Tongseongwon Tablet (Bangpung Tongseongsan)

Adult dose

Typically, an adult takes one packet (15 granules) three times a day before meals or between meals.

This medication should not be taken by women who are pregnant or may become pregnant. The rhubarb component included in this medication may cause uterine contractions, increasing the risk of miscarriage or preterm labor. It is also advisable for breastfeeding women to avoid this medication. Some components of rhubarb can be transmitted through breast milk and may cause diarrhea in infants. Do not take this medication with other laxatives during use, as interactions between medications may cause side effects. If you have hypertension, heart disease, kidney disease, edema, are elderly, or are currently taking other medications, consult a healthcare professional before using this medication. Caution is needed if you experience diarrhea, loose stools, gastrointestinal weakness, loss of appetite, nausea, or vomiting, as these symptoms may worsen. Additionally, those who are in a very weak state, profusely sweating, have a history of cardiovascular disease, or have urinary disorders or hyperthyroidism should also consult a professional before taking this medication. Those with a history of allergic reactions such as skin rash, redness, or itching from this medication should avoid it. Diabetic patients should be cautious as the ephedra component may increase blood sugar levels. If symptoms such as facial or extremity swelling, increased blood pressure, headaches, weakness, muscle cramps, indigestion, skin rashes, insomnia, rapid pulse, difficulty urinating, or jaundice occur during use, discontinue use immediately and consult a professional. If there is no improvement in constipation after a certain period of use, it is advisable to seek professional care. This medication should not be taken for long periods, and if it must be taken long-term, it should be discussed with a healthcare professional. Stimulant laxatives can lead to tolerance and worsening constipation, so they should not be used continuously for more than one week. It is important to adhere to the prescribed methods and dosages, and the purgative effect of rhubarb may vary from person to person, so caution is needed. When combining with other herbal medications, be mindful of overlapping herbal components; particularly when taking products containing rhubarb, caution should be exercised. Concurrent use with ephedra, ephedrine, MAO inhibitors, thyroid medications, catecholamines, or xanthine drugs may result in side effects such as insomnia, excessive sweating, or rapid pulse, and dose adjustments may be necessary. Caution should also be taken when used with potassium-containing agents, licorice-containing agents, or diuretics, as they may cause hypokalemia or muscle-related side effects. When administered to children, guidance and supervision by a guardian are required. During storage, keep away from direct sunlight and store in a cool, dry place out of reach of children. Additionally, keeping the medication in its original container and sealing it is important for maintaining quality and safety.

Serious side effects

Reduced urine output or swelling of the face and extremities, heaviness in the eyelids, and increased blood pressure, swelling accompanying increased blood pressure and urinary abnormalities, liver dysfunction and jaundice (yellowing of skin or eyes, general fatigue), severe allergic reactions (severe rash, redness, itching), serious neurological symptoms (weakness, limb cramps, paralysis), and risk of severe rash or skin reactions with high fever.

Mild side effects

• Loss of appetite
• abdominal discomfort
• nausea
• vomiting
• abdominal pain
• diarrhea
• rash
• redness
• itching
• insomnia

This medication should be stored in a sealed container to prevent air or moisture infiltration, and it is best stored at room temperature between 1°C and 30°C. Proper storage will help maintain the effectiveness of the medication.

Appearance

Brownish-yellow granules

Package unit

Company packaging unit