Silonjeong (Bangpungtongseongsan Dry Extract (4.6→1))

Adult dose

The usual adult dose is 4 tablets per dose, 3 times daily before or between meals.

This medication should not be taken by women who are pregnant or may become pregnant, as the rhubarb component included in this medication may cause uterine contractions or congestion in pelvic organs, increasing the risk of miscarriage or preterm labor. Furthermore, this medication may transfer into breast milk if taken by nursing mothers, which may cause diarrhea in infants; therefore, it should be avoided during breastfeeding or breastfeeding should be discontinued. This medication contains lactose, so individuals with a genetic disorder that impairs the digestion of lactose should not take it. People with galactose intolerance, Lapp lactase deficiency, or glucose-galactose malabsorption should also refrain from using this medication. Those allergic to soybean oil, soy, or peanuts should safely avoid taking this drug. It is advised not to take this medication along with other diarrhea medications while using it, as it may worsen diarrhea symptoms. Individuals with hypertension, heart disease, kidney disease, or edema should consult a healthcare professional before using this medication. Caution is also required for the elderly, as bodily functions may decline. Patients currently taking other medications or experiencing diarrhea, loose stools, loss of appetite, nausea, or vomiting should consult with a professional before use. Those who are weak or sweating excessively, have a history of angina or myocardial infarction, or have urinary dysfunction or hyperthyroidism should also exercise caution. If a patient has previously experienced allergic reactions such as skin rashes, redness, or itching from this medication, they should consult a professional before taking it. Patients with diabetes or disorders affecting lipid metabolism should take this medication carefully, as its ingredients may affect blood sugar or lipid levels. This medication contains Yellow No. 4 dye, so individuals allergic to this component should also be cautious. Should any abnormal symptoms occur while taking, such as swelling of the face or extremities, elevated blood pressure, or headaches, they must discontinue the medication immediately and consult a professional. Symptoms like muscle weakness, malaise, and limb cramps may indicate the possibility of hypokalemia, so prudence is advised. Gastrointestinal symptoms such as indigestion, nausea, vomiting, abdominal pain, or diarrhea, as well as rashes or itching, necessitate ceasing the medication and consulting with a healthcare professional. Excessive sweating, insomnia, rapid heartbeat, systemic fatigue, and mental agitation may occur as symptoms of autonomic nervous system disturbance, so caution is necessary. Any urinary dysfunction or signs of liver dysfunction should lead to immediate cessation of the medication and consultation with a professional. If constipation does not improve after 1 week, the medication should be discontinued and a doctor's consultation should be sought. It is best to avoid long-term use of this medication; however, should long-term use be unavoidable, a consultation with a professional is necessary. Irritant laxatives can develop tolerance with long-term use and worsen constipation, so they should not be taken continuously for over 1 week. The prescribed usage and dosage must be strictly observed, and caution is required as the effectiveness of rhubarb can vary between individuals. When taking another herbal or natural medicine, it is important to check for overlapping components, especially with products containing rhubarb which should ideally not be taken together. Caution is necessary when using in conjunction with ma-huang, ephedrine, MAO inhibitors, thyroid medications, catecholamine agents, and xanthine drugs, as they may cause side effects such as insomnia, excessive sweating, rapid pulse, and palpitations, necessitating dosage reduction or careful consideration. The use of potassium-containing preparations, licorice components, loop or thiazide diuretics concomitantly may lead to hypokalemia or muscular abnormalities, requiring said caution. Patients with lipid metabolism disorders should monitor plasma lipid levels and adjust the dosage of this medication and be aware of the lipid content when administering intravenous lipid preparations concurrently. This medication should be stored in a cool place away from direct sunlight and moisture, and must be securely sealed after use. Keep out of reach of children, and it is safest not to transfer medications from their original containers to others.

• Diarrhea
• loss of appetite
• discomfort in the stomach
• nausea
• vomiting
• abdominal pain
• rash
• redness
• itching
• insomnia

This medication should be kept in an airtight container, stored at room temperature between 1 to 30 degrees Celsius. Storing in this manner helps maintain the medication's efficacy and prevents degradation.

Appearance

Pale yellow-green round film-coated tablet

Package unit

300 tablets/bottle, 360 tablets/bottle, 500 tablets/bottle, 720 tablets/bottle, 720 tablets/box [360 tablets/bottle X 2], 1000 tablets/bottle