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Doctor recommended.Pain ReliefKobayasCut open pouch and remove one cooling gel sheet. Remove transparent film from back of gel sheet and discard. Place gel sheet on skin. If desired, cut gel sheet to suitable size with scissors. Store unused gel sheet in the foil pouch to prevent drying. Reseal pouch by tightly folding the pouch twice along the dotted lines. Store in cool dry place. May even be stored in refrigerator for extra cooling. Do not store in freezer. For sanitary purpose, use each sheet only once and discard after use. Uses:Doctor recommended to provide cooling relief from the discomfort associated with migraine, headache, fever, muscle aches, sprains, over-exertion, hot flashes or whenever you need relief. Provides immediate cooling relief in a convenient disposable product. Needs no refrigeration and is portable. Ready to use anywhere and anytime at home, at work or while traveling. Gently adheres to your skin. Offers just the right amount of cooling to maximize comfort. Cooling effect of each sheet lasts up to 8 hours. Since Be KOOOL gel sheets are non-medicated, they are safe to use with medication. Contains four 2 inches x 5-1/8 inches (5 x 13 cm) sheets. Keep this product out of the reach of children. Use only as directed. For external use only. If excessive redness, irritation, burning, or discomfort of the skin develops, discontinue use and consult a physician immediately. Do not apply to wounds or to irritated, damaged, sunburned or very sensitive skin. Do not allow the product to enter or block nose or mouth. This product should be used only under strict supervision when applied to children, the physically handicapped/disabled, or those who can not apply the product themselves. The cooling gel sheet will not stick to skin if the skin is wet or the gel sheet comes into contact with hair, eyebrows or clothing.