Guide to Medicine in Japan Updated 2024-2025

Introduction

When planning a trip to Japan, understanding the local healthcare system and medication regulations can significantly enhance your experience. Whether you need to bring personal medications, find local pharmacies, or navigate the healthcare system, having reliable information is essential. This comprehensive guide aims to cover every aspect of dealing with medicine in Japan, from import regulations to finding English-speaking pharmacies. By following the guidelines provided by the Ministry of Health, Labor, and Welfare (MHLW) and Japanese Customs, you can ensure a smooth and compliant process when bringing medication into the country (MHLW). Additionally, understanding the local pharmacy system, including how to obtain prescription and over-the-counter drugs, will help you manage your health needs effectively during your stay. Let's dive into the specifics to make your journey as comfortable and safe as possible.

Bringing Medication to Japan
- What Are the Import Regulations for Personal Medication in Japan?
  - Can You Bring Prescription Drugs and Quasi-Drugs?
  - How to Handle Narcotics and Psychotropics
  - What Substances Are Prohibited from Being Brought into Japan?
- How to Apply for Import Confirmation
- Can You Bring Cosmetics and Medical Devices?
- Health and Safety Considerations When Bringing Medication to Japan
- What Are the Latest COVID-19 Regulations?
- Who Can You Contact for More Information?
Local Pharmacy System
- What Types of Pharmacies Can You Find in Japan?
- How Do You Get Prescription Drugs in Japan?
  - How Do You Pay for Prescriptions?
- What About Over-the-Counter (OTC) Medications?
- Can You Find English-Speaking Pharmacies?
  - Notable English-Speaking Pharmacies
- Is It Safe to Order Medications Online in Japan?
- What Is an Rx-to-OTC Switch?
- What Are the Popular Drugstore Chains in Japan?

Bringing Medication to Japan: What You Need to Know

What Are the Import Regulations for Personal Medication in Japan?

When you're planning to bring personal medication into Japan, understanding the import regulations is crucial. The Ministry of Health, Labor, and Welfare (MHLW) and Japanese Customs have specific rules to prevent health hazards from defective products. Here’s what you need to know:

Can You Bring Prescription Drugs and Quasi-Drugs?

Yes, you can bring prescription drugs and quasi-drugs for personal use without prior approval, as long as the quantity does not exceed a one-month supply. For external-use drugs, the limit is up to 24 units per item. But if you need more, you’ll have to apply for a "Yunyu Kakunin-sho" (import certificate) before you leave (MHLW).

Prescription Drugs: Up to a one-month supply.
Drugs for External Use: Up to 24 units per item.
Injectable Drugs and Syringes: Up to a one-month supply, limited to pre-filled syringes or self-injection kits.
Other Drugs and Quasi-Drugs: Up to a two-month supply.

How to Handle Narcotics and Psychotropics

Importing narcotics and psychotropics into Japan is a bit more complicated. You must get permission from the Japanese government before bringing these substances into the country. This involves applying to the directors of the Regional Bureaus of Health and Welfare and receiving approval before departure (MHLW).

Narcotics: Generally prohibited unless prescribed for a specific patient with prior permission.
Psychotropics: You must carry a copy of the prescription or relevant documents certifying the necessity for treatment. Importing more than a one-month supply or injectable forms requires additional documentation.

For detailed application procedures, check out the Narcotics Control Department.

What Substances Are Prohibited from Being Brought into Japan?

Certain substances are prohibited from being brought into Japan, regardless of prescription status. These include:

Stimulants: Regulated under the Stimulants Control Act and cannot be imported even for medical purposes (Customs).
Cannabis: Importation of cannabis sativa L. and cannabis resin is prohibited.
Designated Chemical Substances: Substances like isobutyl nitrite ("Rush") are banned.

Travelers should consult the MHLW website for a comprehensive list of prohibited substances.

How to Apply for Import Confirmation

If your medications exceed the allowed quantities or include controlled substances, you must apply for an import confirmation certificate ("Yunyu Kakunin-sho"). This process can be done online, and approval may take several weeks. Your application should include:

Personal Identification: Passport or other carrying identification.
Prescription Details: A copy of the prescription and a letter from the prescribing doctor stating the purpose of the medication.

For more information and application forms, visit the MHLW website or contact the relevant authorities via email at yakkan@mhlw.go.jp.

Can You Bring Cosmetics and Medical Devices?

Yes, you can bring personal cosmetics and medical devices into Japan, but there are specific regulations. You can bring:

Cosmetics: Up to 24 units per item (e.g., lipsticks, regardless of brand or color).
Medical Devices: One set of household medical devices (e.g., electric massaging tools) and up to a two-month supply of disposable contact lenses (MHLW).

Medical devices intended for use by medical practitioners cannot be imported by private individuals. For more details, consult the Customs website.

Health and Safety Considerations When Bringing Medication to Japan

Traveling with medication can be stressful. Products purchased overseas may differ from those officially marketed in Japan and could pose health risks. The Japanese government does not cover hazards resulting from privately imported drugs under its public health schemes (Customs).

To mitigate risks, consider the following tips:

Consult Experts: Seek advice from medical doctors or pharmacologists before purchasing drugs from overseas.
Verify Authenticity: Ensure that the products are genuine and meet Japanese safety standards.

For further information on health hazards and unauthorized drugs, visit the MHLW's health hazard information page.

What Are the Latest COVID-19 Regulations?

As of April 29, 2023, travelers entering Japan no longer need to present proof of vaccination or a negative COVID-19 test certificate. However, it's a good idea to review the latest guidelines on the Ministry of Foreign Affairs (MOFA) website before traveling.

Who Can You Contact for More Information?

For any inquiries or further assistance, you can contact the relevant regional bureaus of health and welfare. The MHLW website provides contact details and additional resources.

By following these guidelines, you can ensure a smooth and compliant process when bringing personal medication into Japan.

What Types of Pharmacies Can You Find in Japan?

In Japan, pharmacies, known as 'yakkyoku,' focus on dispensing prescription medications under the supervision of licensed pharmacists. These healthcare facilities also offer medical advice. In contrast, drugstores, or 'doraggu sutoa,' sell a broader range of products, including medicines, cosmetics, health supplements, personal care items, household goods, and snacks (Matcha).

How Do You Get Prescription Drugs in Japan?

Prescription drugs in Japan are strictly regulated and require a prescription from a licensed medical practitioner. The prescription must be written in Japanese, and you'll need to obtain the medication from a licensed pharmacy (ExpatFocus).

How Do You Pay for Prescriptions?

Prescriptions are typically paid for out-of-pocket, but the mandatory health insurance system covers most medical expenses, including prescription medication. Your contribution depends on your income level (ExpatFocus).

What About Over-the-Counter (OTC) Medications?

Drugstores sell various OTC drugs classified into three categories: Class 1, Class 2, and Class 3 (Matcha).

Class 1 Drugs: Only dispensed by a pharmacist, these drugs are strong and require an explanation of their particulars.
Class 2 Drugs: Includes cold medicine and headache remedies, sold by pharmacists and registered distributors who explain potential side effects.
Class 3 Drugs: Mainly vitamins and probiotics, readily available at drugstores, with pharmacists available to answer questions.

Can You Find English-Speaking Pharmacies?

Yes, especially in Tokyo. Pharmacies like Koyasu Pharmacy Hiroo Garden Store and Sakura Pharmacy cater to English-speaking customers, making it easier to fill prescriptions and receive medical advice (Japan Living Guide).

Notable English-Speaking Pharmacies

Koyasu Pharmacy Hiroo Garden Store: Located in Minato-ku, Tokyo, this pharmacy offers cosmetics and OTC medicine. More information can be found on their official website.
Sakura Pharmacy: Situated in Tokyo Midtown, this pharmacy also provides OTC medicine. Details are available on their official website.
The Pharmacy at Tokyo Medical and Surgical Clinic: This on-site pharmacy is especially convenient for those visiting the Tokyo Medical and Surgical Clinic. More information can be found on their official website.

Is It Safe to Order Medications Online in Japan?

Ordering medications online is legal but requires caution. Ensure the website is reputable and licensed, and that the medications are approved by the Japanese Ministry of Health, Labour, and Welfare (ExpatFocus).

What Is an Rx-to-OTC Switch?

An Rx-to-OTC switch, referred to as 'Switch OTC' in Japan, is when prescription drugs are changed to over-the-counter medications. This switch happens in many countries, including Japan. Common examples of these are allergy medication, painkillers, and stomachache medicine. These non-prescription drugs are generally safe and have minimal side effects, making them purchasable at any drugstore (Matcha).

What Are the Popular Drugstore Chains in Japan?

Popular chains include Matsumoto Kiyoshi, Tsuruha Drug, and Cocokarafine, known for their wide range of products and competitive prices (Matcha).

Conclusion

Navigating the complexities of bringing medication into Japan and understanding the local pharmacy system is crucial for a hassle-free experience. By adhering to the import regulations set by the MHLW and Japanese Customs, you can avoid potential pitfalls and ensure your health needs are met without complications (MHLW). Familiarizing yourself with the types of pharmacies, the process of obtaining prescription drugs, and the availability of over-the-counter medications will empower you to manage your health effectively while in Japan. Moreover, knowing how to find English-speaking pharmacies can be a lifesaver for non-Japanese speakers. Lastly, understanding the broader healthcare system, its features, and how to navigate it will give you the confidence to handle any medical situations that may arise. By taking these steps, you can focus on enjoying your trip, knowing that your health is well taken care of.

References

Ministry of Health, Labor, and Welfare (MHLW). (n.d.). Import Regulations for Personal Medication. (https://www.mhlw.go.jp/english/policy/health-medical/pharmaceuticals/01.html)
Customs Japan. (n.d.). Prohibited Substances. Retrieved from Customs