Ami-misan Granules (Bangpung-tongseong-san Ex Granules)

Adult dose

Generally, adults take 1 packet (single dose) three times a day before or between meals.

This medicine should not be taken by women who are pregnant or may become pregnant. The rhubarb contained in this medicine may cause uterine contractions or increase blood circulation to pelvic organs, raising the risk of preterm birth or miscarriage. Additionally, nursing women should avoid this medicine as some components of rhubarb can be transmitted through breast milk and may cause diarrhea in the baby, therefore nursing should be avoided or breastfeeding should be suspended. This medicine contains lactose; thus, individuals with lactose intolerance or certain genetic metabolic disorders should not take it. It is important not to use this medicine concurrently with other antidiarrheal medications during treatment, as this may worsen diarrhea or cause side effects. Individuals with hypertension, heart or kidney disease, edema, the elderly, and those taking other medications should consult a healthcare professional before using this medicine, as it may exacerbate symptoms or cause unexpected side effects. Especially those experiencing diarrhea or loose stools, individuals with weak digestive systems, those with poor appetite or symptoms of nausea, vomiting, or weakness should seek consultation before use. If any of the following symptoms occur during the course of taking this medicine, stop taking it immediately and consult a healthcare professional: face or limb swelling, increased blood pressure, headache, muscle weakness, seizures, abdominal pain, skin rash, itching, insomnia, excessive sweating, rapid heartbeat, urinary issues, liver dysfunction, etc. It is generally advised not to take this medicine for extended periods; if long-term use is necessary, guidance from a healthcare provider is required. Stimulant laxatives can cause tolerance and may worsen constipation, so continuous use for more than one week is not recommended. Be sure to adhere to the prescribed dosage and administration, and be cautious of ingredient overlaps or interactions when taking it with other herbal medicines or medications. Particular caution should be taken when combined with Ma Huang, ephedrine, thyroid medications, diuretics, etc., as they may affect heart rate or blood pressure. Store this medicine in a sealed container to avoid exposure to air or moisture. The optimal storage temperature is at room temperature between 1 degree and 30 degrees, and it is advisable to avoid places that are too hot or too cold.

Serious side effects

• Decreased urine output
• swelling of the face and limbs
• heaviness of eyelids
• increased blood pressure
• headache
• edema
• hypokalemia
• urinary disorders
• liver dysfunction
• jaundice (yellowing of the skin or eyes)

Mild side effects

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

This medicine must be stored in a tightly sealed container to prevent exposure to air or moisture. The proper storage temperature is at room temperature between 1 and 30 degrees, and it is best to avoid very hot or very cold places.

Appearance

Brown granules

Package unit

90 packets/box