P.M.S. Pellets, 3 times daily and reduce intake as symptoms improve or as directed by a healthcare practitioner. To be taken away from meals.,Medicinal Ingredients HPUS: Cimicifuga racemosa 4X Mercurius corrosivus 4X Sabina 4X Hydrastis canadensis 4X Secale cornutum 14X Aurum metallicum 4X Hyoscyamus niger 4X Lycopodium clavatum 4X Nitricum acidum 4X Non medicinal ingredients: Lactose, saccharose.