Decisions on what medications may be imported legally into Japan are made by the Japanese Government, and unfortunately the limited information we have available at the American Embassy and our Consulates does not include comprehensive lists of specific medications or ingredients. This information is available only from the Japanese authorities, and is subject to change.
It is illegal to bring into Japan some over-the-counter medicines commonly used in the United States, including inhalers and some allergy and sinus medications. Specifically, products that contain stimulants (medicines that contain pseudoephedrine, such as Actifed, Sudafed, and Vicks inhalers), or codeine are prohibited. Up to a two-month supply of allowable over-the-counter medication and up to a four-month supply of allowable vitamins can be brought into Japan duty-free. Note that disposable contact lenses fall into a similar category and that any supply over two months should be declared via the customs declaration form mentioned in the next section.
Some US prescription medications cannot be imported into Japan, even when accompanied by a customs declaration and a copy of the prescription. Japanese customs officials have detained travelers carrying prohibited items, sometimes for several weeks. Japanese customs officials do not make on-the-spot “humanitarian” exceptions for medicines that are prohibited in Japan.
Up to one month’s supply of allowable prescription medicine can be brought into Japan. Travelers must bring a copy of their doctor’s prescription as well as a letter stating the purpose of the drug. Travelers who must carry more than one month’s supply, or are carrying syringes, may be required to fill out a customs declaration form before entering Japan. To obtain the customs declaration form before you leave, or for more information on taking medication into Japan, contact your local Consul General/Embassy or visit the Ministry of Health, Labor and Welfare’s website here. The American Embassy and the Consulates in Japan do not stock these forms.
Other Important Information
Japanese physicians can often prescribe similar, but not identical, substitutes to medicines available in the US.
Some popular medications legal in the US, such as Prozac and Viagra, are sold illegally in Japan on the black market. You are subject to arrest and imprisonment if you purchase such drugs illegally while in Japan.
ADHD Medication in Japan
As mentioned above, all medications containing stimulants are prohibited. This includes Adderall, a standard medication used to treat ADHD symptoms in the US. (Update as of March 2018: Vyvanse and Dexedrine have also been added to the prohibited list.) If you bring Adderall into Japan for any reason, you risk arrest and imprisonment. Currently, the only drug used to treat ADHD that is legal in Japan is Concerta. While Ritalin is available in Japan to treat sleep disorders, it is not prescribed to ADHD patients.
Caveats Regarding Medication
- If you want to see if you can bring permitted medication to Japan, have your physician write a letter to the Ministry of Health, Labor and Welfare (厚生労働省). The letter needs to include the diagnosis and why/how much the medication is important to the person, plus the prescription. Contact AKP if you need assistance; however, there is no guarantee on whether or not permission will be granted. Do this as early as possible!
- If you are bringing any kind of prescription medication from the United States, it is better that you keep a prescription or a letter from the doctor with the medication at all times in case something happens.
- DO NOT bring prescription medicine in an unmarked bottle or in a bottle labeled for a different medication.
- US prescriptions are not honored in Japan, so travelers with ongoing prescription medicine needs should arrive with a sufficient supply to see them through until they are able to see a local care provider. Speak to your health care provider at home about how to best continue your treatment if you are unable to obtain your medication.
Other Government of Japan sources of information are included on the website for the Ministry of Health, Labor and Welfare.