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ジキニンファーストネオCZ (Jikinin First Neo CZ) is a multi-symptom over-the-counter (OTC) cold medication developed and marketed by Zenyaku Kogyo (Zenyaku Holdings) in Japan. It is formulated as a combination product to alleviate various symptoms associated with the common cold, including fever, sore throat, cough, and nasal congestion. The formulation typically contains seven active ingredients: ibuprofen (analgesic and antipyretic), tranexamic acid (anti-inflammatory for throat pain), bromhexine hydrochloride (mucolytic/expectorant), dihydrocodeine phosphate (antitussive), dl-methylephedrine hydrochloride (bronchodilator), chlorpheniramine maleate (antihistamine), and anhydrous caffeine. It is classified as a Designated Class 2 OTC drug in Japan and is administered orally, usually in tablet form.
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