Why this matters

Japan regulates imported medicine far more tightly than most countries, and the rules apply to tourists as well as residents. Medicines that are routine at home — strong painkillers, ADHD medication, some cold remedies — can be restricted or outright illegal in Japan. Ignorance of the rules is not accepted as an excuse, and penalties for bringing banned substances can include arrest, so it pays to check every medication before you fly.

Restrictions

The framework works on supply length and drug class:

  • Up to 1 month's supply of most prescription medicine: allowed without paperwork. Keep it in original packaging and carry your prescription or a doctor's letter.
  • More than 1 month's supply: requires a Yunyu Kakunin-sho (import confirmation certificate, formerly Yakkan Shoumei) applied for through MHLW before travel.
  • Injectables: need certification regardless of quantity, with an exception for pre-filled self-injection products such as insulin pens within the one-month limit.
  • Narcotics and psychotropics (certain opioid painkillers, sedatives, ADHD medicines): need separate advance permission from Japan's Narcotics Control Department, with their own forms and lead times.
  • Banned substances: stimulants such as amphetamine and methamphetamine — including Adderall — cannot be imported at all, even with a valid prescription.

What the official guidance says

The Ministry of Health, Labour and Welfare publishes the personal import rules and runs the online Yunyu Kakunin-sho application system. Their guidance is clear that quantities above the personal-use thresholds, and any controlled substances, need approval before arrival — not at the airport. Customs officers make the final decision, so conservative quantities and complete documentation are your best protection.