Preser Ace Applicator Ointment T 20 Pieces [Designated Class 2 OTC Drug]

Product Information

For hemorrhoids with severe pain and sudden bleeding, and also for swollen, itchy hemorrhoids
Topical medicine for hemorrhoids

◆Preser Ace Injectable Ointment T delivers excellent effectiveness for hemorrhoids with severe pain and sudden bleeding, through the action of active ingredients such as lidocaine, which relieves pain; tetrahydrozoline hydrochloride, which stops bleeding; and hydrocortisone acetate, which relieves inflammation.
◆You can choose between 2 methods of use: injection for hemorrhoids inside the anus (deep in the anus), and application for hemorrhoids outside the anus.
It can be injected hygienically without touching the affected area or the medicine directly with your hands.
◆It has a pleasant, cooling sensation in use.
Deviating from the specified dosage and administration of a medicine can lead to serious harm to health. Always read the product instructions carefully before use and follow the dosage and administration. Even when a medicine is used correctly according to the dosage and administration, side effects may occur. If you notice anything unusual, stop use immediately and consult a doctor or pharmacist.

About the Sale of Medicines

●Precautions for Use
■■Things You Must Not Do■■ (Failure to observe these may worsen current symptoms or make side effects more likely)
1. The following persons must not use this medicine
(1) Persons who have had allergic symptoms caused by this medicine, its ingredients, or chlorhexidine.
(2) Persons whose affected area is suppurating (forming pus).
2. Do not use continuously for a long period
■■Things To Consult On■■
1. The following persons should consult a doctor, pharmacist, or registered salesclerk before use
(1) Persons receiving treatment from a doctor.
(2) Persons who are pregnant or who think they may be pregnant.
(3) Persons who have had allergic symptoms caused by medicines, etc.
2. If any of the following symptoms appear after use, they may be side effects. Stop using it immediately and consult a doctor, pharmacist, or registered salesclerk, bringing these instructions with you

Relevant Area – Symptoms
Skin – Rash/redness, itching, swelling
Others – Irritation, suppuration

The following serious symptoms may occur rarely.
In that case, see a doctor immediately.

Symptom Name – Symptoms
Shock (anaphylaxis) – Immediately after use, itching of the skin, hives,
hoarseness, sneezing, itchy throat, difficulty breathing, palpitations, clouding of consciousness, etc. appear.

3. If symptoms do not improve after using this medicine for about 10 days, stop using it and consult a doctor, pharmacist, or registered salesclerk, bringing these instructions with you


●Indications
(When injected): Relief of pain, bleeding, swelling, and itching of anal fissures (torn hemorrhoids) and piles (hemorrhoids) (When applied): Relief of pain, bleeding, swelling, and itching of anal fissures (torn hemorrhoids) and piles (hemorrhoids), and disinfection


●Dosage and Administration
[When injecting]
●Insert the tip of the container into the anal area and inject the entire amount.
Age – Single dose – Frequency of use
15 years and older – 1 container – 1 to 3 times a day
Under 15 years – Do not use
1. Remove the cap and squeeze out a little ointment to make insertion smoother.
2. Insert the tip of the container into the anus and press the container to inject the medicine.
(Pull it out while still pressing)
[When applying]
●Apply the following amount to the anal area.
Note that a container once used for application must not be used for injection.
Age – Single dose – Frequency of use
15 years and older – Appropriate amount – 1 to 3 times a day
Under 15 years – Do not use
Remove the cap and apply the ointment directly, or spread it on gauze or similar and place it on the affected area.

*If the ointment is hard and difficult to squeeze out, it will soften if you warm it by holding it in your hand.
*Because it is an injection type, a small amount of medicine remains in the container, but the container is filled allowing for this remaining amount.

[Precautions]
(1) Strictly follow the specified dosage and administration.
(2) Do not let children use this medicine.
(3) Use only on the anal area.
(4) When injecting into the anus, insert only the tip of the container.


●Ingredients and Amounts
In 1 container (2 g)
Ingredient – Amount – Action
Hydrocortisone acetate – 5 mg – Relieves pain, bleeding, and swelling of the affected area.
Tetrahydrozoline hydrochloride – 1 mg – Relieves bleeding and swelling of the affected area.
Lidocaine – 60 mg – Relieves pain and itching of the affected area.
l-Menthol – 10 mg – Soothes itching of the affected area.
Allantoin – 20 mg – Helps wounds heal.
Tocopherol acetate – 60 mg – Strengthens blood vessels and prevents bleeding.
Chlorhexidine hydrochloride – 5 mg – Suppresses bacterial infection and prevents wounds from worsening.

Additives: liquid paraffin, isopropyl myristate, white beeswax, carboxyvinyl polymer, olive oil, petrolatum


●Precautions for Storage and Handling
(1) Store in a cool place with low humidity, away from direct sunlight.
(2) Store out of the reach of children.
(3) Do not transfer to another container.
(This may cause misuse or change the quality)
(4) Do not use the product after the expiration date.
Even before the expiration date, use the product as soon as possible after opening.
(To maintain quality)
(5) Do not flush used containers, etc. down the toilet.

[Other information in the package insert] Effective use by symptom
[Hemorrhoid symptoms]
Swelling, bleeding, etc. of piles inside the anus (deep in the anus) [How to use the injectable ointment]
Injection: Inject the medicine into the anus.
*Inject the entire amount in a single use.

[Hemorrhoid symptoms]
Swelling of piles outside the anus, bleeding of anal fissures, etc. [How to use the injectable ointment]
Application: Apply the medicine to the outside of the anus.
*A container once used for application must not be used for injection.

《Self-care in daily life》 Do not strain forcefully during bowel movements, and keep your bottom clean by taking a bath or washing with lukewarm water after a bowel movement. Also, bathing improves blood circulation in the affected area, so try to soak in the bathtub.
Try to avoid constipation and diarrhea. Especially when constipated, eat plenty of foods rich in dietary fiber (vegetables, beans, potatoes, seaweed, etc.) and drink plenty of fluids to regulate bowel movements.
It is also important not to hold back the urge to defecate.
Staying in the same posture for a long time, such as sitting continuously, causes congestion in the anal area and tends to worsen symptoms, so move your body from time to time with exercises, walks, etc.
Consuming a lot of alcoholic beverages or strong spices may worsen symptoms, so keep them to a minimum.


●Contact Information
For inquiries about this product, please contact the store where you purchased it or the following.
Taisho Pharmaceutical Co., Ltd. Customer 119 Office
東京都豊島区高田3丁目24番1号03-3985-1800
8:30 to 21:00 (excluding Saturdays, Sundays, and public holidays)

Manufacturer and Distributor
Yukinomoto Honten Co., Ltd.
奈良県橿原市大谷町182番地

Contact for the Relief System for Sufferers from Adverse Drug Reactions: Pharmaceuticals and Medical Devices Agency (PMDA), Phone: 0120-149-931 (toll-free)