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PHYSOSTIGMA VENENOSUM 4X is a medication that contains lactose and is used for myopia. The recommended dosage for adults is 4 to 6 tablets taken orally three times a day or as directed by a physician. Children two years and older should take half of the adult dosage. If symptoms do not improve within four days or worsen, stop using the medication and seek assistance from a healthcare professional. Pregnant women and nursing mothers should consult a professional before taking this medication. Keep this and all medications out of reach of children and store in a cool, dark place. The medication is distributed by Rxhomeo, Inc in the US and manufactured by Rxhomeo Private Limited in India. No additional information is available from the unclear text.*