Pharmacy Guide for Tourists in Japan

Japanese pharmacies and drugstores are everywhere — you will pass several per block in any city. But knowing which type of store to visit, what you can buy without a prescription, and how to communicate your needs can save you significant time and stress when you are feeling unwell.

This guide covers the practical details that travel blogs usually skip: the difference between a pharmacy and a drugstore, how to navigate the aisles, and what medications you can and cannot bring into Japan.

Types of Pharmacies in Japan

Dispensing Pharmacies (調剤薬局 / Chozai Yakkyoku)

These pharmacies fill prescriptions from doctors. They are usually located near clinics and hospitals and may not carry a wide selection of over-the-counter products. Look for the green cross sign or 処方せん (prescription) signage. A pharmacist is always on duty and can explain your medication in detail.

Drugstores (ドラッグストア / Drug Store)

Large retail chains like Matsumoto Kiyoshi, Welcia, Sundrug, Tsuruha, and Cocokara Fine are the most accessible option for tourists. They carry a wide range of OTC medications, cosmetics, snacks, and daily necessities. Many have tax-free counters for tourists and staff who speak basic English. Open from around 9:00 or 10:00 until 21:00 or 22:00, with some 24-hour locations.

Convenience Stores (コンビニ / Konbini)

7-Eleven, Lawson, and FamilyMart carry a very limited selection of basic medications: simple pain relievers, throat lozenges, eye drops, and bandages. Useful for minor needs at odd hours, but for anything specific you should visit a proper drugstore.

Common OTC Medications and What They Treat

Japanese OTC medications are categorized into three classes. First-class (要指導医薬品) requires pharmacist consultation. Second-class is available with pharmacist present. Third-class can be purchased freely. Here are the most useful products for travelers:

Pain and Fever

  • EVE Quick (イブクイック): Ibuprofen-based. Effective for headaches, menstrual pain, toothaches, and fever. One of the most popular pain relievers in Japan.
  • Loxonin S (ロキソニンS): Contains loxoprofen, a strong anti-inflammatory. Requires pharmacist consultation but no prescription. Very effective for moderate pain.
  • Bufferin Premium: Ibuprofen + acetaminophen combination. Gentle on the stomach.

Cold and Flu

  • Pabron Gold A (パブロンゴールドA): Multi-symptom cold medicine. Contains acetaminophen, dihydrocodeine, and several other active ingredients. Take as directed; do not combine with other pain relievers.
  • Lulu Attack EX: Targets cold symptoms with focus on sore throat and nasal congestion.
  • Contac (コンタック): Sustained-release cold formula. Good for managing symptoms throughout the day.

Stomach and Digestive Issues

  • Seirogan (正露丸): Traditional Japanese stomach medicine with a distinctive strong smell. Effective for diarrhea and general stomach upset. Has been used in Japan for over 100 years.
  • Ohta Isan (太田胃散): Antacid powder for indigestion, heartburn, and stomach discomfort. Mix with water and drink.
  • Biofermin S (ビオフェルミンS): Probiotic supplement for digestive health. Gentle option for mild stomach issues.
  • Stoppa (ストッパ): Fast-acting anti-diarrheal tablets that dissolve on the tongue without water. Extremely convenient for travelers.

Allergies

  • Allegra FX (アレグラFX): Fexofenadine — the same active ingredient as prescription Allegra in many countries, but available OTC in Japan. Non-drowsy.
  • Alesion (アレジオン): Once-daily antihistamine for hay fever and allergic symptoms.

How to Communicate at a Japanese Pharmacy

Most drugstore staff speak limited English, but these strategies work well:

  • Point to the affected body part — this is universally understood
  • Show the generic drug name on your phone — pharmacists recognize international drug names (ibuprofen, acetaminophen, loperamide, etc.)
  • Use Google Translate camera mode to read Japanese product labels
  • Show a photo of your medication from home — the pharmacist may be able to find a Japanese equivalent
  • Look for English-language sections — major chains in tourist areas often have designated shelves with English signage

If your symptoms are more than a pharmacy can handle, consider consulting a doctor. See our symptom guides or try an English-speaking clinic in your area.

Medications You Cannot Bring Into Japan

Japan has strict rules about importing certain substances. Even common medications in your home country may be prohibited or restricted:

  • Pseudoephedrine (Sudafed, some cold medicines): Strictly limited. You may bring up to one month’s supply with documentation, but larger quantities require advance import permission.
  • Codeine (some cough syrups and pain medications): Banned. Do not bring codeine-containing products into Japan.
  • Stimulant medications (Adderall, Ritalin, Dexedrine): Banned. Methylphenidate (Concerta) may be permitted with a Yakkan Shoumei (import certificate) obtained before travel.
  • Some sleeping pills and anti-anxiety medications: Controlled. Bring a doctor’s note and keep medication in original packaging.

If you take prescription medication regularly, carry a letter from your doctor (in English) listing the generic names and dosages. Keep medication in its original packaging when going through customs.

Frequently Asked Questions

Q. Can I buy antibiotics over the counter in Japan?
No. Antibiotics require a prescription in Japan. You will need to see a doctor at a clinic first. If you need antibiotics urgently, consider an online consultation which can issue a prescription.

Q. Are Japanese medications safe for foreigners?
Yes. Japanese pharmaceutical standards are among the strictest in the world. However, dosages may differ from what you are used to — Japanese medications are sometimes formulated for lower body weights. Always read the dosage instructions (or ask the pharmacist) and consider your own weight and tolerance.

Q. Is there a 24-hour pharmacy in Tokyo?
Some drugstores in central Tokyo stay open until late (22:00-midnight), and a few operate 24 hours. Tomod’s in Roppongi and some Matsumoto Kiyoshi locations in Shinjuku and Shibuya have extended hours. Convenience stores carry basic items around the clock.

Q. Can I get a tax refund on medications?
Yes, if you spend over ¥5,000 (excluding tax) on consumable goods at a single tax-free shop in one day. Most major drugstore chains offer tax-free counters. Bring your passport.

Need More Than a Pharmacy?

If OTC medication is not enough, connect with an English-speaking doctor for professional medical advice.

Find a Doctor Near You

TravelCare.jp provides navigation and information only. We do not offer medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider for your specific situation.

TravelCare.jp is an information and navigation service for international visitors in Japan. We do not provide medical advice, diagnosis, treatment, prescriptions, or emergency medical services. The information on this website is for general guidance only and should not replace consultation with a licensed medical professional. If you are experiencing a medical emergency in Japan, call 119 immediately. Availability, fees, language support, and treatment details vary by provider — please confirm directly with the clinic before visiting.