Pabron Select CV

Pabron Select CV

パブロンセレクトCV

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 for cough and sore throat (dihydrocodeine/ibuprofen-based)

Form

Tablets, PTP sheet type

Indication

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

Active Ingredients (per 3 tablets (per dose))

Dihydrocodeine phosphate 8 mg
dl-Methylephedrine hydrochloride 20 mg
Ambroxol hydrochloride 15 mg
Ibuprofen 150 mg
Chlorpheniramine maleate 2.5 mg
Thiamine nitrate (vitamin B1 nitrate) 8 mg
Riboflavin (vitamin B2) 4 mg
Ascorbic acid (vitamin C) 166.7 mg (500 mg per 9 tablets)
Anhydrous caffeine 25 mg

Inactive Ingredients

Cellulose, hydroxypropyl cellulose, anhydrous silicic acid, magnesium aluminometasilicate, hypromellose, magnesium stearate, talc, D-mannitol, croscarmellose sodium, polyvinyl alcohol (partially saponified), titanium oxide, soy lecithin, iron sesquioxide, 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
Under 15 years Do not use —
  • ✓Follow the recommended dosage strictly.
  • ✓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.
  • (3) The person is under 15 years of age.
  • (4) You are within 12 weeks of your expected delivery date.
  • ✕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. If you must take it, avoid breastfeeding. (This medicine has been confirmed to transfer into breast milk in animal studies.)
  • ✕Do not drink alcohol before or after taking this product.
  • ✕Do not use 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 use.
  • • Stevens-Johnson syndrome / toxic epidermal necrolysis: High fever, redness of eyes, eye discharge, sores on lips, sore throat, or widespread rash or redness on skin that persists or rapidly worsens.
  • • 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.
  • • Aseptic meningitis: Severe headache with stiff neck, fever, nausea, or vomiting. (This symptom has been reported more frequently in patients being treated for systemic lupus erythematosus or mixed connective tissue disease.)
  • • Myocardial infarction: Squeezing chest pain, difficulty breathing, or cold sweats.
  • • Cerebrovascular disorder (such as stroke): Decreased or loss of consciousness, weakness or inability to move one side of the body, headache, vomiting, dizziness, difficulty speaking, or inability to find words.
  • • 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.
  • • Aplastic anemia: Bruising, nosebleed, bleeding gums, fever, pale skin or mucous membranes, fatigue, palpitations, shortness of breath, feeling faint or unsteady, 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 medical treatment.
  • (2) Are pregnant or possibly pregnant.
  • (3) Are elderly.
  • (4) Have ever had an allergic reaction to a medicine.
  • (5) Have any of the following symptoms: high fever, or difficulty urinating.
  • (6) Have been diagnosed with thyroid disease, diabetes, heart disease, high blood pressure, liver disease, kidney disease, glaucoma, systemic lupus erythematosus (SLE), mixed connective tissue disease (MCTD), respiratory dysfunction, obstructive sleep apnea syndrome, or obesity.
  • (7) Have a history of gastric or duodenal ulcer, ulcerative colitis, or Crohn's disease.
  • ✓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, itching, swelling, or bruising
  • Gastrointestinal: Nausea/vomiting, loss of appetite, stomach discomfort, stomach pain, mouth sores, heartburn, stomach heaviness, gastrointestinal bleeding, abdominal pain, diarrhea, bloody stool, or stomach and abdominal bloating
  • Nervous system: Dizziness, or numbness
  • Cardiovascular: Palpitations
  • Respiratory: Shortness of breath
  • Urinary: Difficulty urinating
  • Other: Blurred vision, ringing in the ears, swelling, nosebleed, bleeding gums, difficulty stopping bleeding, bleeding, back pain, excessive drop in body temperature, or general fatigue
  • ✓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.
  • ✓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, especially if fever persists for 3 or more days or recurs.
  • ✓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. Even within the expiry date, use within 6 months of opening (to maintain quality).

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

Dihydrocodeine phosphate and dl-methylephedrine hydrochloride calm the cough. Ambroxol hydrochloride makes phlegm easier to bring up. Ibuprofen calms sore throat and fever.
Chlorpheniramine maleate eases sneezing and runny nose, caffeine eases headache, and vitamins B1, B2, and C replace the vitamins your body uses up during a cold.
Your urine may turn yellow while taking this product. This is caused by riboflavin (vitamin B2) and is not a cause for concern.

Sources & Documents

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