トランサミンシロップ5%
Tranexamic acid (Transamin, Transino)
Tranexamic acid · トランサミン
Tranexamic acid is prescribed in Japan for heavy bleeding and sore throat, and, unusually, is sold over the counter as Transino II for melasma (facial pigmentation). Visitors from Asia often buy Transino as a souvenir; anyone with a history of blood clots should not take it.
At a glance
- Prescription status
- Prescription and OTC
- Over the counter
- Class 1 (pharmacist required)
- Bringing it into Japan
- ✓ 1 month Rx / 2 months OTC
- Names abroad
- Lysteda · Cyklokapron
Over the counter
Transino II (750 mg/day tranexamic acid, Class 1) is sold OTC for melasma, a use unique to Japan. Lower doses appear in OTC sore-throat tablets.
Finding it in a Japanese drugstore
- Look for this on the package
- トラネキサム酸（トランサミン・トランシーノ）
- Tranexamic acid
- Common product names
- トランシーノIIペラックT錠
- Category printed on the package
- Class 1 (pharmacist required)
- Drugstores and pharmacies with a pharmacist on duty. Not sold at convenience stores; online only via licensed pharmacies after a questionnaire.
Show this page to the pharmacist or staff. Prices and packaging vary by store, so look for the Japanese ingredient name.
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Prescription products in Japan
15 productsProducts 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 | トランサミン |
|---|---|
| Generic | 10 generic products |
| Dosage forms | Oral |
| Strengths (oral) | 250mg · 500mg |
| Official price (per tablet or unit) | ¥3.7 – ¥11.4 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.
トランサミン散50%
トランサミンカプセル250mg
トランサミン錠250mg
トランサミン錠500mg
トラネキサム酸シロップ5%
NIG
トラネキサム酸カプセル250mg
3 manufacturers: NSKK · トーワ · 旭化成
トラネキサム酸錠250mg
3 manufacturers: YD · 三恵 · 日医工
トラネキサム酸錠500mg
YD
All listed products (15) · Drug price list as of 2026-08-12
| トランサミンカプセル250mg | Oral · ¥10.8/capsule |
|---|---|
| トランサミンシロップ5% | Oral · ¥4.7/mL |
| トランサミン散50% | Oral · ¥8.5/g |
| トランサミン錠250mg | Oral · ¥10.8/tablet |
| トランサミン錠500mg | Oral · ¥10.9/tablet |
| トラネキサム酸250mgカプセル · Generic | Oral · ¥10.8/capsule |
| トラネキサム酸250mg錠 · Generic | Oral · ¥10.8/tablet |
| トラネキサム酸カプセル250mg「NSKK」 · Generic | Oral · ¥10.8/capsule |
| トラネキサム酸カプセル250mg「トーワ」 · Generic | Oral · ¥10.8/capsule |
| トラネキサム酸カプセル250mg「旭化成」 · Generic | Oral · ¥10.8/capsule |
| トラネキサム酸シロップ5%「NIG」 · Generic | Oral · ¥3.7/mL |
| トラネキサム酸錠250mg「YD」 · Generic | Oral · ¥10.8/tablet |
| トラネキサム酸錠250mg「三恵」 · Generic | Oral · ¥10.8/tablet |
| トラネキサム酸錠250mg「日医工」 · Generic | Oral · ¥10.8/tablet |
| トラネキサム酸錠500mg「YD」 · Generic | Oral · ¥11.4/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.
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.
Names abroad
| US | Lysteda |
|---|---|
| UK | Cyklokapron |
| Korea | 도란사민, 트라넥삼산 |
| China | 氨甲环酸 |
| Taiwan | 傳明酸 |
Sources
- Health Insurance Claims Review & Reimbursement Services — Drug master (NHI drug price list) shinryohoshu.mhlw.go.jp — 2026-08-12
- 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.