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How to Buy Painkillers at a Japanese Pharmacy

A pharmacist's guide to over-the-counter painkillers available in Japan, including common ingredients and how to ask for them.

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Sakura, Licensed Pharmacist (Japan)
Published on 2026-04-01 Β· Updated on 2026-04-20

Traveling or living in Japan and need something for a headache or muscle pain? This guide explains what over-the-counter (OTC) painkillers are available at Japanese pharmacies and what to ask for.

Common active ingredients

In Japan, the most widely available OTC painkillers contain one of the following:

  • Acetaminophen (パラセタヒール / γ‚’γ‚»γƒˆγ‚’γƒŸγƒŽγƒ•γ‚§γƒ³) β€” Generally gentle on the stomach, suitable for children and adults.
  • Ibuprofen (むブプロフェン) β€” Effective for pain and inflammation.
  • Loxoprofen (ロキソプロフェン) β€” A popular NSAID in Japan, often sold as "Loxonin S."
  • Aspirin (をスピγƒͺン) β€” Less common for everyday pain in Japan.

Where to buy

You can find painkillers at:

  • Drugstores (γƒ‰γƒ©γƒƒγ‚°γ‚Ήγƒˆγ‚’) β€” Matsumoto Kiyoshi, Sundrug, Welcia, etc.
  • Dispensing pharmacies (θͺΏε‰€θ–¬ε±€) β€” Mainly for prescriptions, but often carry OTC items too.

Some stronger medications (called Class 1 OTC / 第1ι‘žεŒ»θ–¬ε“) require a brief consultation with a pharmacist before purchase. Do not be alarmed β€” the pharmacist will ask a few simple questions.

How to ask at the counter

A simple phrase that works:

"Sumimasen, zutsuuyaku wa arimasu ka?" (γ™γΏγΎγ›γ‚“γ€ι ­η—›θ–¬γ―γ‚γ‚ŠγΎγ™γ‹οΌŸ) "Excuse me, do you have medicine for a headache?"

Or simply show your symptom on your phone translated into Japanese.

Important safety notes

  • Do not mix multiple painkillers without a pharmacist's advice.
  • Check for allergies β€” read the back of the package or ask the pharmacist.
  • Pregnancy or chronic illness β€” always consult a doctor or pharmacist before purchase.

Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult a licensed pharmacist or physician before taking any medication.

About the Author

🌸
Sakura
Licensed Pharmacist (Japan)

Sakura is a licensed Japanese pharmacist with 13+ years of clinical experience: 2 years as a hospital pharmacist and 11 years in dispensing pharmacies β€” including a community-based pharmacy, a pediatric-clinic-attached pharmacy, and home-care practice. She continues to work as a dispensing pharmacist, and has been writing healthcare content as a side project for about 2 years. AskJapanPharmacist is her newest project, launched recently to share Japanese OTC and pharmacy knowledge with international readers.

Areas of focus: OTC medication selection Β· prescription drug counseling for patients Β· pediatric and home-care pharmacy practice

Editorial workflow

All articles are written and reviewed by Sakura, a licensed pharmacist in Japan. English and Simplified Chinese translations are produced with AI-assisted tooling and reviewed by the lead pharmacist before publication. Fact-checking is supported by AI-assisted regulatory review (Japanese Pharmaceutical Affairs Act / PMDA references), with final responsibility resting with the lead pharmacist.