Online Medical Consultation in English
English-speaking video consultation via Google Meet. Weight-loss medication and general prescriptions — a cold, stomach trouble, an allergy, a migraine, or a regular medicine you forgot to bring to Japan. Medication is delivered anywhere in Japan.
Questions? Message us — please don't call.
If anything is unclear, send us a message. Our clinic's phone line is answered in Japanese only, so we cannot help you in English over the phone.
Before you book: our approach for international visitors
Our online consultations for visitors are mainly intended to help you continue the medication you use at home while you are in Japan. We prescribe after reviewing an official document from your home country, such as a prescription (this does not apply if you become unwell during your trip), and we prescribe the amount you need for your stay in Japan. Please read our approach before booking.
What We Can Prescribe
We treat two kinds of request, and they are handled differently.
Weight-loss injections
Mounjaro (tirzepatide) and Wegovy (semaglutide). We dispense and ship these ourselves by refrigerated delivery, and you pay us for the medication.
General prescription medicines
Cold and fever, stomach trouble, allergy, migraine, skin problems, altitude sickness, and regular medication you forgot to bring or lost — for example blood-pressure, cholesterol, thyroid or diabetes tablets. We issue the prescription. At our partner pharmacy in Tokyo, Hanaseru Pharmacy, an English-speaking pharmacist dispenses it, gives you a short online medication consultation, and ships it to you. You can also choose a pharmacy near you. You pay the pharmacy directly for the medicine.
We cannot prescribe narcotics or psychotropic drugs.
What is Online Consultation?
Online medical consultation (telemedicine) allows you to receive medical care from a Japanese physician via video call (Google Meet) — without traveling to the clinic.
After the consultation, your medication is delivered to your address in Japan. Weight-loss injections are shipped by us using refrigerated delivery. Other medicines are shipped by our partner pharmacy, or you can use a pharmacy near you.
Our clinic is in Matsuyama, Ehime Prefecture. Because the consultation is online, you can see us from Osaka, Tokyo, Fukuoka, Nagoya, Kyoto or anywhere else in Japan — the medication is shipped nationwide.
Who Can Use Online Consultation?
- Adults (18+) in Japan, including visitors and tourists
- For weight-loss medication: BMI 23 or above (Wegovy: BMI 27, or 23+ with complications)
- We never prescribe Mounjaro for cosmetic purposes.
- For general prescriptions: no BMI requirement
- Patients comfortable with a video call (Google Meet)
- Patients who can receive a delivery at an address in Japan, including a hotel
Languages
Consultations can be conducted in English or Japanese. Our supervising physician for online care communicates clearly in English.
Process
- 1
Online Reservation
Book a time slot at reserve.ikegawa-clinic.com. ¥1,000 booking fee charged to your credit card at reservation (applied to your final bill).
None of the times work for you? You can request a specific date and time instead. Dr. Ikegawa reviews it and replies by email, usually within one hour (we reply 09:00–22:00 JST). Your card is only held — it is charged only if he accepts. A time outside our regular schedule carries an additional fee: ¥5,500 from tomorrow onward, or ¥11,000–33,000 for today depending on the hour.
- 2
Confirmation Email
You'll receive a confirmation email with the Google Meet URL. Please prepare ID (passport, A photo of your passport photo page is required for your first online consultation (uploaded during booking). Other IDs cannot be used in its place.
- 3
Video Consultation
Join Google Meet at your appointment time. Initial consultations typically take 15-30 minutes. The physician will discuss your medical history, current condition, and treatment options.
- 4
Payment
After consultation, you'll receive a payment email with a credit card link or bank transfer info. Payment is required within 7 days.
- 5
Medication Delivery
Mounjaro and Wegovy: once payment is confirmed, we ship within 1-2 business days by cool delivery (refrigerated). Other medicines are dispensed by the pharmacy you chose.
Fees Summary
General prescriptions are usually issued for the length of your stay.
Documents Available
- ✅ Receipt: Issued. Use as proof of purchase.
- ✅ Medical certificate (English): Issued on request as part of the consultation fee.
The certificate lists the prescribed medication and does not include a diagnosis — it states the
medication is for the patient's own use.
📄 View sample certificate (PDF) ↓ - ✅ Prescription: For other medicines, we issue a prescription and send it directly to the pharmacy you choose. For Mounjaro and Wegovy we dispense in-house, so no prescription document is issued.
For Visitors / Tourists in Japan
Medication can be delivered to any address in Japan, including hotels. For weight-loss injections, please confirm with your hotel in advance that they can accept and refrigerate the package on your behalf.
For general prescriptions, our partner pharmacy ships to your hotel — write the hotel name, your room number and your name and the front desk can receive it for you. Express delivery, and same-day delivery in the Tokyo area, are also available for an additional fee (see the pharmacy's fees).
⚠️ Customs notice — taking medication out of Japan:
This is for reference if you take home any medication left over from your stay. We prescribe the amount you need for your stay in Japan (see our approach).
From Japan's side: No special Japanese export permit is required for personal-use prescription medication. Carry the English medical certificate we issue, your receipt, and keep the medication in its original packaging.
From your destination country's side: Rules vary widely — GLP-1 receptor agonists are restricted or banned in some countries. Please verify with your destination country's embassy / customs in advance. Full country-by-country summary: see Pricing page.
About your medical history and health check-up results
For Mounjaro, Wegovy, Rybelsus and some other medicines that need careful safety checks, our doctor reviews your medical history before prescribing. We kindly ask you to share it, and if you have recent health check-up results (for example, from an annual check-up in your home country or in Japan), please send a photo when you book. A prescription or medical record from your own doctor also helps.
You do not need to have a new check-up just for this appointment. If you do not have any results with you, please book as usual and tell the doctor at your consultation. Depending on your health, the doctor may need to confirm more information before prescribing some medicines.
Important Notes
- You can attend the online consultation from anywhere, including overseas. However, your medication can only be delivered to an address within Japan — we cannot ship internationally, so you (or someone on your behalf) must be able to receive it in Japan.
- Initial consultations require ID verification.
- For any questions, please message us on WhatsApp, Official LINE or email ([email protected]). Phone calls to the clinic can be handled in Japanese only.
- Online consultation is not appropriate for emergencies. For emergencies, call 119 (ambulance in Japan).
- Prescriptions are not guaranteed based on patient request alone. The physician's medical judgment determines whether medication is appropriate.
- Online consultations follow Japan's "Guidelines for the Appropriate Implementation of Online Medical Care" by the Ministry of Health, Labour and Welfare (MHLW).
Cancellation Policy
- By 23:59 the day before: Full refund of ¥1,000 booking fee
- Same-day cancellation: ¥5,000 fee (incl. tax)
- No-show: ¥5,000 fee (incl. tax)