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Seirogan (正露丸): ingredients, dose and warnings in English

Seirogan (正露丸) is sold in Japan as a class 2 medicine: the box reads 第2類医薬品. In 9 pills: Wood Creosote 400 mg, Powdered Gambir 200 mg, Powdered Phellodendron Bark 300 mg, Powdered Glycyrrhiza 150 mg, Powdered Citrus Unshiu Peel 300 mg. The package insert sets the adult dose at 3 pills, 3 times a day, for ages 5 and over.

Updated

about 133.3 mgWood Creosote per dose
3 pillsAdult dose
3Doses a day

第2類医薬品 · Class 2

What is in Seirogan

The package insert lists 5 active ingredients in 9 pills. The middle column is how each one is written on the Japanese box.

Seirogan: active ingredients in 9 pills, from the Japanese package insert
IngredientName on the boxAmount
Wood Creosote木クレオソート400 mg
Powdered Gambirアセンヤク末200 mg
Powdered Phellodendron Barkオウバク末300 mg
Powdered Glycyrrhizaカンゾウ末150 mg
Powdered Citrus Unshiu Peelチンピ末300 mg
Additives, as written on the package insert (Japanese)

ケイヒ末,カルメロースカルシウム(CMC-Ca),グリセリン

The maker publishes an English product page for Seirogan: Taiko Pharmaceutical: Seirogan (English product page). This page translates the current Japanese package insert on PMDA.

Source: PMDA (Pharmaceuticals and Medical Devices Agency) — 正露丸: package insert (添付文書) · Taiko Pharmaceutical — Seirogan: English product page

What the package insert lists it for

The approved wording of the Japanese package insert, translated. It is what the product is sold for, not advice on what to take.

  • Loose stools, diarrhoea, food poisoning, stomach upset from drinking water, vomiting and diarrhoea, loose bowels, diarrhoea due to indigestion, toothache from tooth decay

The dose, as written on the package insert

Translated line by line from the directions and dosage (用法・用量) section.

Wood Creosote per dose
about 133.3 mg
Adult dose
3 pills
Doses a day
3
Age
5 and over
  • 1. Take the following amount after a meal (preferably within 30 minutes), always together with water or warm water.
Dose by age, as written on the package insert
AgeSingle doseDoses a day
Adults (15 and over)3 pills3 times
11 and over but under 152 pills3 times
8 and over but under 111.5 pills3 times
5 and over but under 81 pill3 times
Under 5Do not take
  • 2. For toothache from tooth decay, pack 1/2 to 1 pill into the tooth cavity (the hole in the decayed tooth).

Notes on the directions

  • (1) Always follow the specified directions and dosage.
  • (2) When giving it to children aged 5 and over, have them take it under the guidance and supervision of a parent or guardian, so that there is no mistake in the dose and the medicine does not get stuck in the throat.

Do not

The package insert opens with what you must not do.

(If you do not follow these, your current symptoms may get worse, and side effects or accidents become more likely)

1. Do not use it if you are one of the following people.

  • People who have ever had allergic symptoms (rash/redness, itching, oedema, etc.) caused by this medicine or its ingredients

2. When using it for toothache from tooth decay, this medicine only takes away the pain temporarily and has no curative effect, so get treatment from a dentist as soon as possible even if the pain subsides. Also, once the pain eases, remove this medicine from the hole in the decayed tooth, and never leave it packed in.

Ask a doctor, pharmacist or registered salesperson

The package insert says to ask for advice in these cases.

1. If you are one of the following people, ask a doctor, dentist, pharmacist or registered salesperson for advice before using this medicine.

  • (1) People who are receiving treatment from a doctor or dentist
  • (2) People who have diarrhoea accompanied by fever, people who have bloody stools, or people whose mucous stools continue
  • (3) Women who are pregnant, women who think they may be pregnant, or women who are breastfeeding
  • (4) Older people
  • (5) People who have had allergic symptoms caused by medicines, cosmetics, etc.
  • (6) People who have a disease of the liver or kidneys

2. If the following symptoms appear after using it, they may be side effects, so stop using it immediately and ask a doctor, dentist, pharmacist or registered salesperson for advice, taking this leaflet with you.

Possible side effects, by part of the body
Skin
rash/redness, itching, oedema
Digestive system
nausea/vomiting, constipation, loss of appetite, stomach discomfort
Nervous system
dizziness, headache
  • In rare cases the following serious symptoms may occur. If they do, see a doctor immediately.
Rare but serious symptoms: name and signs
Liver dysfunction
tiredness all over the body, jaundice (the skin and the whites of the eyes turn yellow), etc. appear.

3. If your symptoms do not improve after taking it for several days (5 to 6 days as a guide), stop taking it and ask a doctor, dentist, pharmacist or registered salesperson for advice, taking this leaflet with you.

4. If the pain does not go away after using it 1 or 2 times for toothache from tooth decay, stop using it and ask a dentist for advice, taking this leaflet with you.

Who can sell it in Japan

The Seirogan box carries the class 第2類医薬品, which decides who may sell it.

On the box
第2類医薬品 (Class 2). The box reads 第2類医薬品.
Who can sell it
A pharmacist or a registered salesperson may sell it.

Source: e-Gov law search (Digital Agency, Japan) — Pharmaceutical and Medical Device Act (医薬品医療機器等法), current text · e-Gov law search (Digital Agency, Japan) — Enforcement Regulations of the Pharmaceutical and Medical Device Act (施行規則), current text

Taking it home

Frequently asked questions

How much Wood Creosote is in Seirogan?

About 133.3 mg in a dose of 3 pills, according to the Japanese package insert. The package insert lists 400 mg in 9 pills.

How much Seirogan can an adult take in a day?

The package insert sets the adult dose at 3 pills, 3 times a day.

Can children take Seirogan?

The package insert gives doses from age 5 and says it is not to be taken below that age.

Do I need a pharmacist to buy Seirogan?

Seirogan is a class 2 medicine (第2類医薬品). A pharmacist or a registered salesperson may sell it.

What is Seirogan called in Japanese?

正露丸. The Seirogan box also carries the class 第2類医薬品.

Related items

Package insert in Japanese: PMDA

Sources for this page

Back to Japanese OTC medicine

Compiled by Japan Japan !! · Updated October 3, 2026