ジーフォーL　　G4L

Product features

● Prednisolone acetate reduces swelling and bleeding, and lidocaine hydrochloride reduces pain and itching.
● With diphenhydramine formulation, it reduces itching associated with hemorrhoids.
● Effects of using once or twice a day.

Indication

To alleviate pain/ itching /swelling/ bleeding due to bleeding piles/blind piles

Dosage and administration

Insert the following single dose into the anus.

＜Age: single dose: number of daily doses＞
Adult (15 years old and over): 1pieces: 1 to 2 times
Under 15 years old: Do not use.

Precautions of Dosage and Administration

(1)Strictly follow the prescribed dosage and administration.
(2)Do not let children use.
(3)When this medicine is still soft, allow it to cool before use. When the medicine is too hard, use it after it becomes soft.
(4)Use the medicine only in the anus.
(5)How to remove the suppository from the package
Please peel off the plastic package.
(6)How to use the suppository
Melt the surface of the suppository with warmth of your hand and insert it into the anus from the thicker end.

＜How to remove the suppository from the package＞
1. Please cut one piece from the cut end of the plastic package.
2. Gently peel the joint of plastic package from side to side and open it, and take out the suppository.

＜How to use the suppository＞
Holding the bottom of the suppository, push it with your fingers until it entirely enters into the anus from the head.

Ingredient and amount

1.75g in 1pieces
Prednisolone acetate：1mg：Reduces swelling and bleeding in the affected area.
Diphenhydramine：10mg ：It has antipruritic action and suppresses itching associated with hemorrhoid diseases.
Allantoin：10mg ：Helps heal wounds and repairs tissue.
Tocopherol acetate：50mg：Improve peripheral blood circulation around the anus to improve congestion (a condition where blood flow is poor).
Lidocaine hydrochloride：60mg：It has a local anesthetic action and relieves pain and itching in the affected area.

Precautions

■When not to use the product
(If you do not follow these instructions, the current symptoms may worsen or adverse reactions/incidents are more likely to occur.)
1．This product should not be used by the following persons
(1) Patients who have had an allergic symptom to this drug or its ingredients.
(2) Patients with purulent hemorrhoidal lesions.

2．This drug should not be taken together with the following drugs:
Internal medicines containing antihistamines (cold medicine, expectorant, internal medicine for rhinitis, medicine for motion sickness, medicine for allergies, etc.)

3．After using the medicine, do not drive a car or operate machinery (symptoms such as sleepiness may occur.)

4．For those who are lactating, do not use this medicine or avoid lactating while using this medicine

5．Do not take this medicine for a long time

■Consultation
1．The following persons should contact a physician, pharmacist, or registered salesperson for a consultation before use.
(1)Patients undergoing medical treatment from a physician
(2)Pregnant women or women suspected of being pregnant
(3) Patients who have experienced allergic symptoms associated with drugs, etc.
(4)Persons with the following symptoms:
urination difficulty
(5)Persons diagnosed as having the following
glaucoma

2．If the following symptoms are observed after using this drug, these may be adverse reactions, so immediately discontinue the use, and show this document to your physician, pharmacist, or registered sales person for a consultation.

　 Skin：rash/redness，itching，swelling
　 Urinary system：urination difficulty
Other：irritation，purulence，abnormal brightness　

The following serious symptoms may occur in rare cases. In such cases, immediately seek medical aid:

＜Symptom name： Symptoms＞
Shock (anaphylaxis)：Symptoms, such as itching of skin, urticaria, hoarseness, sneezing, itchy throat, breathing difficulties, palpitations, and clouding of consciousness may occur immediately after use.

3．The following symptoms may be observed after using this drug. If these symptoms persist or worsen , discontinue the use of this drug, and show this document to your physician, pharmacist, or registered salesperson for a consultation.
dry mouth，drowsiness

4．When symptoms do not improve even after using this medicine for about 10 days, stop taking this medicine and consult a physician, pharmacist or registered salesperson, being sure to take this instruction leaflet with you.

Additive

Anhydrous silicic acid, magnesium aluminate metasilicate, hydroxypropyl cellulose, squalane, acrylate starch, hard fat

Precautions for storage and handling

(1)Keep out of reach of children.
(2)Do not transfer the medicine to a different container. (It may lead to misuse or alter the quality of the drug. )
(3)The suppository is designed to melt easily at body temperature, so avoid direct sunlight and high temperatures, and store it in a place with as little moisture as possible below 30°C.
(4)Store the outer box in a vertical position so that the tip of the suppository (thicker end) faces downward.
Even if the suppository melts or softens at high temperatures, deformation of the suppository can be prevented in this way.
(5)Do not use products that have expired.

Other

＜ Advice to get better quickly＞
(1) After defecation, try to keep the affected area clean by wiping with wet gauze or bathing frequently.
(2) Pay attention to your diet and try not to have constipation or diarrhea.
(3) Avoid keeping a posture that tends to cause congestion in the affected area, such as sitting down or crouching, for long periods of time.
(4) Alcoholic drinks or foods with hot spices may worsen symptoms, so moderate as much as possible.