Pyehwal-tang X Granules (Siham-tang)

Adult dose

For adults, take 1 packet 3 times a day before meals or between meals.

This medication should not be taken by newborns, women who are pregnant or may become pregnant, and breastfeeding mothers. Additionally, since it contains lactose, patients with genetic issues such as galactose intolerance, lactose deficiency, or glucose-galactose malabsorption should also avoid taking it. Patients with hypertension, the elderly, those with heart or kidney problems, patients with edema, those taking other medications, and those who are physically weak should consult their doctor or pharmacist before taking this medication. If any unusual symptoms such as decreased urination, swelling of the face or limbs, heaviness of the eyelids, increased blood pressure, headache, muscle weakness or spasms, skin rash or hives occur during use, stop taking it immediately and consult a professional. If symptoms do not improve after taking it for 5-6 days, stop taking it and consult your doctor. Caution is needed when taken with potassium-containing drugs or drugs with licorice ingredients, as it may cause myopathy or hypokalemia. Long-term use should be avoided in principle, and if long-term use is necessary, it is essential to consult a professional. When using along with other herbal medicines, care should be taken not to have overlapping ingredients, and it is important to strictly adhere to the prescribed dosage and regularly consult with a professional. Long-term large dose use may result in side effects such as decreased heart function, gastrointestinal motility abnormalities, bronchospasm, and respiratory depression, so caution is necessary. Infants with certain genetic disorders may develop anemia, so caution is advised, and there is a risk of brain damage due to hemolytic anemia, so caution is needed. When storing, avoid direct sunlight and keep in a cool, dry place, and store in a tightly sealed container after use. Keep out of reach of children, and storing it in its original container can help prevent misuse and quality degradation of the medication.

Serious side effects

Hives, severe swelling (edema), increased blood pressure, difficulty breathing, respiratory depression, decreased red blood cell count (hemolytic anemia), edema, severe allergic reaction, heart dysfunction, kidney dysfunction, decreased urine volume and facial and limb swelling due to hyperaldosteronism, headache

Mild side effects

• Rash
• hives
• weakness
• limb spasms
• paralysis
• bronchospasm
• respiratory depression
• anemia
• decreased heart function
• increased gastrointestinal motility

This medication must be stored in a tightly sealed container to avoid contact with air or moisture. It is also recommended to store it at room temperature between 1 degree and 30 degrees Celsius. This way, the effectiveness of the medication can be safely maintained.

Appearance

Brown granules

Package unit

120 packets (3.0g/packet x 120ea), 500g/bottle