Antiepileptic

Perampanel (Fycompa)

Perampanel · フィコンパ

Perampanel (Fycompa) was developed by Japan's Eisai and is approved here for focal and generalized seizures, including as monotherapy. It is a US Schedule III controlled substance but is not controlled in Japan.

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
Fycompa

Over the counter

Prescription only.

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フィコンパ
Generic6 generic products
Dosage formsOral
Strengths (oral)2mg · 4mg
Official price (per tablet or unit)¥84.4 – ¥1,065.6
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 (9) · Drug price list as of 2026-08-12
フィコンパ細粒1%Oral · ¥1,065.6/g
フィコンパ錠2mgOral · ¥190.3/tablet
フィコンパ錠4mgOral · ¥319.7/tablet
ペランパネルOD錠2mg「タカタ」 · GenericOral · ¥84.4/tablet
ペランパネルOD錠4mg「タカタ」 · GenericOral · ¥141.8/tablet
ペランパネル細粒1%「アメル」 · GenericOral · ¥444.3/g
ペランパネル細粒1%「タカタ」 · GenericOral · ¥444.3/g
ペランパネル錠2mg「アメル」 · GenericOral · ¥84.4/tablet
ペランパネル錠4mg「アメル」 · GenericOral · ¥141.8/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

USFycompa
UKFycompa
Korea파이콤파
China卫克泰
TaiwanFycompa

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.