Japan Travel Guide

🇺🇸 US State Department Advisory

Exercise normal precaution in Japan. U.S. citizens should always exercise caution when traveling abroad. Use these general tips to stay safe.

✈️ Planning a Trip?

Despite advisories, many travelers visit Japan safely every year. Check our guides for practical tips:

🚨 Emergency Numbers

ℹ️ Police and fire/ambulance use different numbers. English support is limited — ask hotel staff for help if possible.

🏥 Healthcare Summary

Hospital quality is excellent. Most staff speak limited English — major hospitals in Tokyo, Osaka, and Kyoto have international departments with English-speaking staff. St. Luke's International Hospital (Tokyo) and AMDA International Medical Information Center can help locate English-speaking doctors.

Insurance: Travel insurance strongly recommended. Japanese hospitals typically require upfront payment in cash or credit card — insurance reimbursement happens after. Medevac coverage recommended for remote areas.

💊 Medication Restrictions

Japan has some of the strictest drug import laws in the world. A Yakkan Shoumei (import certificate) must be obtained from the Ministry of Health, Labour and Welfare BEFORE travel for many common medications. Apply at least 2 weeks in advance. Carry all medications in original packaging with a doctor's letter.

• Adderall / amphetamines — BANNED: Strictly prohibited under the Stimulants Control Act. Carrying even with a valid foreign prescription can result in arrest and imprisonment. There is no exemption process.
• Pseudoephedrine (Sudafed) — BANNED: Prohibited as it contains stimulant precursors. Use alternative decongestants like phenylephrine.
• Codeine — RESTRICTED: Allowed in small quantities (up to 1 month supply) with a Yakkan Shoumei import certificate and doctor's letter.
• CBD / cannabis products — BANNED: All cannabis-derived products are illegal regardless of THC content. CBD oil, edibles, and topicals are prohibited.
• Methylphenidate (Ritalin/Concerta) — RESTRICTED: Allowed with a Yakkan Shoumei import certificate. Must carry original prescription and doctor's letter. Maximum 1 month supply.

🙏 Cultural Tips

Tipping: Do not tip. Tipping is not customary and can be considered rude or confusing. Service charges are included in prices.

Cultural taboos to avoid:

• Talking loudly on public transport
• Eating while walking
• Blowing your nose in public
• Sticking chopsticks upright in rice (funeral symbolism)
• Tipping

🎭 Tourist Scam Guides

Common scams to watch out for in Japan: