Calf pain, swelling, numbness (often only on one side), chest pain, shortness of breath, fainting, dizziness, headache, incoherent speech, etc.

– Individuals who have tried other ED treatments without effect and desire a rapid onset of action. Long-term users of Viagra (sildenafil) who have experienced no side effects and wish to continue using it.

– Those who prefer a formulation that can be taken without water (Viagra OD Film).

– Individuals who want to feel the effects of ED medication quickly and prefer a treatment that enhances erection strength.

– Individuals who wish to maintain an erection throughout sexual activity and prevent loss of erection during intercourse.

– who want to experience the effects soon after ingestion, but are likely to engage in sexual activity after a meal or alcohol consumption (vardenafil is affected by food and alcohol but to a lesser extent than sildenafil).

– Individuals who frequently engage in sexual activity after meals or drinks.

– Those who do not have a set time for sexual activity and want to be prepared to experience effects at any time (e.g., while traveling or when a partner is distant and timing of sexual activity is unpredictable).

– Individuals who may not always be the penetrating partner during sexual activity but want to easily maintain an erection throughout.

Flushing, headache, palpitations, stuffy nose, eye congestion

Cialis (Tadalafil) has fewer side effects compared to others.

It is necessary to be careful if you are taking nitrates, undergoing arrhythmia treatment, undergoing dialysis, have a history of myocardial infarction, having high or low blood pressure or are elderly (over 65 years old), so please consult your doctor.

Nausea, dizziness, headache, dry mouth, etc.

Consult your doctor if you currently have heart or liver conditions, or if you’re taking antidepressants.

Decreased male sexual function (such as ED, ejaculation disorders, decreased libido, and reduced semen volume), liver function impairment, among others.

While the risk of ED and other side effects is considered low, the possibility of experiencing side effects is not zero.

If you notice any unusual symptoms after taking the medication, please consult your doctor.

Sexual dysfunction (ED, ejaculation disorders, decreased libido), rash, allergic reactions, headache, depression, breast disorders, abdominal discomfort. These symptoms occur in less than 1% of cases.

Serious side effects include liver function impairment and jaundice.

While the risk of ED and other side effects is considered low, the possibility of experiencing side effects is not zero.

If you notice any unusual symptoms after taking the medication, please consult your doctor.

Initial hair loss, scalp rash, skin reactions (redness, itching, rash), and reported cases of increased hair thickness and blood pressure reduction.

Occasionally, headaches, dizziness, and swelling of the hands and feet may occur.

Serious side effects include liver function impairment.

If you notice any unusual symptoms after using the medication, please consult your doctor.

Initial hair loss, scalp rash, skin reactions (redness, itching, rash).

Occasionally, headaches, dizziness, and swelling of the hands and feet may occur.

Serious side effects include liver function impairment.

If you notice any unusual symptoms after using the medication, please consult your doctor.

Adhere to the prescribed dosage. If you forget to take a dose, do not take double the next time as it can dangerously increase the drug concentration in your blood.

As a general rule, Finasteride and Dutasteride are not approved for use in women. They can be absorbed through the skin, so women should avoid direct contact with these medications.

Minoxidil can be used by both men and women, but in women, it is not effective for hair loss due to pregnancy, chemotherapy, or skin diseases causing scalp injuries.

An increase in hair shedding at the beginning of treatment can occur, known as “initial shedding.”

This is a normal part of the process to normalize the hair cycle, as the resting phase hairs are shedding to make way for new growth. Please continue the medication as prescribed.

In Japan, the most common type of hepatitis is viral hepatitis caused by the hepatitis virus. The most effective preventive measure is a vaccine. We offer Hepatitis A vaccine, Hepatitis B vaccine and combined vaccines.

This vaccine, specifically Meningococcal B Vaccine, is effective in preventing gonorrhea. Meningococci and gonococci are genetically very similar, and it is known that vaccination with the Meningococcal B vaccine can prevent gonorrhea.

This is a vaccine to prevent HPV infection. It is well known as a virus that causes “cervical cancer,” but it can also cause other cancers and warts (condyloma acuminatum). We offer the 9-valent HPV vaccine.

The varicella zoster virus infects most people by the age of 20, lying dormant in nerve ganglia for life. With aging, the virus can reactivate, causing shingles and subsequent neuralgia, significantly reducing quality of life. We offer the inactivated shingles vaccine.

Measles, mumps and rubella pose a higher risk of severe illness and can be fatal in adults. With consideration of recent reports of measles cases in Japan, it is vital to prevent this common infectious disease. We provide the combined MMR vaccine.

Infection occurs when eating food such as shellfish or water contaminated with the virus, or through sexual activities involving the anus and rimming (the act of licking the anus), which involve contact with feces containing the virus. Activities such as oral sex, rimming and licking hands that have touched the anus can also potentially lead to infection.

Infection occurs through sexual intercourse and anal sex as the virus is contained in blood and vaginal secretions.

Gonorrhea can be transmitted through sexual intercourse, including oral sex. It is important to note that gonorrhea can infect not only the genitals but also the throat and anus.

HPV is a common virus, transmitted primarily through sexual intercourse, with over 50% of sexually experienced women likely to be infected at least once in their lifetime. More than 80% of women and more than 90% of men have a chance of being infected with some HPV in their lifetime, but it can be naturally eliminated by the immune system even if infected.

Shingles is not a disease transmitted from one person to another. However, individuals with shingles can transmit the varicella zoster virus to those who have never had chickenpox, potentially causing them to develop the disease. Transmission primarily occurs through contact with fluid from the blisters of a shingles patient, and the virus can also spread through airborne droplets from saliva. The blisters contain a high concentration of the virus, remaining infectious until all have crusted over.

Measles is a serious infectious disease that can cause complications and even lead to death. It is an airborne infection, and the virus can survive in the air of a room where a person with measles has been for up to two hours. Measles is highly contagious; if one person is infected, up to 90% of the people close to them may also become infected. Symptoms typically appear 7 to 14 days after exposure to the virus and include high fever, cough and runny nose. A characteristic rash appears 3 to 5 days after the initial symptoms.

Rubella (a.k.a. German Measles) is also a serious infection that can be fatal, known for its airborne and contact transmission. Its symptoms are similar to measles but resolve more quickly, hence it is also known as three-day measles. Symptoms include fever and rash accompanied by swollen lymph nodes, though 25% to 50% of infections are asymptomatic. Infection during early pregnancy can lead to stillbirth or the birth of infants with congenital rubella syndrome (including cataracts, heart defects, hearing impairments, etc.). Therefore, it is important for those who are pregnant or could become pregnant, and their contacts, to prevent infection.

Mumps (Epidemic Parotitis) is characterized by swelling of the parotid glands and spreads through droplet and contact transmission. Symptoms, appearing after a 2 to 3-week incubation period, include fever, headache and swelling or pain in both parotid glands. Adults are more likely to develop severe cases and complications such as encephalitis, oophoritis, orchitis and hearing loss.

The domestic vaccine (Aimugen®) is one of the safe and highly effective vaccines. You can expect to acquire almost 100% antibodies with 3 doses. The effect lasts for approximately 5 years after 3 vaccinations, and an additional dose of vaccination every 10-20 years is recommended if there is a risk of infection.

The immunity obtained by the domestic hepatitis B vaccine (Bimgen®) has been confirmed to last for at least 15 years. The effect decreases as a patient is aged, and it is said that about 80% can acquire immunity by vaccination after the age of 40. The effectiveness of the vaccine is recognized by Ministry of Health, Labour and Welfare of Japan, and infants became included as an eligible target of regular vaccinations in Japan since 2016. This means that those born in Japan would have already gotten vaccinated with it because it is required by Japanese government. On the other hand, those born before March 31, 2016 have not received regular vaccinations, so they have not gotten vaccinated unless they have voluntarily get the vaccine.

Reportedly, the administration of the gonorrhea vaccine has successfully been preventing gonorrhea by 51%. It is also known that syphilis, gonorrhea and chlamydia can be prevented by using an oral medication called Doxy PEP, and combining Doxy PEP with the gonorrhea vaccine is expected to provide an even higher prevention rate.

Currently, there are no effective medications for HPV infection. Therefore, prevention by vaccination is effective. According to Center for Disease Control and Prevention in the United States, or CDC, the incidence of cervical cancer decreases by 83% in girls aged 13 to 19, and 66% in those aged 20 to 24. Moreover, precancerous lesions in cervical cancer screenings for women in their teens and 20’s have decreased. Genital and anal condylomas in both men and women have significantly decreased in all age groups, and thus vaccination of HPV vaccine for men is also being promoted.

We offer Shingrix, an inactivated vaccine. Studies show that administering Shingrix twice can prevent the onset of shingles by 97.2% and postherpetic neuralgia by 100% in individuals over 50 years of age, making it an extremely effective vaccine.

In Japan, the common practice is to use a two-component vaccine (MR vaccine) for measles and rubella. There is no three-component vaccine (MMR vaccine) that includes mumps. However, in over 100 countries, including the United States, Canada and Australia, the three-component vaccine is standard and recognized for its effectiveness and safety. Therefore, we offer the imported three-component vaccine, Priorix.

Effectiveness:
After one dose: measles 93%, rubella 97%, mumps 78%
After two doses: measles 97%, mumps 88%

There are three types of HPV vaccines: bivalent (2-valen), quadrivalent (4-valent) and nonavalent (9-valent), which represent the number of types they can prevent. There are over 180 types of HPV, and the type of disease that can develop depends on the type of infection.

We adopt the 9-valent HPV vaccine for the following reasons:

– Prevention of genital warts is possible with quadrivalent and 9-valent vaccines.

– The 9-valent vaccine has a significantly higher prevention effect against cancer and genital warts compared to the 4-valent one (4-valent: about 60%, 9-valent: about 90%).

Injectable Live Vaccines: Measles-Rubella (MR) combined vaccine, Varicella vaccine, BCG vaccine, Mumps vaccine, etc.

Oral Live Vaccines: Rotavirus vaccine, etc.

Inactivated Vaccines: Haemophilus influenzae type b (Hib) vaccine, Pediatric pneumococcal vaccine, Hepatitis B vaccine, DTP-IPV combined vaccine (four-component), Japanese encephalitis vaccine, Seasonal influenza vaccine, etc.