ED · Online · Nationwide
This page is for remote consultation and delivery within Japan. Speak to a doctor from wherever you are, pay for the tablets and postage, and the medication is sent to the address you give. If you need same-day dispensing in Tokyo, use the in-clinic ED treatment page in Shimbashi.
ED medication starts at ¥830 per tablet and is posted anywhere in Japan for ¥550. The online consultation itself is free. You message the clinic on LINE, fill in a questionnaire, speak to a doctor for 10 to 15 minutes, pay by card or bank transfer, and the medication is dispatched once payment clears. Sildenafil, tadalafil, vardenafil and dapoxetine can all be prescribed this way.
The whole thing starts with a message. Message us on LINE and we will set up the questionnaire and a time with you, in English.
Priced per tablet, plus one postage charge per delivery. Nothing here is sold as a course or a monthly plan.
| 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 |
| Online consultation | ¥0 | ||
| Postage, per delivery, anywhere in Japan | ¥550 | ||
| Example — four sildenafil 50mg tablets delivered (¥830 × 4 + ¥550) | ¥3,870 | ||
All prices include consumption tax. Everything here 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.
Since 31 August 2026, tadalafil — the active ingredient in Cialis — has been on sale in pharmacies across Japan without a prescription, following a limited launch on 31 July. It is the first ED medication in the country to be sold this way.
If you want one or two tablets today and there is a pharmacy near you that stocks it, buying it there is a perfectly sensible thing to do. It is worth knowing what the two routes actually differ on, because they are not the same product on the same terms.
| Pharmacy, over the counter | Prescribed online here | |
|---|---|---|
| How you get it | In person. A pharmacist has to go through it with you face to face — it cannot be bought online | Online, posted to your address |
| Strengths | 10mg only | 20mg and 22mg tadalafil, plus sildenafil and vardenafil |
| Price | ¥5,808 for a box of four — about ¥1,452 a tablet | ¥980 a tablet (tadalafil 22mg), plus ¥550 postage |
| Quantity | One box, four tablets, per purchase | Decided by the doctor |
| Who assesses you | A pharmacist | A doctor |
| Language | The consultation happens in Japanese, in person | Translation app and written notes; these pages are in English |
The over-the-counter product is classified as 要指導医薬品 — a category that requires a pharmacist to check suitability in person before the sale. It is limited to men aged 18 and over. Because of that classification it cannot be ordered online, which is the practical difference for most people reading this page.
The other difference is what happens if 10mg is not the right answer for you. A pharmacy can only sell you the one strength. A doctor can change the drug, change the dose, look at what else you take, and tell you when the problem is not one that a tablet solves.
Three ingredients, three different habits. None 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 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. Ordering a small quantity first is possible — nothing is sold as a course, so trying one drug before committing to more is straightforward.
These are the preparations kept in stock, photographed as they are packed. Which one you are sent depends on what the doctor prescribes.
Sildenafil 50mgPosted in the box. The one most first orders are for.¥830 per tablet
Sildenafil OD 50mgDissolves on the tongue. Useful if you travel and water is not to hand.¥880 per tablet
Tadalafil 22mgThe 36-hour one. Higher strength than the 10mg sold over the counter.¥980 per tablet
Tadalafil 20mg CIA Japanese-made preparation, if you would rather have a domestic product.¥1,580 per tablet
Vardenafil 22mgLess sensitive to a light meal, so it suits ordering for evenings out.¥1,040 per tablet
Vardenafil 20mgA Japanese-made vardenafil preparation.¥1,530 per tablet
Dapoxetine (Poxet)For premature ejaculation, not ED. Not approved in Japan — see above.¥1,500 per tabletOrdering two of them is still one ¥550 postage charge. The parcel does not carry the treatment name on the outside.
Once you have been seen, ordering more is short. Message the clinic on LINE, say what you would like and how much, and the doctor reviews it before anything is dispatched — a repeat is still a prescription, not a shop order.
A first tablet not working is not a verdict. Dose, timing and what you ate all move the result. Message us on LINE and the doctor can advise before you order again.
These are prescription medicines. The doctor reviews your history and everything you already take before anything is prescribed — which is the reason the consultation exists rather than being a formality.
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.
Prescribing is also not appropriate, or needs particular care, with:
Tell the doctor everything you take, including anything bought without a prescription. If it is not safe to prescribe, the doctor will say so and will not prescribe.
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 long-term resident.
Online works for a prescription. It does not work for everything, and the doctor will say so rather than prescribe around a problem.
The clinic is one minute from Shimbashi Station and one stop from Ginza, open until 21:00 on weekdays. Details are on the ED treatment page for in-clinic visits.
You can be treated 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 prescription. The booking system and the questionnaire are in Japanese, so message us on LINE first and we will set both up with you.
The consultation is free. You pay for the tablets plus ¥550 postage. Sildenafil is ¥830 a tablet, tadalafil ¥980 and vardenafil ¥1,040, so four sildenafil tablets delivered comes to ¥3,870 all in. There is no booking fee and no subscription.
No. The whole thing is done remotely — message us on LINE, fill in the questionnaire, speak to the doctor for 10 to 15 minutes, pay the invoice, and the medication is posted. If the doctor decides an online consultation is not enough to prescribe safely, you will be asked to come in, and that is the only situation where a visit is needed.
For some people the pharmacy is the sensible choice — if you want one or two tablets today and there is a stockist nearby, buy it there. The differences are that the over-the-counter product is 10mg only, comes four tablets to a box at about ¥1,452 a tablet, and has to be bought in person with a pharmacist going through it with you in Japanese. It cannot be bought online. Here you speak to a doctor, other strengths and other drugs are available, and it is posted to you.
Medication is dispatched once your payment clears. You are invoiced over LINE straight after the consultation and can pay by credit card or bank transfer. Postage is ¥550 to any address in Japan.
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.
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. Message us on LINE beforehand and we will set up the questionnaire and the booking with you, since both are in Japanese.
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, a contact number and a delivery address are enough.
Yes, that is the point of it. Medication is posted anywhere in Japan, so where the clinic is does not matter for anything that can be treated with a prescription.
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. Tell the doctor everything you take. If it is not safe to prescribe, the doctor will say so.
Yes. The doctor decides the quantity, and there is no fixed cap the way there is on a pharmacy box. Say at the consultation how many you would like. Nothing is sold as a course, so you are not signing up to a monthly plan.
We can write the active ingredient and the strength in English so that a doctor or a pharmacist abroad can read what you were given. We cannot advise on another country’s customs or import rules; please check those yourself before you travel.
Yes, with dapoxetine, dispensed here as Poxet at ¥1,500 a tablet. There is no medicine approved in Japan for premature ejaculation, so it is imported by the physician under their own responsibility — please read the section on this page about what that means before you decide.
Consultation ¥0, medication from ¥830 a tablet, ¥550 postage anywhere in Japan. Message us on LINE to arrange a time.
