Seirogan (Japanese: 正露丸, formerly 征露丸) is a pharmaceutical drug marketed in Japan as a treatment for the digestive tract (especially as an antidiarrhoeal), whose main active ingredient is wood-tar creosote. The name is nominally a registered trademark of Taiko Pharmaceutical (大幸薬品, Taikō Yakuhin) based in Suita, Osaka which is still the major market-share holder, but the enforceability of the tradename has been voided by the Supreme Court of Japan, which ruled seirogan to be a common generic name. The ruling only recognizes proprietary use of the bugle logo by Taiko, but not protection of its characteristic packaging. As a result, dozens of extremely similar packaged drugs are being manufactured and sold in the market.
Medical uses Seirogan is a general-use medicine, mainly to treat the gastro-intestinal system. Seirogan has been claimed to be effective in the treatment of the following conditions:
Treating and allaying stomach aches, diarrhea, diarrhea due to digestive disorders, food poisoning, vomiting, water contamination (Montezuma's revenge), runny bowels warning of diarrhea, soft stool. Regulating stomach and intestines condition. Pulpitis-caused tooth cavity aches. In pre-World War II Japan, Seirogan was believed to combat tuberculosis or aid someone with a weak constitution, and employed as a panacea (cure-all) of sorts.
Available forms
Chemistry Seirogan contains wood-tar creosote (木クレオソート) as its main active ingredient. That ingredient in the West may otherwise go by such names as "wood creosote", "beechwood creosote", or "liquid pitch oil", and should be distinguished from industrial "coal-tar creosote". To emphasize the distinction, wood creosote in Japan is sometimes called by such names as Nikkyokuhō kureosōto (日局方クレオソート; "Japanese Pharmacopoeia creosote") and minor variants thereof. In contemporary European usage, wood-tar creosote has been used for "antiseptic" and "calming" purposes. A singular randomized controlled trial finds wood creosote about as effective as loperamide in American and Mexican subjects. Compared to loperamide, wood creosote seems to be better at improving cramps but worse at improving diarrhea. Instead its well-known ex vivo antiseptic action, animal studies suggest that wood creosote's antisecretory and antimotility effects play a larger role in its activity against diarrhea. The wood creosote is blended with two or more crude medicines (生薬, shōyaku) recognized in Kanpō (漢方薬, kanpōyaku) for their supposed antiseptic and other effects, but the additional ingredients used are different among manufacturers (See under § Chemical composition for a sampling of formulas). Kanpō medicine practitioners insist however that "Seirogan is not strictly speaking kanpō medicine", and this point was emphatically printed in a retraction by a certain consumer-watch type book that criticized seirogan but had confused wood creosote with the industrial type (See § Coal tar controversy). In the classic form, it is a dark brown round pill, but in order to mask its distinctive medicinal odor and bitterness, sugar-coated tablet forms have become available as well.
History
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