{"active_ingredient":["Active Ingredient** (in each pellet) Aesculus hippocastanum 6X HPUS (0.15 mg) Hamamelis virginiana 6X HPUS (0.15 mg) Nux Vomica 12X HPUS (0.15 mg) (contains less than 10-14 mg strychnine alkaloids) The letters \"HPUS\" indicate that the components in this product are officially monographed in the Homeopathic Pharmacopoeia of the United States."],"ask_doctor":["Ask a doctor before use in case of bleeding."],"dosage_and_administration":["Adults and children 12 years of age and older: At the onset of symptoms, dissolve 5 pellets under the tongue every 2 hours, up to 6 times a day. Children under 12 years of age: Ask a doctor."],"effective_time":"20230213","id":"f495f64b-c0e2-6363-e053-2a95a90a78e0","inactive_ingredient":["lactose, sucrose"],"indications_and_usage":["Uses* temporarily relieves symptoms of internal and external hemorrhoids such as: burning itching swelling pain discomfort helps shrink swollen hemorrhoids relieves hemorrhoid symptoms following childbirth"],"keep_out_of_reach_of_children":["Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center right away."],"openfda":{"brand_name":["HEMCALM"],"generic_name":["HORSE CHESTNUT, HAMAMELIS VIRGINIANA ROOT BARK/STEM BARK, STRYCHNOS NUX-VOMICA SEED"],"is_original_packager":[true],"manufacturer_name":["Boiron"],"nui":["N0000185375","N0000175629","N0000184306","N0000185001","M0000728","M0016962","M0516536"],"package_ndc":["0220-9181-41","0220-9181-42"],"pharm_class_cs":["Allergens [CS]","Plant Proteins [CS]","Seed Storage Proteins [CS]"],"pharm_class_epc":["Non-Standardized Plant Allergenic Extract [EPC]"],"pharm_class_pe":["Increased Histamine Release [PE]","Cell-mediated Immunity [PE]","Increased IgG Production [PE]"],"product_ndc":["0220-9181"],"product_type":["HUMAN OTC DRUG"],"route":["ORAL"],"spl_id":["f495f64b-c0e2-6363-e053-2a95a90a78e0"],"spl_set_id":["dea9bd55-8e08-2165-e053-2995a90a8e81"],"substance_name":["STRYCHNOS NUX-VOMICA SEED","HORSE CHESTNUT","HAMAMELIS VIRGINIANA ROOT BARK/STEM BARK"],"unii":["269XH13919","3C18L6RJAZ","T7S323PKJS"]},"package_label_principal_display_panel":["Label label"],"pregnancy_or_breast_feeding":["If pregnant or breastfeeding, ask a health professional before use."],"purpose":["Purpose* Relieves Symptoms of Internal & External Hemorrhoids: Burning, Itching, Pain, and Swelling"],"questions":["BoironUSA.com Info@Boiron.com 1-800-264-7661 Made in France Distributed by Boiron, Inc. Newtown Square, PA 19073"],"set_id":"dea9bd55-8e08-2165-e053-2995a90a8e81","spl_product_data_elements":["HEMCALM HORSE CHESTNUT, HAMAMELIS VIRGINIANA ROOT BARK/STEM BARK, STRYCHNOS NUX-VOMICA SEED LACTOSE, UNSPECIFIED FORM STRYCHNOS NUX-VOMICA SEED STRYCHNOS NUX-VOMICA SEED HORSE CHESTNUT HORSE CHESTNUT SUCROSE HAMAMELIS VIRGINIANA ROOT BARK/STEM BARK HAMAMELIS VIRGINIANA ROOT BARK/STEM BARK"],"spl_unclassified_section":["do not use if glued carton end flaps are open or if pellet dispenser seal is broken contains 0.25 g of sugar per dose Hemorrhoid Relief* Internal & External Hemorrhoids Relieves Burning, Itching & Pain* 2 PORTABLE TUBES APPROX. 80 PELLETS EACH TOTAL 160 PELLETS Contains 80 pellets, 3.8 g (0.13 oz) Turn tube upside down, Twist until 5 pellets are dispensed, Remove cap and pour pellets under the tongue Do not use if pellet dispenser seal is broken. *CLAIMS BASED ON TRADITIONAL HOMEOPATHIC PRACTICE NOT ACCEPTED MEDICAL EVIDENCE. NOT FDA EVALUATED. **C,K,CK, and X are homeopathic dilutions: see BoironUSA.com/info for details."],"stop_use":["Stop use and ask a doctor if symptoms persist for more than 7 days or worsen."],"version":"2","warnings":[""]}