Topical anesthetic (before cosmetic procedures)

Lidocaine numbing cream (EMLA, Penles)

Lidocaine (topical anesthetic) · キシロカイン · キシロカインゼリー · キシロカインポンプスプレー

Numbing cream before laser, filler or tattoo removal is applied at the clinic in Japan; EMLA cream and Penles patches are prescription products, and the 5% lidocaine creams sold OTC in the US are not available. Clinics usually include it in the procedure price.

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
EMLA

Over the counter

Prescription only. OTC lidocaine products in Japan are limited to low-strength items such as insect-bite creams and delay sprays.

Prescription products in Japan

9 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キシロカイン · キシロカインゼリー · キシロカインポンプスプレー · ペンレス
Generic1 generic products
Dosage formsTopical

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

All listed products (9) · Drug price list as of 2026-08-12
キシロカインゼリー2%Topical · ¥6.3/mL
キシロカインポンプスプレー8%Topical · ¥27.7/g
キシロカイン点眼液4%Topical · ¥19.1/mL
ペンレステープ18mg 30.5mm×50.0mmTopical · ¥31.3/sheet
キシロカイン液「4%」Topical · ¥17/mL
リドカインテープ18mg「NP」 30.5mm×50.0mmTopical · ¥45.2/sheet
リドカインテープ18mg「YP」 30.5mm×50.0mmTopical · ¥31.6/sheet
リドカインポンプスプレー8%「日新」Topical · ¥27.7/g
リドカイン塩酸塩ゼリー2%「日新」 · GenericTopical · ¥6.6/mL

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

USEMLA, LMX 4
UKEMLA
Korea엠라크림
China恩纳
TaiwanEMLA

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.