All medications can be prescribed and dispensed on the same day, so there is no need to visit a pharmacy.

Influenza Prevention Medication

However, the first visit always requires a doctor’s consultation. For vaccinations after the first visit, only the vaccination fee is required. No follow-up consultation fee will be charged. The following vaccines are available at our clinic: *If you have completed the primary series during childhood, only 1 dose is needed. Here is a list of medications available at our clinic. *Diamox, used to prevent high-altitude sickness, should be started one day before ascending and continued until two days after reaching the summit or upon descending.

Product	Dosage	Quantity + Bonus	Price
Cialis Generic	40mg	20 Pills	59.47€ 56.64€
Levitra Generic	20mg	360 + 10 Pills	458.44€ 436.61€
Priligy Generic Dapoxetine	60mg	10 Pills	47.63€ 45.36€
Priligy Generic Dapoxetine	60mg	180 + 10 Pills	494.76€ 471.20€
Viagra Generic	100mg	30 + 4 Pills	60.91€ 58.01€
Cialis Original	20mg	92 + 4 Pills	377.99€ 359.99€
Priligy Generic Dapoxetine	60mg	30 + 6 Pills	106.65€ 101.57€
Apcalis SX Oral Jelly	20mg	70 + 7 Sachets	184.98€ 176.17€
Levitra Soft Tabs	20mg	10 Pills	52.27€ 49.78€
Priligy Generic Dapoxetine	60mg	20 + 4 Pills	77.31€ 73.63€
Priligy Generic Dapoxetine	60mg	120 + 10 Pills	341.26€ 325.01€
Kamagra Soft Tabs	100 mg	120 + 6 Pills	311.78€ 296.93€
Priligy Generic Dapoxetine	60mg	60 + 8 Pills	183.06€ 174.34€
Priligy Generic Dapoxetine	60mg	90 + 10 Pills	265.64€ 252.99€
Cialis Generic	20mg	120 + 8 Pills	188.15€ 179.19€

If you are interested in using Vibramycin, an unapproved medication in Japan, for malaria prevention, please consult with the doctor.

Only a licensed healthcare provider can determine the appropriate treatment.
Illegally imported dapoxetine may have incorrect storage conditions, affecting potency.
Some men may experience fainting (syncope) with dapoxetine, requiring caution.
Official medication guides detail all potential side effects and instructions.
Stress and anxiety can contribute to PE; addressing these may be beneficial.
Support groups can provide shared experiences and coping strategies.

We offer the following tests at our clinic.

Medication Class	Common Drugs	Interaction Notes	Risk Level
Monoamine Oxidase Inhibitors (MAOIs)	Phenelzine, Tranylcypromine	Severe serotonin syndrome risk	High
Other SSRIs	Sertraline, Fluoxetine	Increased risk of serotonin syndrome	Moderate to high
Blood Pressure Medications	Beta-blockers	Possible hypotensive effect	Low to moderate

For non-same-day tests, the results will be sent via email.

Jurisdiction	Purchase Legality	Required Documentation	Age Restrictions	Additional Notes
United Kingdom	Prescription Only	Prescription required	18+	Illegal without prescription
India	Over the Counter	No prescription needed	18+	Widely sold in pharmacies
Germany	Prescription Only	Prescription required	18+	Not available OTC legally
Canada	Prescription Only	Prescription required	19+	Prescription mandatory

*The estimated result reporting time is calculated from the “start date of testing.” For samples collected after the afternoon, on Sundays, holidays, or at the end of the year, the next business day is considered the start date.

How to Get the Most From Dapoxetine?

*** For 1UP Formula, a 2,200 JPY prescription fee is paid at our clinic, and the medication cost (approximately 12,100 JPY) is paid separately at a specialized pharmacy. For the first visit, an additional consultation fee will be charged (2,500 JPY for the initial consultation, 1,000 JPY for follow-up visits). From the second visit onwards, no consultation fee will be charged if you are only receiving a vaccination. We offer same-day vaccinations and prescriptions for all medications available at our clinic. [Total Price] = [Consultation Fee] + [Test Fee] + [Medication Fee] – Consultation Fee: 2,500 JPY for the initial consultation, 1,000 JPY for follow-up visits – If a doctor’s consultation is not required, no consultation fee will be charged. For non-insured medical tests, results can be checked online.

Final Thoughts

Induction therapy (initial phase): Oral dosing on day 1, day 4 and day 7 (3 doses total) Maintenance therapy (maintenance phase): As a general rule, continue oral dosing once weekly for 6 months After completing 6 months of maintenance therapy, we will monitor progress and consider next steps as needed. If you experience side effects such as mild nausea or abdominal discomfort, or if you are planning pregnancy, the duration can be adjusted in consultation with a doctor. For first-time patients, the induction plus 6-month continuation package offers the best value. For ongoing therapy, you may choose a 1-month, 3-month or 6-month supply. Induction package (day 1, 4 and 7): 4,000 JPY Continuation 1 month (once weekly x 4): 5,000 JPY Continuation 3 months (once weekly x 12): 12,000 JPY Continuation 6 months (once weekly x 24): 20,000 JPY Induction plus continuation 6-month package: 22,000 JPY For patients starting or undergoing induction with preventive medication for vaginal candida, we offer vaginal discharge testing and contraceptive injections at special prices.

Chemical Formula

Vaginal discharge test (vaginal candida, trichomonas and bacterial vaginosis): 3,000 JPY (4,500 JPY) Contraceptive injection (Depo-Provera): 8,000 JPY (9,000 JPY) per dose or 22,000 JPY (25,000 JPY) for 3 doses Special pricing is available for those who purchase PrEP, doxy-PEP or preventive medication for vaginal candida from us. Bacterial vaginosis occurs when the balance of bacteria in the vagina is disrupted. It can develop even in individuals without sexual experience, and many women may experience it at least once. While it usually does not cause severe symptoms, it may increase the risk of HIV infection and other STIs. It is known that treating partners together can help prevent bacterial vaginosis. **Tuberculosis testing is available only on Mondays, Tuesdays, Wednesdays, and Fridays, and requires an appointment. Please consult with the doctor for more details.

Many users seek OTC dapoxetine for convenience.
Dapoxetine's efficacy for premature ejaculation is well-studied.
Not all countries recognize dapoxetine as OTC.
Risks of OTC purchase include counterfeit products.
Some men experience rapid relief with dapoxetine.
Use in combination with other treatments should be supervised.
Dapoxetine can be used solo or with therapy.
Always check local laws regarding availability.
Inform your doctor if side effects occur.
Avoid sharing medication with others.

If you need a medical certificate or referral letter, the following fees will apply: Have you been feeling extremely fatigued, unmotivated, experiencing a lack of sexual desire, or having trouble sleeping lately?

How Are Dapoxetine Tablets to Be Taken?

A randomized controlled trial published in March 2025 reported that, in addition to standard treatment for women, providing male partners with 7 days of oral medication plus topical treatment reduced the 12-week recurrence rate from 63% to 35%, approximately a 50% reduction. – Test items: vaginal candida, trichomonas and bacterial vaginosis – Results: Results for candida, trichomonas and bacterial vaginosis are available on the same day (approximately 30 minutes) The results will be explained by a doctor, and a consultation fee will be charged separately. For the patient: Vaginal suppositories: 4,500 JPY for 6 days – Use the vaginal suppository once daily at bedtime for 6 days. Symptoms often improve within 2-3 days, but it is important to complete the full 6-day course. For the partner: Oral medication plus topical medication: 6,000 JPY for 7 days – If you prefer only oral or only topical medication, it can be prescribed for 4,000 JPY.

What is Priligy 60 mg used for?

We offer generic Nebido, the long-acting male hormone injection, at nearly half the price of its original. [Total Cost] = [Consultation Fee*] + [Testing Fee] + [Package Price] * First visit: 2,500 JPY, 2nd+ visit: 1,000 JPY Note that no consultation fee will be charged if it’s just for prescription purposes. *The number of days for test results is counted from the “start of testing.” For specimens collected in the evening, on Sundays, holidays or during the New Year holidays, the next business day will be considered the “start of testing.” For not covered by Japanese national insurance services, results are available by email. The price for hormone therapy is as follows: ** Dosage and amount may dapoxetine 60 mg tablets vary depending on each patient’s individual condition. Please consult your doctor during your visit. These could be symptoms of late-onset hypogonadism (LOH syndrome).

What is Priligy (Dapoxetine), and why isn't it a normal option yet?

If you are using our 3-test regular package, Doxy-PEP can be prescribed on the day of testing, as it includes syphilis, gonorrhea and chlamydia. If you are requesting Doxy-PEP as a medication-only option, please bring documentation of your test results. Always undergo proper testing when starting or continuing Doxy-PEP. Prescriptions from clinics that do not offer testing or imported medications without testing are risky and may lead to antimicrobial resistance. We also offer a discounted vaginal discharge test (for vaginal candida, trichomonas and bacterial vaginosis) for those prescribed Doxy-PEP.

How much does an online weight-loss consultation cost with Hi-Doctor?

Vaginal discharge test (vaginal candida, trichomonas, bacterial vaginosis): 3,000 JPY (normally 4,500 JPY) Contraceptive injection (Depo-Provera): 8,000 JPY* (9,000 JPY) per dose or 22,000 JPY* (25,000 JPY) per 3-dose package *If you purchase PrEP, doxy-PEP or medication for the prevention of vaginal candida from us, we can offer special pricing. Vaginitis (vaginal candida and bacterial vaginosis) can be managed with an option focused on preventing recurrence. We also offer prevention of vaginitis through phone consultation and medication delivery. When it recurs four or more times per year, it is referred to as recurrent vaginal candida, and recurrence rates of approximately 60-70% within 6 months have been reported. Using preventive medication for vaginal candida taken once weekly for 6 months has been reported to reduce the recurrence rate to approximately 10-20%. It is estimated that approximately 6 million men in Japan suffer from LOH syndrome, a condition that has been recognized globally since the early 2000s. LOH syndrome is associated with a variety of symptoms beyond just reduced sexual function, including erectile dysfunction, cognitive decline, mood disturbances, and sleep disorders.

Dosage (mg)	Typical Usage Frequency	Recommended Maximum Dose	Common Side Effects
30	Once daily	60 mg/day	Nausea, headache
60	Once daily	60 mg/day	Dizziness, dry mouth
30-60	As needed (pre-intimate)	60 mg per occasion	Insomnia, diarrhea

We provide comprehensive care for LOH syndrome, from testing to treatment.

Identifying genuine dapoxetine from counterfeit items is crucial.
OTC availability may change as regulations evolve.
Some men report improved control after using dapoxetine.
Avoid self-diagnosing and self-medicating.
Pharmacist advice can guide safe use.
Natural remedies might supplement or replace medication.
Dapoxetine's popularity increases demand on the black market.
Always prioritize health and safety over convenience.
Proper storage of medication extends its effectiveness.
Seek medical attention if side effects persist or worsen.

We offer a variety of treatment options, including long-acting oral and topical testosterone medications.

Search Results and Reporting Quality

Prescriptions can also be provided through telephone consultations. In collaboration with the AIDS Clinical Center (ACC) and our partner clinic, Personal Health Clinic based in Tokyo, we prescribe Doxy-PEP to patients at high risk of contracting STIs. We are accumulating data to evaluate the effectiveness of Doxy-PEP in Japan and aim to develop new preventive healthcare models and contribute to society. [Price] = [Consultation Fee] + [Package Price] + [Optional Fees] – Consultation Fee: First visit 2,500 JPY, Follow-up 1,000 JPY – Doxy-PEP prescriptions require a mandatory consultation with a doctor. Before starting or continuing Doxy-PEP, proper testing is essential.

Consultation Fees

Receiving a prescription without testing or through personal imports without examination increases the risk of antimicrobial resistance and is dangerous. To receive a Doxy-PEP prescription, testing for syphilis, gonorrhea and chlamydia (all potentially exposed sites) is required. We offer special discounted STI testing for everyone starting or continuing Doxy-PEP. Syphilis, gonorrhea and chlamydia (genital, throat and rectum): 5,000 JPY (normally 20,000 JPY) If you prefer individual tests in combination with other services, we offer the following discounted prices: Syphilis (quantitative): 3,000 JPY (normally 5,000 JPY) Gonorrhea and chlamydia (genital, throat and rectum): 3,000 JPY (normally 20,000 JPY) If you have completed testing for syphilis, gonorrhea and chlamydia (all potentially exposed sites) within the past week, you can receive a prescription with only a consultation and medication fee. This applies to test results from other clinics as well. [Total Price] = [Consultation Fee] + [Shipping Fee] + [Package Price] – Consultation Fee: First visit 2,500 JPY, Follow-up visits 1,000 JPY *The reporting time for test results is based on the “test start date.” Specimens collected in the late afternoon, or on Sundays, holidays, or during the New Year period, will have the next business day as the “test start date.” For self-funded medical care, results can be confirmed via email.

Dapoxetine was developed in part for OTC marketing in some countries.
Its short half-life makes it suitable for on-demand use.
Some users prefer OTC purchase for privacy reasons.
Always verify the credibility of online sellers.
Pharmacist advice can help determine if dapoxetine is appropriate.
OTC access remains controversial and heavily regulated.
Avoid using expired or suspiciously cheap dapoxetine.
Be aware of legal risks when buying OTC.
Natural and behavioral therapies are also effective.
Pharmacological treatment should be supervised by a healthcare provider.