Cabagin Kowa α is a Japanese stomach and digestive medicine (Class 2 OTC drug) by Kowa for stomach discomfort, weak stomach, heaviness, heartburn, nausea, indigestion and similar complaints.
Its main ingredient is methylmethionine sulfonium chloride (MMSC, once called vitamin U), with the crude drug perilla herb, antacids (sodium bicarbonate, magnesium carbonate, precipitated calcium carbonate), scopolia extract, swertia herb and the digestive enzymes biodiastase 2000 and lipase AP12.
Form: double-layer tablets in a bottle.

Indications

Stomach discomfort, weak stomach, heavy (sluggish) stomach, stomach ache, overeating, overdrinking, heartburn, nausea (queasiness, nausea from hangover or drunkenness, retching, sick feeling), vomiting, loss of appetite, indigestion, gastric hyperacidity, belching, a feeling of food sticking in the chest, promotion of digestion, a feeling of fullness in the stomach or abdomen, heaviness of the stomach.

Ingredients & form

Ingredients/contents (in 6 tablets)
Methylmethionine sulfonium chloride 150.0 mg
Sodium bicarbonate 700.0 mg
Magnesium carbonate 250.0 mg
Precipitated calcium carbonate 1200.0 mg
Scopolia extract powder (33.3%) 90.0 mg (30.0 mg as scopolia extract)
Perilla Herb powdered extract 30.0 mg (270.0 mg as perilla herb)
Powdered Swertia Herb 30.0 mg
Biodiastase 2000 24.0 mg
Lipase AP12 15.0 mg

Inactive ingredients: Hydroxypropyl cellulose, hydrogenated oil, carmellose calcium, corn starch, magnesium stearate, glyceryl stearate, polyoxyl stearate, shellac, talc, cinnamon bark, (partially hydrolyzed) polyvinyl alcohol, cellulose, silicon dioxide, l-menthol, dextrin

Dosage

Take the tablets with room temperature or warm water after meals.
Adults (15 years and older): 2 tablets 3 times a day
Children (8-14 years of age): 1 tablet 3 times a day
Children (Under 8 years of age): Do not use.

Precautions for dosage/directions
(1) Follow the dosage/directions.
(2) This medicine should be given to children only under supervision of their guardians.

Warnings

Precautions for ingredients/contents
This product has a unique smell due to the ingredients such as methylmethionine sulfonium chloride.

Precautions (To be avoided)
(Failure to follow the directions below may worsen existing symptoms or increase the risk of adverse reactions) Do not use the following medicines while taking this medicine.
- Gastrointestinal analgesics and antispasmodics
Do not use during breastfeeding; avoid breastfeeding when using this medicine.
(An ingredient may pass into breast milk and cause rapid heartbeat in the infant.) What to ask a doctor, pharmacist or registered salesperson Ask a doctor, pharmacist or registered salesperson before use if you:
(1) Are currently treated by a doctor.
(2) Are pregnant or may possibly be pregnant.
(3) Are elderly.
(4) Have ever had allergic reaction to any medicines, etc.
(5) Have the following symptoms: Dysuria
(6) Have been diagnosed with the following conditions: Kidney disease, cardiac disease, glaucoma, thyroid dysfunction

The following symptoms, occurred due to this medicine, may be observed as adverse reactions. If any of the symptoms occur after use, stop use immediately and ask a doctor, pharmacist or registered salesperson with the package insert.
- Rash/redness, itching

The following symptom may occur after use; in case the symptom persists or worsens, stop use and ask a doctor, pharmacist or registered salesperson with the package insert.
- Dry mouth
If symptoms do not improve after using for about two weeks, stop use and ask a doctor, pharmacist or registered salesperson with the package insert.

Other precautions
This product may reduce the flow of breast milk.

Storage

Store in a cool and dry place avoiding high temperatures, humidity, and direct sunlight, with cap tightly closed. Keep out of reach of children. Do not transfer the product to another container.(It may cause misuse and deterioration in the quality.) When tablets get wet with water, the smell may become stronger, or the water may alter the ingredients. Therefore, avoid falling water drops on tablets or handling tablets with wet hands.
If tablets accidentally become wet, discard the wet tablets. The cushioning material in the bottle for protection of tablets during transportation. Make sure to discard the material once the cap is opened. If the cap of the bottle is not closed tightly, the quality may deteriorate due to moisture in the air. Therefore, close the cap tightly after each use. Write down the date when the cap is opened in the column on the outer box and on the label. Do not use this product after its validity date (printed on the outer box and on the label) has expired.
For quality maintenance reasons, this product should be used within 6 months once the cap is opened.