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.
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 (γγ©γ»γΏγ’γΌγ« / γ’γ»γγ’γγγγ§γ³) β Generally gentle on the stomach, suitable for children and adults.
- Ibuprofen (γ€γγγγγ§γ³) β Effective for pain and inflammation.
- Loxoprofen (γγγ½γγγγ§γ³) β A popular NSAID in Japan, often sold as "Loxonin S."
- Aspirin (γ’γΉγγͺγ³) β Less common for everyday pain in Japan.
Where to buy
You can find painkillers at:
- Drugstores (γγ©γγ°γΉγγ’) 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‘ε»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?" (γγΏγΎγγγι ηθ¬γ―γγγΎγγοΌ) "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 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.
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.