Medicine without a prescription in Japan
Your usual prescription can't be bought here, but a lot of it exists over the counter under a different name. Find the generic name you already know, then look for the Japanese box.
Where to buy
Look for the kanji 薬 (kusuri, medicine) on the sign. A ドラッグストア (drugstore) sells everyday medicine and cosmetics; a 薬局 (pharmacy) always has a pharmacist and can also fill prescriptions. Big chains: マツモトキヨシ, ウエルシア, サンドラッグ, ココカラファイン.
Why some medicine is behind the counter
- Class 1 (第1類): only a pharmacist may sell it, so it disappears when the pharmacist goes home — often unavailable late at night.
- Class 2 and 3 (第2類・第3類): you can pick these off the shelf yourself.
Before you buy
- Tell the staff your allergies and any medicine you already take. Show your medical card or the box from home.
- Read the ingredient, not the brand. Japanese brands sell several different drugs under one name.
- Don't combine two products with the same ingredient — overdose is the most common traveler mistake.
- Pregnant, breastfeeding, or buying for a child? Say so first: 妊娠しています / 子ども用をください.
Find what you need
Pain & fever
Fever, headache — the gentlest option, and the safer choice with flu
Self-service shelfIngredient: Acetaminophen / ParacetamolLook for: タイレノールAIf you have a high fever and might have flu, this is preferred over ibuprofen-type drugs.
Show this at the counterアセトアミノフェンの解熱鎮痛薬はありますか?Headache, period pain, sore throat, general aches
Self-service shelfIngredient: IbuprofenLook for: イブA錠 / イブクイックShow this at the counterイブプロフェンの痛み止めはありますか?Stronger pain relief (common in Japan, rare abroad)
Pharmacist requiredIngredient: LoxoprofenLook for: ロキソニンSClass 1: a pharmacist must be on duty to sell it, so it may be unavailable late at night.
Show this at the counterロキソプロフェンの痛み止めはありますか?Aspirin
Self-service shelfIngredient: AspirinLook for: バファリンABrand-name trap: バファリンA is aspirin, but バファリンプレミアム is ibuprofen + acetaminophen. Read the ingredients, not the brand. Never give aspirin to a child.
Show this at the counterアスピリンの痛み止めはありますか?
Stomach & gut
Heartburn, acid reflux, too much stomach acid
Pharmacist requiredIngredient: FamotidineLook for: ガスター10Class 1: pharmacist required, so it may be unavailable at night.
Show this at the counterファモチジンの胃薬はありますか?Indigestion, bloating, ate too much
Self-service shelfIngredient: Digestive enzymes / herbal stomach powderLook for: 太田胃散Show this at the counter胃もたれに効く胃薬はありますか?Diarrhoea (sudden, need it to stop)
Self-service shelfIngredient: Anti-diarrhoealLook for: ストッパ下痢止め / 正露丸If you have a high fever or blood in the stool, do NOT just stop the diarrhoea — see a doctor.
Show this at the counter下痢止めはありますか?熱はありません。Unsettled stomach, want to settle the gut gently
Self-service shelfIngredient: Probiotics (lactic acid bacteria)Look for: ビオフェルミンShow this at the counter整腸剤はありますか?
Allergy & cold
Hay fever, runny nose, itchy eyes — without drowsiness
Self-service shelfIngredient: FexofenadineLook for: アレグラFXSame active ingredient and dose as the prescription version. Loratadine (クラリチンEX) is another non-drowsy option.
Show this at the counterフェキソフェナジンのアレルギー薬はありますか?Cold: runny nose, sore throat and cough together
Self-service shelfIngredient: Combination cold remedyLook for: パブロン / ルルJapanese combination cold medicines often contain codeine. That is fine to buy and use here, but do NOT carry leftovers home — codeine is restricted or banned in some countries.
Show this at the counterかぜの薬はありますか?のどと鼻の症状があります。Insect bites, itchy rash
Self-service shelfIngredient: Antihistamine / steroid creamLook for: ムヒ / キンカンShow this at the counter虫刺されのかゆみ止めはありますか?Motion sickness (buses, boats, mountain roads)
Self-service shelfIngredient: Motion sickness tabletsLook for: アネロン / トラベルミンShow this at the counter乗り物酔いの薬はありますか?
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