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Online PrEP prescriptions from a clinic in Shibuya, Tokyo

HIV is now
preventable.

Taken properly, PrEP reduces the risk of HIV infection by about 99% (reported by the US CDC).
Everything from your consultation to delivery of your medication is done from home. LINE consultation requests are accepted 24 hours a day (doctor consultations daily 9:00–23:00).

Regular test kits and shipping included

¥10,000/month

Initial and follow-up consultation fees: ¥0 3-month supply: ¥20,000 (¥6,667 per month)

Free consult on LINE See pricing details

You are welcome to just ask questions. You are under no obligation to receive a prescription. You can consult us using a nickname.

Dr. Shota Tsuru, Kaguya Clinic
Dr. Shota Tsuru, Kaguya Clinic Board-certified Emergency Physician (Japanese Association for Acute Medicine) / Kaguya Clinic (Shibuya, Tokyo)
  • Seen by a doctor from a real clinic in Shibuya, Tokyo
  • Regular test kits and shipping included, no extra fees
  • Plain packaging; consult with a nickname

What is PrEP?

PrEP stands for pre-exposure prophylaxis. It is a way to prevent HIV infection by taking anti-HIV medication continuously in advance. It is recommended by the WHO (World Health Organization) and the US CDC (Centers for Disease Control and Prevention), and it is already widely used in Europe and the United States.

The US CDC has reported that, when taken properly, PrEP can reduce the risk of getting HIV from sex by about 99%.

PrEP may be right for you if you are:

Anyone can consult us, regardless of gender or sexuality.

  • Someone who wants to take HIV prevention seriously
  • Worried because your partner has been found to be HIV-positive
  • In a relationship where condoms are not always used
  • A sex worker, or busy and at higher risk
  • Anxious about HIV testing, or someone who wants reliable prevention

Choose the dosing that suits you

Daily PrEPThe standard approach: 1 tablet every day

  • Take 1 tablet daily, continuously
  • Provides the most continuous coverage, regardless of when you have sex
  • Recommended if you have sex often or are thinking about long-term prevention
  • Gives peace of mind even in unplanned situations

On-demand PrEPTaken only when needed

  • Take 2 tablets 2–24 hours before sex
  • Taken only when needed; suited to times when you know your plans in advance
  • For people who want to take it less often and keep costs down
  • Requires planning the timing in advance

Your doctor can help you decide which is right for you during your consultation.

Pricing

Regular test kits during treatment and shipping are included in the price. There are no costs other than those shown.

Daily PrEP (1-month supply) 30 tablets + regular test kit and shipping included ¥10,000tax included
Daily PrEP (3-month supply) 90 tablets + regular test kits and shipping included (about ¥6,667 per month) ¥20,000tax included
On-demand PrEP 2-1-1 method (2 tablets before sex, then 1 tablet ×2 after). The number of tablets you need depends on how often you take it, so we will give you a quote during your consultation Quoted at your consultation
Initial and follow-up consultation fees ¥0
Payment method Credit card

This is self-pay treatment. It is not covered by insurance, so please be aware of this in advance.

Making it easy to ask

Photo of Dr. Shota Tsuru, Kaguya Clinic
Examination room at Kaguya Clinic

There is no need to hesitate to ask about PrEP. I will never judge your lifestyle or circumstances. Choosing prevention is a positive choice that protects both you and your partner. Feel free to ask about anything on your mind.

Physician, Kaguya Clinic

Shota Tsuru

  • Board-certified Emergency Physician, Japanese Association for Acute Medicine
  • Board-certified Intensivist, Japanese Society of Intensive Care Medicine
  • Clinical Training Supervising Physician
  • American Heart Association (AHA) ACLS-EP Provider

Graduated from Fukuoka University School of Medicine. Has extensive clinical experience in emergency and critical care medicine and now practices outpatient care at a clinic. Also serves as a medical reviewer for health information on HIV, STIs, and related topics.

Kaguya ClinicNikko Palace Nampeidai 303, 2-8 Nampeidai-cho, Shibuya-ku, Tokyo

Start with your privacy protected

  • Consult with a nickname

    You can consult us using a nickname. Your name and address are required for delivery.

  • Delivered in plain packaging

    Nothing on the outer box or shipping label reveals what is inside.

  • Fully online, no clinic visits

    Everything from your consultation to receiving your medication is done without leaving home.

What to know
before you start

With PrEP, there are several things to check before and after you start, as well as some precautions when taking it.

Main side effects (tend to be temporary)

  • Nausea, vomiting, diarrhea
  • Headache
  • Insomnia, fatigue

Who should take extra care

  • People who already have HIV
  • People with serious kidney or liver disease
  • People taking other medications (especially for hepatitis C, epilepsy, etc.)
  • PrEP is for prevention only and cannot be used to treat HIV. It does not prevent sexually transmitted infections other than HIV, so please also use condoms and get tested regularly

While taking PrEP, we ask that you have HIV and kidney function tests every 3 months. You can do these at home with the test kit included in your prescription set.

From consultation to delivery in 4 steps

  1. 1

    Pre-consultation on LINE

    Tell us about the medication you would like and your situation through our official LINE account, 24 hours a day (doctor consultations daily 9:00–23:00).

  2. 2

    Online consultation

    A video consultation with a doctor. It takes 15–30 minutes.

  3. 3

    Payment

    After your prescription, please pay by credit card.

  4. 4

    Delivery of your medication

    We ship after your consultation and prescription, once payment has been confirmed. Delivery usually takes about 1–2 days after shipping. Timing may vary depending on your region, the time your request is received, weather, and traffic conditions. We deliver nationwide (excluding remote islands). Shipped in plain packaging.

Frequently asked questions

  • You can test at home every 3 months with the test kit included in your prescription set. There is no extra charge for the test kits.
  • It depends on how long you want protection; taking PrEP for as long as you are at risk is recommended. Please consult your doctor.
  • Take 1 dose as soon as possible once you notice. For details, follow your doctor's instructions.
  • When taken properly, PrEP can reduce the risk of HIV infection by about 99%, but using condoms as well gives you more peace of mind.
  • PrEP is a medication for preventing HIV and does not prevent other sexually transmitted infections. We recommend also using condoms.
  • We can prescribe a minimum 1-month supply (30 tablets). Let us know how long a supply you would like.
  • Yes. You can consult and book using a nickname. At your first consultation, however, we will check a photo ID in line with the guidelines for online medical care. Your name and address are required for delivery of your medication. Your medication is delivered in plain packaging.

Start with a free consultation

Consultations on LINE are free. Feel free to ask about anything on your mind,
such as how to take it, side effects, or pricing.
Consulting us does not obligate you to receive a prescription.

Regular test kits and shipping included ¥10,000/month / Initial consultation fee ¥0

Free consult on LINE

Kit & shipping incl.¥10,000/mo

Chat on LINE