Description
Vantelin Kowa Pad EX Extra Large (超大判サイズ) by Kowa is a Japanese Class 2 OTC analgesic patch built on the same proven triple-active formula as the standard Vantelin Kowa Pad EX — but in a larger format designed to cover wider areas of pain such as the lower back, upper back, or thigh. The TIAAS® soft-adhesion technology ensures the oversized pad stays in place comfortably without harsh removal.
Key Benefits
- Extra large pad size covers a wider pain area — ideal for lower back, upper back, hip, and thigh where standard patches may be too small
- Indomethacin (1.0g per 100g plaster) — potent NSAID that directly blocks inflammatory mediators causing muscle and joint pain
- Arnica tincture (1mL / 0.2g arnica per 100g) — botanical anti-inflammatory extracted from the arnica flower
- l-Menthol (1.2g per 100g) — cooling sensation with additional analgesic effect
- TIAAS® proprietary formulation: high adhesion, soft feel, repositionable if accidentally folded
- Authentic Japanese OTC medicine — ships direct from Japan with tracking
Product Details
| Brand | Kowa (興和) |
|---|---|
| Product Name (EN) | Vantelin Kowa Pad EX Extra Large |
| Product Name (JP) | バンテリンコーワパットEX 超大判サイズ |
| Category | Health & Wellness |
| Subcategory | External Analgesic / Pain Relief Patch |
| Product Type | Medicated adhesive pad, extra large (外用鎮痛消炎薬) |
| Size / Net Content | 7 patches (extra large / 超大判 format) |
| Regulatory Classification | Class 2 OTC Drug (第2類医薬品) — Japan |
| Age Restriction | 15 years and older only |
| Active Ingredients | Indomethacin, Arnica tincture, l-Menthol |
| Country of Origin | Japan |
| Target User | Adults 15+ needing wide-coverage pain relief for lower back, upper back, hip, or thigh |
| Main Concerns | Lower back pain, shoulder pain, joint pain, muscle pain, tenosynovitis, tennis elbow, bruising, sprains |
| JAN Code (7-patch) | 4987973113943 |
Who Is This For?
Recommended for adults aged 15 and older who need broad-area coverage for lower back pain, upper back pain, or pain in large muscle groups such as the thigh or hip. Ideal if standard-size patches don't fully cover your pain area, or if you want to reduce the number of patches needed per application. Not suitable for children under 15, those with NSAID sensitivity, or those with a history of analgesic-induced asthma.
How to Use
1. Peel off the plastic film from the adhesive side of the extra large pad. 2. Apply firmly to the clean, dry skin over the affected area. 3. Smooth down all edges for secure, even adhesion over the larger surface. Amount: 1 pad per application site. Frequency: Up to 2 times per day. Tip: The larger pad size works particularly well on the lower back — center it over the lumbar area and press from the middle outward to avoid wrinkles.
Full Ingredients
Active ingredients per 100g plaster: Indomethacin 1.0g (NSAID — relieves muscle and joint pain); Arnica tincture 1mL (equivalent to 0.2g arnica — anti-inflammatory botanical); l-Menthol 1.2g (cooling analgesic). Additives: Polyvinyl alcohol (partially saponified), acrylic acid methyl / 2-ethylhexyl acrylate copolymer resin, polyoxyethylene nonylphenyl ether, partially neutralized polyacrylate, carmellose Na, sorbitan oleate, and others.
Cautions
- This is a Japanese Class 2 OTC (over-the-counter) external analgesic. Consult your doctor or pharmacist before use if you are taking other medications
- Not for use by anyone under 15 years of age
- Do not use if you have previously experienced allergic reactions to this product or its ingredients
- Do not use if you have experienced asthma triggered by any analgesic, antipyretic, cold medicine, or external analgesic/anti-inflammatory product
- Consult a doctor or pharmacist before use if you are pregnant, breastfeeding, elderly, or have kidney or liver disease
- Stop use and consult a doctor immediately if you notice rash, redness, itching, swelling, or other skin reactions at the application site
- For external use only — keep away from eyes, mouth, and mucous membranes
- Do not apply to broken, irritated, cut, or inflamed skin
- Do not use continuously for more than 2 weeks without consulting a doctor
- Keep out of reach of children
- Store away from direct sunlight, high temperature, and humidity
- Regulatory status may differ from Japan in your country — please verify compliance with local regulations before import and use
Package Contents
- 1 × Vantelin Kowa Pad EX Extra Large (7 patches, extra large / 超大判 size)
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 OTC medicines cannot be returned for safety and hygiene 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 and dispatched with full tracking.
FAQ
Q: How big is the 'extra large' pad compared to the standard size?
A: The extra large pad (超大判サイズ) is significantly bigger than the standard Vantelin Kowa Pad EX, making it ideal for covering wider areas such as the lower back, upper back, or thigh. The package dimensions are 240mm × 200mm versus 137mm for the standard.
Q: Does the extra large pad have the same formula as the standard?
A: Yes. The active ingredient formula is identical: Indomethacin 1.0g, Arnica tincture 1mL (0.2g arnica), and l-Menthol 1.2g per 100g plaster. It uses the same TIAAS® proprietary adhesive technology.
Q: What conditions can Vantelin Kowa Pad EX Extra Large be used for?
A: It is approved for the same indications: shoulder pain, lower back pain, joint pain, muscle pain, tenosynovitis, elbow pain (tennis elbow), bruising, and sprains.
Q: Is this the authentic Japanese product?
A: Yes. Tsujimoto Market sources all products directly from Japan. This is the genuine Kowa product sold in the Japanese domestic market.
Q: How long does delivery take and will I pay customs duties?
A: Orders are dispatched from Japan within 2–6 business days with full tracking. Import duties may apply depending on your destination country.

