ED · Shimbashi & Ginza
Sildenafil, tadalafil and vardenafil prescribed after a doctor’s review, priced per tablet. Nothing is sold as a course, so trying one tablet costs the price of one tablet.
ED treatment costs from ¥830 per tablet at Shinbashi Ginza Swift Clinic, one minute from Shimbashi Station and one stop from Ginza on the Ginza line. Sildenafil is ¥830, tadalafil ¥980 and vardenafil ¥1,040, each priced per tablet with no course to sign up to. There is no consultation fee when medication is prescribed, and it is dispensed at the clinic the same day. No insurance card and no residence card are needed — your name and a contact number are enough.
Priced per tablet. You are not asked to commit to a course before you know whether a medication suits you.
| Medication | How it behaves | Unit | Price (incl. tax) |
|---|---|---|---|
| Sildenafil 50mg — generic Viagra | Around 30–60 min to take effect, 4–5 hours of cover | 1 tablet | ¥830 |
| Sildenafil OD 50mg (dissolves in the mouth) | Same as above, no water needed | 1 tablet | ¥880 |
| Sildenafil 50mg (VI DK) | Alternative sildenafil preparation | 1 tablet | ¥880 |
| Tadalafil 22mg — generic Cialis | Gentler onset, up to 36 hours of cover | 1 tablet | ¥980 |
| Tadalafil 20mg CI | Japanese-made tadalafil preparation | 1 tablet | ¥1,580 |
| Vardenafil 22mg — generic Levitra | Onset similar to sildenafil, less sensitive to a light meal | 1 tablet | ¥1,040 |
| Vardenafil 20mg | Japanese-made vardenafil preparation | 1 tablet | ¥1,530 |
| Dapoxetine (Poxet) — premature ejaculation | Taken 1–3 hours before sex. Not approved in Japan | 1 tablet | ¥1,500 |
| Example — a first visit taking away four sildenafil 50mg tablets (¥830 × 4, no consultation fee) | ¥3,320 | ||
| If you are seen and nothing is prescribed, tested or treated | ¥3,000 | ||
All prices include consumption tax. There is no consultation fee when you are tested, treated or prescribed — a ¥3,000 fee applies only if none of those happen. Everything on this page is self-pay; Japanese national health insurance does not apply. Prices can change, and the price confirmed at your consultation is the one that applies. The full list for every treatment is on the price page.
These are the preparations kept in stock, photographed as they are handed over. Which one you are given depends on what the doctor prescribes after the consultation.
Sildenafil 50mgThe long-standing default. Around 30 to 60 minutes to take effect, 4 to 5 hours of cover. Take it on a reasonably empty stomach.From ¥830 per tablet
Sildenafil OD 50mgThe same drug as an orally disintegrating tablet — it dissolves on the tongue, so you can take it without water.¥880 per tablet
Tadalafil 22mgThe long one. Comes on gently over 1 to 2 hours and stays for up to 36. Food matters least with this one.¥980 per tablet
Tadalafil 20mg CIA Japanese-made tadalafil preparation at 20mg, for anyone who would rather have a domestic product.¥1,580 per tablet
Vardenafil 22mgWorks in a similar time to sildenafil and is described as less sensitive to a light meal, which makes it the practical choice after dinner.¥1,040 per tablet
Vardenafil 20mgA Japanese-made vardenafil preparation at 20mg.¥1,530 per tablet
Dapoxetine (Poxet)For premature ejaculation, not for ED. Not approved in Japan — see the section below before you decide.¥1,500 per tabletSildenafil, tadalafil and vardenafil are the three active ingredients used for ED. The rest is a matter of preparation and strength — a tablet that dissolves without water, or a Japanese-made product at 20mg. They are dispensed at the clinic on the day in most cases, so you leave with the medication rather than a paper prescription to fill elsewhere.
If you have taken something for this before, you probably know it by a brand name. Japanese clinics list the active ingredient instead, which is why the price list above may look unfamiliar.
| Known abroad as | Active ingredient | What it is listed as here | Price (incl. tax) |
|---|---|---|---|
| Viagra | Sildenafil | Sildenafil 50mg | ¥830 |
| Cialis | Tadalafil | Tadalafil 22mg | ¥980 |
| Levitra | Vardenafil | Vardenafil 22mg | ¥1,040 |
| Priligy | Dapoxetine | Dapoxetine (Poxet) | ¥1,500 |
What is dispensed here are generic preparations of those ingredients, not the branded products. The active ingredient and the strength are the same; the maker and the appearance are not. If you would like the ingredient name and the strength written out in English to take with you, ask at the consultation and we will write it.
Three ingredients, three different habits. None of them is stronger than the others in any simple sense — they differ in how fast they arrive, how long they stay, and how much a meal gets in the way.
| Ingredient | Starts working | Lasts | Effect of food | Suits |
|---|---|---|---|---|
| Sildenafil | 30–60 min | 4–5 hours | A fatty meal weakens it most | Occasional use, planned in advance |
| Tadalafil | 1–2 hours | Up to 36 hours | Least affected | Not wanting to plan around a tablet |
| Vardenafil | Similar to sildenafil | 4–5 hours | Less sensitive to a light meal | Taking it after dinner |
Sildenafil is where most people start: it costs the least per tablet of the three here, and it has been in use the longest. Moving to tadalafil tends to happen when planning around the timing turns out to be the part that gets in the way. Buying a single tablet is possible, so trying one before committing to more costs the price of one tablet.
A first tablet not working is not a verdict. Dose, timing and what you ate all move the result, and it is worth telling the doctor what happened rather than concluding the treatment does not suit you. Message us on LINE if you would rather ask before booking again.
An erection lasting more than four hours is a medical emergency. It is rare, but it needs treatment at a hospital straight away rather than waiting to see whether it settles.
These are prescription medicines. The doctor reviews your history and everything you already take before anything is prescribed.
ED medication must never be taken with nitrate drugs used for angina and some heart conditions — nitroglycerin, isosorbide dinitrate or mononitrate, in tablet, spray or patch form — or with riociguat. The combination can cause a dangerous fall in blood pressure. This is not a caution to weigh up; it is a hard line, and it is the reason the doctor asks what you take.
Prescribing is also not appropriate, or needs particular care, with:
Bring a list of what you take, or the medicines themselves. If it is not safe to prescribe, the doctor will say so and will not prescribe. In that case, if nothing is prescribed, tested or treated at the visit, the ¥3,000 consultation fee applies — we would rather tell you that here than at the till.
Premature ejaculation and ED are different problems and are often confused. If the difficulty is the timing rather than the erection, the medication is different: dapoxetine, dispensed here as Poxet at ¥1,500 a tablet.
Treatment here is self-pay, which means national health insurance is not involved either way. That removes most of what usually makes a Japanese clinic difficult to use if you are not a resident.
What we cannot do is advise on another country’s customs or import rules. Those differ by country and change, and they are outside what this clinic can vouch for — please check them yourself before you travel.
You do not have to come back to Shimbashi to carry on. Online consultation is available anywhere in Japan and the medication is posted to you, with ¥550 postage. It is the same medication at the same per-tablet price, and you still speak to a doctor first.
That covers a move out of Tokyo, a stretch of work that makes weekday evenings impossible, or simply preferring not to attend in person. How it works, and what it costs delivered, is set out on the ED treatment online page.
Weekdays 14:00–21:00, weekends and public holidays 10:00–18:00. Last booking for a first visit is 30 minutes before closing, so a 20:30 booking on a weekday works; for a follow-up it is 10 minutes before closing.
The point of the late weekday hours is that you can come after work without taking time off, and without explaining an afternoon absence to anyone. Weekend mornings are the other quiet slot.
1-8-4 Shimbashi, Minato-ku, Tokyo 105-0004 — Maruchu Building 7F-B. Shimbashi Station is served by the JR lines, the Tokyo Metro Ginza line, the Toei Asakusa line and the Yurikamome, and the clinic is one minute on foot from all of them.
From Ginza Station it is a single stop on the Ginza line, about two minutes. From Ginza 8-chōme it is around an eight-minute walk, so you can come on foot if you are already in the area.
| Station | Lines | On foot |
|---|---|---|
| Shimbashi | Tokyo Metro Ginza line | 1 min |
| Shimbashi | JR Yamanote, Keihin-Tohoku, Tokaido, Yokosuka | 1 min |
| Shimbashi | Toei Asakusa line | 1 min |
| Shimbashi | Yurikamome | approx. 2 min |
| Shiodome | Toei Oedo line, Yurikamome | approx. 6 min |
| Ginza | Tokyo Metro Ginza, Marunouchi, Hibiya | approx. 10 min |
The clinic is on the seventh floor, so nothing is visible from the street. Full directions are on the access page.
You can be seen here without speaking Japanese. There is no English-speaking doctor here — consultations are handled with a translation app and written notes, which works well where the decision is straightforward, as it usually is for a repeat prescription, and is slower where you have a complicated history to explain. Treatment information, pricing and access details on these pages are in English. The booking system and the pre-visit questionnaire are in Japanese, so message us on LINE beforehand if you would like help completing them.
The tablet price is the total. Sildenafil is ¥830 a tablet, tadalafil ¥980 and vardenafil ¥1,040, and there is no consultation fee when medication is prescribed. Four sildenafil tablets on a first visit is ¥3,320 and nothing else. There is no course to sign up to and no monthly commitment, so you can buy a single tablet to see how it suits you.
Not when something is prescribed, tested or treated at the visit — then the medication price is all you pay. A ¥3,000 consultation fee applies only if you are seen and nothing is prescribed, tested or treated.
Sildenafil is the long-standing default: it works in about 30 to 60 minutes and covers 4 to 5 hours, but a heavy or fatty meal beforehand weakens it. Tadalafil comes on more gently and stays for up to 36 hours, which suits people who would rather not plan around a tablet. Vardenafil works in a similar time to sildenafil and is described as less sensitive to a light meal. The doctor goes through this with you before anything is prescribed.
Sildenafil and vardenafil, about an hour before. Tadalafil about an hour before as well, but it stays active for up to 36 hours, so the timing matters much less. None of them works on its own — sexual stimulation is still needed. Do not take more than one tablet in 24 hours.
Yes. A heavy or fatty meal delays and weakens sildenafil most, vardenafil somewhat, and tadalafil least. Alcohol in quantity works against an erection on its own and adds to the flushing and the drop in blood pressure these tablets can cause, so keep it light.
The commonly reported ones are headache, facial flushing, nasal congestion, indigestion and mild visual disturbance. They are usually mild and pass as the medication wears off. An erection lasting more than four hours is a medical emergency and needs immediate hospital treatment rather than waiting to see.
That is exactly what the consultation is for. ED medication must never be combined with nitrate drugs used for angina, or with riociguat — the combination can drop blood pressure dangerously. Alpha-blockers and several other medicines also interact. Bring a list of what you take, or the medicines themselves. If it is not safe to prescribe, the doctor will say so.
No. There is no English-speaking doctor here — the consultation is handled with a translation app and written notes, which is usually enough for a prescription decision. These pages, the prices and the access details are in English. The booking system and the pre-visit questionnaire are in Japanese, so message us on LINE beforehand if you would like help with them.
No. Treatment here is self-pay, so Japanese national health insurance is not involved and no insurance card is needed. You are not asked for a residence card or a passport either — your name and a contact number are enough. Visitors on a short stay can be seen.
You can be prescribed more than one tablet at a time — ask at the consultation how many you would like. We can also write the active ingredient and the strength in English so that a doctor or a pharmacist abroad can read it. We cannot advise on another country’s customs or import rules; please check those yourself before you travel.
Yes. Online consultation is available and medication is posted anywhere in Japan, with ¥550 postage. You still speak to a doctor first, and it is the same medication at the same per-tablet price.
Yes, with dapoxetine, which is dispensed here as Poxet at ¥1,500 a tablet. There is no medicine approved in Japan for premature ejaculation, so this one is imported by the physician under their own responsibility — please read the section on this page about what that means before you decide. It can be prescribed alongside ED medication.
Yes. Weekdays 14:00 to 21:00, weekends and public holidays 10:00 to 18:00. Last booking for a first visit is 30 minutes before closing, so 20:30 on a weekday works. The clinic is one minute from Shimbashi Station and one stop from Ginza.
From ¥830 a tablet, no consultation fee when prescribed, no insurance card needed. One minute from Shimbashi Station, one stop from Ginza, open until 21:00 on weekdays.
