Vantelin Kowa Creamy Gel α is a Class 2 OTC topical analgesic and anti-inflammatory medicine for shoulder pain associated with stiff shoulders, muscle pain, lower back pain, joint pain, tendovaginitis, elbow pain, bruises and sprains.
It contains indometacin, l-menthol and arnica tincture as its three analgesic ingredients, together with tocopherol acetate.
It is a creamy gel for external use, supplied in a tube.

Indications

Relief of shoulder pain associated with stiff shoulders, muscle pain, lower back pain, joint pain, tendovaginitis (hand/wrist pain), elbow pain (such as tennis elbow), bruises and sprains.

Ingredients & form

Creamy gel for external use (tube). 1 g contains:
- Indometacin 10 mg (non-steroidal anti-inflammatory analgesic)
- l-Menthol 30 mg (cooling)
- Tocopherol acetate 20 mg
- Arnica tincture 5 mg (1 mg as arnica)
Additives: octyldodecyl myristate, diisopropyl adipate, carboxyvinyl polymer, hypromellose, sorbitan stearate, glyceryl stearate, polysorbate 60, sodium edetate, sodium bisulfite, diisopropanolamine, isopropanol.

Dosage

Apply an appropriate amount to the affected area, up to 4 times a day.
Precautions related to dosage:
(1) Follow the stated dosage and administration.
(2) When it is used on children aged 11 or older, use it under the guidance and supervision of a parent or guardian.
(3) Take care not to get it in the eyes. If it gets into the eyes, rinse immediately with water or lukewarm water; if symptoms are severe, see an ophthalmologist.
(4) For external use only.
(5) Do not use more than 50 g per week.
(6) Do not cover the treated area with plastic wrap or anything else that does not let air through.
How to use the tube:
- The inside of the nozzle is sealed.
- Before first use, push the spike on top of the cap straight into the nozzle opening to pierce the seal.
- The gel is soft and may spurt out if the tube is pressed hard, so do not squeeze the tube hard.
- After use, wipe off any gel left on the nozzle and take care that the gel does not get on surrounding things.
- Always close the cap tightly after use.
A doctor's or pharmacist's instructions take precedence over this information.

Warnings

Do not (otherwise current symptoms may worsen or side effects become more likely):
Do not use this product if:
- you have ever had allergic symptoms caused by this product or any of its ingredients
- you have ever had asthma
- the user is a child under 11 years
Do not apply to the following areas:
- around the eyes, mucous membranes and similar areas
- eczema, skin rashes (contact dermatitis) or wounds
- areas affected by athlete's foot, ringworm or similar, or festering areas
Do not use continuously for a long time.

Consult a doctor, pharmacist or registered seller before use if:
- you are receiving treatment from a doctor
- you are pregnant or think you may be pregnant
- you have ever had allergic symptoms caused by medicines or other substances

Stop use immediately and consult a doctor, pharmacist or registered seller, bringing this leaflet, if any of the following possible side effects appear after use:
- Skin: rash, redness, itching, swelling, stinging, feeling of heat, dryness

Stop use and consult a doctor, pharmacist or registered seller, bringing this leaflet, if:
- symptoms do not improve after 5–6 days of use

Storage

(1) Store tightly closed in a cool place away from high temperatures and direct sunlight.
(2) Keep out of the reach of children.
(3) Do not transfer to another container (this may cause misuse or change the quality).
(4) Do not touch the eyes or other mucous membranes with hands that have the gel on them.
(5) If it soils clothing or bedding, wash it off with water or detergent as soon as possible.
(6) It may damage metal (glasses, watches, accessories), clothing, plastics and painted surfaces of floors and furniture — keep it off them.
(7) Keep away from fire.
(8) Do not use after the expiry date (on the box and the tube).