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Selective estrogen receptor modulator (ovulation induction)

Clomiphene in Japan: prescription, brands, pricing

This page summarises the situation of Clomiphene in Japan under PMDA (Pharmaceuticals and Medical Devices Agency): prescription status, available brands and generics, pharmacy dispensing, and online options in JPY. Clomiphene belongs to the Selective estrogen receptor modulator (ovulation induction) class.

Regulator
PMDA (Pharmaceuticals and Medical Devices Agency)
Currency
JPY

About Clomiphene

Clomiphene is approved for the treatment of anovulatory infertility in women with intact pituitary-ovarian function — particularly polycystic ovary syndrome (PCOS) — when other causes of infertility have been excluded or are being addressed… Japan classifies medicines into prescription drugs (医療用医薬品) and OTC drugs (一般用医薬品), the latter further divided into pharmacist-only (第1類) and self-service classes. The Ministry of Health, Labour and Welfare (MHLW) sets the regulatory framework; PMDA reviews safety and efficacy.

Mechanism and action

Clomiphene acts as a competitive antagonist of estrogen receptors at the hypothalamus, blocking the negative feedback that estrogen normally exerts on hypothalamic gonadotropin-releasing hormone production.

Brands and generics in Japan

In Japan, Clomiphene is typically dispensed as one internationally recognised brand along with their corresponding authorised generics. Japanese pharmacies (薬局) and drugstores (ドラッグストア) such as Matsumoto Kiyoshi and Welcia are widespread. Prescription dispensing pharmacies (調剤薬局) are usually located near hospitals and clinics; pharmacist counselling at dispensing is mandated by the Pharmaceutical Affairs Law. Brand-to-generic substitution is decided by the pharmacist under local PMDA (Pharmaceuticals and Medical Devices Agency) equivalence rules, and the price difference in JPY is usually substantial.

Online and tele-prescribing access

Japan permits online sale of most OTC medicines under the 2014 amendments to the Pharmaceutical Affairs Law, with class-based restrictions. Online prescription dispensing is allowed via licensed pharmacies after a face-to-face or telemedicine consultation; personal importation of prescription medication is restricted to limited quantities for personal use. For Clomiphene specifically, the legal online options in Japan depend on its Rx-or-OTC classification under PMDA (Pharmaceuticals and Medical Devices Agency).

Frequently asked questions

Is Clomiphene available in Japan?

Yes — Clomiphene and its brands are available in Japan through pharmacies authorised by PMDA (Pharmaceuticals and Medical Devices Agency), in various strengths depending on the commercial product. Authorised generics offer a lower-cost alternative with the same active substance.

Do I need a prescription for Clomiphene in Japan?

Japan classifies medicines into prescription drugs (医療用医薬品) and OTC drugs (一般用医薬品), the latter further divided into pharmacist-only (第1類) and self-service classes. The Ministry of Health, Labour and Welfare (MHLW) sets the regulatory framework; PMDA reviews safety and efficacy. The exact status of Clomiphene (Rx or OTC) is determined by PMDA (Pharmaceuticals and Medical Devices Agency); most active ingredients in the Selective estrogen receptor modulator (ovulation induction) class require prescription, although there are exceptions by country and formulation.

How much does Clomiphene cost in Japan?

The price in JPY depends on the manufacturer (brand vs authorised generic), the strength and the pack size. Generics are typically substantially cheaper than brands and serve as the economic reference for ongoing use.

Products with Clomiphene in Japan

Clomiphene in other countries

The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.