R46

Dr. Reckeweg **R46 (Manol / Rheumatic Drops)** is a homeopathic formulation designed to relieve arthritis, gout, and rheumatic pains in the smaller joints and muscular system.
**Key Ingredients**
* **Ferrum phosphoricum (D6):** Addresses early-stage inflammation, joint fever, and local throbbing or pain.
* **Lithium carbonicum (D3):** Targets small-joint arthritis, gouty nodes, and pain worsened by pressure.
* **Natrium sulfuricum (D6):** Relieves rheumatic joint stiffness and stiffness that worsens in damp or humid weather.
* **Nux vomica (D4):** Helps manage morning stiffness, backaches, and general body aches.
* **Rhododendron (D3):** Relieves joint pain that worsens before a storm, in cold weather, or during rest.
* **Spiraea ulmaria (D2):** Targets sharp, shifting pains in muscles, tendons, and joints.
**Primary Indications & Uses**
* Rheumatic pain affecting the small joints (fingers, toes, wrists, ankles).
* Gout and elevated uric acid joint discomfort.
* Muscular rheumatism, stiffness, and joint aches affected by weather changes.
**Standard Dosage**
* **General Usage:** Take 10 to 15 drops diluted in a small amount of water, 3 times daily before meals.
* **Acute Pain:** Take 10 to 15 drops every 1 to 2 hours until relief occurs, then return to standard dosing.
**Precautions & Considerations**
* **Administration:** Keep a 15–30 minute buffer between taking the drops and consuming food, drink, or strong flavors like mint and coffee.
* **Alcohol Content:** Contains an ethanol base.
* **Medical Guidance:** Gout and severe arthritis require proper diagnosis and medical monitoring. Consult a doctor if you are pregnant, nursing, or experiencing severe joint swelling.