Thyroid hormone

Levothyroxine (Synthroid)

Levothyroxine sodium · チラーヂンS

Levothyroxine is sold in Japan as Thyradin S in 12.5, 25, 50, 75, and 100 mcg tablets. Doses match international practice, so continuing treatment is straightforward at any internal medicine or endocrinology clinic. It is not a controlled substance.

At a glance
Prescription status
Prescription only
Over the counter
Not sold OTC
Bringing it into Japan
✓ 1 month Rx / 2 months OTC
Names abroad
Synthroid · Levothyroxine

Over the counter

Prescription only.

Prescription products in Japan

13 products

Products on Japan's national drug price list. Prescription only: a clinic visit is needed, and pharmacies may substitute a generic with the same ingredient.

Brand namesチラーヂンS
Generic7 generic products
Dosage formsOral
Official price (per tablet or unit)¥10.8 – ¥59.1
Official NHI drug price. Patients with Japanese insurance pay 10–30%; visitors without it pay the full price plus consultation fees.

Product names are shown in Japanese, exactly as printed on the package and the prescription. Show this page at the pharmacy.

All listed products (13) · Drug price list as of 2026-08-12
チラーヂンS散0.01%Oral · ¥59.1/g
チラーヂンS錠25μgOral · ¥10.8/tablet
チラーヂンS錠50μgOral · ¥10.8/tablet
チラーヂンS錠100μg · GenericOral · ¥11.6/tablet
チラーヂンS錠12.5μg · GenericOral · ¥10.8/tablet
チラーヂンS錠75μg · GenericOral · ¥10.8/tablet
レボチロキシンNa錠25μg「サンド」 · GenericOral · ¥10.8/tablet
レボチロキシンNa錠50μg「サンド」 · GenericOral · ¥10.8/tablet
レボチロキシンナトリウム25μg錠 · GenericOral · ¥10.8/tablet
レボチロキシンナトリウム50μg錠 · GenericOral · ¥10.8/tablet
レボチロキシンナトリウム錠 100μgOral · ¥11.6/tablet
レボチロキシンナトリウム錠 12.5μgOral · ¥10.8/tablet
レボチロキシンナトリウム錠 75μgOral · ¥10.8/tablet

Bringing it into Japan

Up to a 1-month supply of prescription medicine, or 2 months of OTC medicine, without any paperwork. For more, apply for a Yakkan Shoumei (import confirmation) before travel.

How to apply for a Yakkan Shoumei (article)

Getting it prescribed in Japan

Any clinic can prescribe it after a consultation. Bring the original packaging or a medication list. Use the hospital finder to find clinics with English-speaking staff or an international patient office.

Find a clinic by language

Names abroad

USSynthroid, Levoxyl
UKLevothyroxine, Eltroxin
Korea씬지로이드
China优甲乐
Taiwan昂特欣

Sources

  1. Health Insurance Claims Review & Reimbursement Services — Drug master (NHI drug price list) shinryohoshu.mhlw.go.jp — 2026-08-12
  2. Ministry of Health, Labour and Welfare — Bringing medicines for personal use into Japan mhlw.go.jp

This page describes how a medicine is regulated and sold in Japan. It is not medical advice and does not cover dosing for your situation; follow your doctor's and pharmacist's instructions.