Value Village / Before you come to Japan

What do people get wrong about bringing medicine into Japan?

This answer is a draft. It stays unpublished until legal review and source verification are complete.

The answerThe common misunderstanding is that "prescription in hand" means anything is allowed. Japan lets you bring in a limited personal supply without paperwork (generally one month of prescription medicine, two months of over-the-counter), requires a prior import confirmation for more, and bans some ingredients that are legal elsewhere — notably pseudoephedrine above a threshold and most stimulants used for ADHD.

This is the practical question with the highest stakes: getting it wrong can mean confiscation at the airport or, for certain ingredients, a criminal matter. Much online advice is outdated or simply guesses.

The rules in outline (Ministry of Health, Labour and Welfare)

CategoryAllowed without paperworkAbove that
Prescription medicineUp to 1 month's supplyImport Confirmation (Yunyu Kakunin-sho, formerly Yakkan Shoumei) required in advance
Over-the-counter medicineUp to 2 months' supplyImport Confirmation
External-use products (creams, drops)Up to 24 units per productImport Confirmation
Injectables (e.g. insulin pens, EpiPen)Up to 1 month, pre-filled syringes or self-injection kits only, with prescriptionImport Confirmation (also needed for any syringes carried without the medicine)
[Verify] Confirm quantities and the current procedure name ("Import Confirmation", formerly Yakkan Shoumei) with the MHLW English page before publication. This area changes and the consequences of an error are severe.

Misunderstanding 1|A doctor's letter covers everything

A letter is useful evidence but does not replace the Import Confirmation for quantities above the limit, or the narcotics permit for controlled substances.

Misunderstanding 2|Anything legal at home is legal here

Several ADHD medicines and some decongestants are prohibited or controlled in Japan regardless of your prescription. Check the ingredient, not the brand.

Misunderstanding 3|Medicines can be posted ahead

Mailing medicine to yourself in Japan is import and subject to the same rules — often stricter, because customs handles it without you present.

Misunderstanding 4|Keep pills in a pill organiser to save space

Customs officers need to identify the medicine. Keep the original packaging and prescription label; carry the doctor's letter for anything unusual.

Misunderstanding 5|You can buy the same thing in Japan

Many common medicines are sold in different strengths or not at all (for example, some hormonal contraceptives require a prescription and consultation). Bring what you need within the limits.

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Sources

https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/kenkou_iryou/iyakuhin/kojinyunyu/topics/tp010401-1_00001.html (application portal: https://impconf.mhlw.go.jp/)

https://www.mhlw.go.jp/english/policy/health-medical/pharmaceuticals/dl/01.pdf

https://www.ncd.mhlw.go.jp/en/application2.html

https://www.customs.go.jp/english/summary/prohibit.htm

⚠️ Editorial note: the source URLs above were identified by search. Our working environment cannot reach go.jp domains, so the contents have not been checked against the text. Verify every source before publication and record who checked it and when.

About this article

What we share here are ideas and everyday practices passed down among people living in Japan, together with general information drawn from public sources. They are not official recommendations, and they are not professional instruction. Practices vary between households and regions.

This is general information. Results vary from person to person and depend on your own conditions and surroundings.

Please decide for yourself, using your own judgement, whether any of this suits your situation. We cannot accept responsibility for any damage, loss or injury arising from following this article.

Rules and procedures change. Please confirm the latest official information before you act.

Sources

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