talc, polyvinyl alcohol (partially saponified), povidone, gum arabic, titanium oxide, carnauba wax
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 |
| 11 years to under 15 years | 2 tablets | 3 times daily |
| 7 years to under 11 years | 1 tablet | 3 times daily |
| Under 7 years | Do not use | — |
- ✓Follow the recommended dosage strictly.
- ✓Children aged 7 and older should take under adult supervision.
- ✓When removing tablets from the PTP sheet, press the convex side firmly to break the foil on the back. Do not swallow the PTP sheet, as it may puncture the esophageal lining and cause serious injury.
- ✕Do not use this product if:
- (1) You have ever had an allergic reaction to this product or any of its ingredients.
- (2) You have ever experienced asthma after taking this product, another cold medicine, or a pain reliever/fever reducer.
- ✕Do not use any of the following medicines while taking this product: other cold medicines, pain relievers/fever reducers, sedatives, cough and phlegm medicines, oral medicines containing antihistamines (such as medicines for rhinitis, motion sickness, or allergies), gastrointestinal antispasmodics, or oral medicines containing tranexamic acid.
- ✕Do not operate vehicles or machinery after taking this product (drowsiness, blurred vision, or abnormal sensitivity to light may occur).
- ✕Do not drink alcohol before or after taking this product.
- ✕Do not use long-term.
- ✕Do not take more than the recommended dose.
- ✓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 use.
- • 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 reddening of the skin, systemic rash, fever, general fatigue, or swelling of lymph nodes (neck, armpits, or 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, fever, or other symptoms that appear suddenly or persist.
- • Asthma: Wheezing or whistling breath sounds, or difficulty breathing.
- ⚠Consult a doctor, pharmacist, or registered salesperson before use if you:
- (1) Are under medical treatment.
- (2) Are pregnant or possibly pregnant.
- (3) Are breastfeeding.
- (4) Are elderly.
- (5) Have ever had an allergic reaction to a medicine.
- (6) Have any of the following symptoms: high fever, or difficulty urinating.
- (7) Have been diagnosed with thyroid disease, diabetes, heart disease, high blood pressure, liver disease, kidney disease, gastric or duodenal ulcer, glaucoma, or blood clots (cerebral thrombosis, myocardial infarction, or thrombophlebitis), or are at risk of thrombosis.
- ✓Stop use immediately and consult a doctor, pharmacist, or registered salesperson — bringing this package insert with you — if any of the following symptoms appear after taking this product, as they may be side effects:
- Skin: Rash, redness, or itching
- Gastrointestinal: Nausea/vomiting, heartburn, or loss of appetite
- Nervous system: Dizziness, agitation, convulsions, or headache
- Respiratory: Shortness of breath, or difficulty breathing
- Urinary: Difficulty urinating
- Other: Excessive drop in body temperature, facial flushing, or abnormal sensitivity to light
- ✓Stop use and consult a doctor, pharmacist, or registered salesperson — bringing this package insert with you — if the following symptoms persist or worsen: diarrhea, constipation, dry mouth, drowsiness, or blurred vision.
- ✓Stop use and consult a doctor, pharmacist, or registered salesperson — bringing this package insert with you — if symptoms do not improve after 5–6 doses.
- ✓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. Once the aluminum pouch is opened, use within 12 months. Write the date you opened the aluminum pouch in the "opening date" box on the carton.
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
A multi-symptom cold medicine that covers all 11 symptoms. The whole family can take it (ages 7 and older).
Tranexamic acid (anti-inflammatory) and acetaminophen (fever reducer and pain reliever) work on sore throat and fever.
Clemastine fumarate (long-acting antihistamine) and belladonna total alkaloids (parasympathetic blocker) work together on runny nose and nasal congestion.
Bromhexine hydrochloride (expectorant) makes phlegm, one cause of coughing, easier to bring up.
Dextromethorphan hydrobromide hydrate (cough suppressant) and dl-methylephedrine hydrochloride (widens the airways) work on persistent cough.
Main amounts in one adult dose (3 tablets): acetaminophen 300 mg, tranexamic acid 250 mg, bromhexine hydrochloride 4 mg, dl-methylephedrine hydrochloride 20 mg, dextromethorphan hydrobromide hydrate 16 mg.
The sugar-coated tablets have no bitter taste, so they are easy to take even if you dislike taking medicine.
The sheet-type PTP pack is easy to carry when you are out.
Sources & Documents
- Japanese product page
- English PDF
- Japanese PDF
- Last verified: October 3, 2026
Related Medicines
For informational purposes only. Always consult a doctor or pharmacist before taking any medication.