Vantelin Kowa Pad EX Extra Large — 7 pads, 超大判 size Overview The 超大判 format of Vantelin Kowa Pad EX, bought in Japan and shipped from Kobe. Listed with our other Japanese health products.The size is the only difference. Same three declared actives at the same strengths as the standard pad — indomethacin 1.0 g, arnica tincture 1 mL, l-menthol 1.2 g per 100 g of plaster — same indications, same 1日2回を限度として dosing, same 15+ restriction. What you are buying is coverage: one pad over a lower back or a thigh instead of two or three standard pads placed edge to edge.Why bigger is not automatically better. A larger pad puts more plaster mass on the skin, so the daily limits still apply and it is the wrong choice for a small joint. Buy this one for the lumbar area, the upper back, a hip or a thigh; buy the standard size for a wrist, an elbow or a knee.On the size question. Asked how big the pad is, listings for this product tend to answer with the dimensions of the box — "240mm × 200mm versus 137mm for the standard" — one of which is a single number with no second dimension. We have not found a pad measurement published by Kowa, so rather than reprint an unsourced figure this card names the format and points you to the measurement on the carton. Key Benefits Indomethacin 1.0 g per 100 g of plaster — a declared NSAID active on a Class 2 medicine Arnica tincture 1 mL and l-menthol 1.2 g per 100 g, both declared actives in the same approval Kowa's TIAAS adhesive: firm hold through the day with a gentler removal than a conventional tape Adhesive faces can be separated again if a pad folds onto itself during application Up to twice a day, so a pad can be changed rather than worn through the night if you prefer A Japanese OTC medicine with a printed indication list and a printed contraindication list Product Details Brand Kowa (興和) Product name (JP) バンテリンコーワパットEX 超大判サイズ Country of origin Japan Product type Medicated adhesive pad (外用鎮痛消炎薬) Regulatory class Class 2 OTC medicine (第2類医薬品), Japan Format 7 pads, 超大判 — the largest of three Vantelin Pad EX formats; the measurement is printed on the carton Active ingredients Indomethacin 1.0 g, arnica tincture 1 mL, l-menthol 1.2 g per 100 g plaster — identical to the standard size Dosing Up to twice a day (1日2回を限度として) Age 15 and over JAN code 4987973113943 Vendor Tsujimoto Market, Kobe, Japan Who Is This For? Adults 15 and over needing one pad over a wide area: lower back, upper back, hip or thigh People currently using two or three standard pads side by side for one area Anyone whose skin objects to conventional tape on removal Not the right choice for a wrist, an elbow or a knee — buy the standard size for those Not for anyone under 15, and not for anyone who has ever had asthma triggered by a painkiller How to Use Check the skin is clean, dry and unbroken. Peel the plastic film off the adhesive side. Place the pad over the painful area and smooth it down from the centre outward so no edge lifts. One pad per site. Change it rather than layering a second pad on top of the first. Peel it off slowly along the direction of hair growth; the softer adhesive helps, but slow still hurts less. Frequency: Up to twice a day, as the Japanese label states (1日2回を限度として). Stop and see a doctor if there is no improvement after 5–6 days. Not more than two weeks continuously. Full Ingredients Active ingredients per 100 g of plaster: indomethacin 1.0 g; arnica tincture 1 mL (equivalent to 0.2 g arnica); l-menthol 1.2 g. All three are declared actives on a Class 2 medicine, not botanical decoration. Excipients: partially saponified polyvinyl alcohol, methyl acrylate / 2-ethylhexyl acrylate copolymer resin, polyoxyethylene nonylphenyl ether, partially neutralised polyacrylate, carmellose sodium, sorbitan oleate, and others as listed on the package insert. The package insert in the box is in Japanese. For the indication and warning text in another language, ask a pharmacist rather than machine-translating a medicine label. Cautions Class 2 OTC medicine (第2類医薬品) in Japan. Its status in your country may be different — check before importing. Do not use if you are under 15. Do not use if you have ever had an allergic reaction to this product or its ingredients. Do not use if you have ever had asthma brought on by any analgesic, antipyretic, cold remedy or topical anti-inflammatory. This is an absolute contraindication, not a caution. Do not apply near the eyes, on mucous membranes, on eczema, rashes, broken skin, athlete's foot or ringworm, or on any infected area. Ask a doctor or pharmacist before use if you are pregnant or may be pregnant, breastfeeding, elderly, under treatment, or have kidney or liver disease. If symptoms do not improve after 5–6 days of use, stop and see a doctor. A pain that does not respond in under a week is a pain that needs diagnosing. Do not use continuously for more than two weeks. Stop and consult a doctor if a rash, redness, itching or swelling appears where the patch was applied. External use only. Keep out of reach of children. Store away from sunlight, heat and damp. Package Contents 1 box × 7 pads in the 超大判 format, with the Japanese package insert. The standard and 大判 formats are separate listings.Opened OTC medicines cannot be returned. Regulatory status differs by country — importing a Japanese Class 2 medicine is your responsibility to check. Shipping & Store Notes Ships directly from Japan Processing time: 2–6 business days Tracking number provided after dispatch Import duties and taxes may apply depending on destination country Opened cosmetics cannot be returned for hygiene and safety reasons Authenticity Guarantee Every product at Tsujimoto Market is sourced directly from Japan and verified for authenticity. We never sell fakes or grey-market goods. Each order is carefully packed in Kobe, Japan and dispatched with full tracking. FAQ How much bigger is it than the standard pad? It is Kowa's 超大判 format, the largest of the three (standard, 大判, 超大判). We have deliberately not printed a centimetre figure: we could not find a pad measurement published by Kowa, and the figures in circulation are the dimensions of the outer box, one of them a single number with no second side. The measurement is printed on the carton. Practically: one of these covers a lower back where you would otherwise place two or three standard pads. What is it approved for? Pain from stiff shoulders, lower back pain, joint pain, muscle pain, tenosynovitis of the hand or wrist, elbow pain including tennis elbow, bruising and sprains. That list comes from the Japanese approval, not from us. How often can I use it? Up to twice a day. The Japanese label says 1日2回を限度として — twice a day as the limit. Note that this differs from loxoprofen tape, which is once a day; if you use both, do not carry one product's dosing across to the other. What does TIAAS actually do? It is Kowa's name for the adhesive system. Kowa's claim is a larger contact area between pad and skin, giving firm adhesion with a softer removal than a conventional tape. That is an adhesion property. It is not a claim about how well the medicine works, and the two are easy to blur. Can I still use a pad if it has folded onto itself? Kowa says the adhesive surfaces can be separated again. Treat that as a rescue for a mishandled pad, not as licence to move a pad around the body — each pad is one application.
