Lost in Translation: What “Flu” Really Means in Japan

Have you ever gone to a pharmacy in Japan and said:
“I want some cold and flu medicine.”
…only to be told,
“Flu medicine is prescription-only. You need to see a doctor.”
You’re not alone. This is a common misunderstanding that many foreign visitors face in Japan.
Contents
🤔 What’s the Problem?

In English, “flu” often just means a strong cold—something with fever, body aches, and chills.
But in Japan, “flu” only refers to influenza, the viral infection that requires a test and a doctor’s diagnosis.
So when you say “flu”, the pharmacist may think:
- You already tested positive for influenza, or
- You’re asking for antiviral medication like Tamiflu, which requires a prescription in Japan.
As a result, they can’t give you what you need—even if you just want over-the-counter cold relief.
🗣️ What You Should Say
If you feel sick and want non-prescription medicine, it’s better to describe your symptoms rather than use the word “flu.” For example:
- “I have a fever and sore throat.”
- “I feel very tired and my body hurts.”
- “Do you have medicine for cold symptoms?”
This helps the pharmacist understand that you’re not asking for prescription influenza medication, but rather something for a common cold.
🧠 Why This Happens

Let’s compare the meaning:
| English Word | Usual Meaning | Japanese Understanding |
|---|---|---|
| Flu | Can mean real influenza OR a bad cold | Influenza |
| Influenza | Medical term for the flu | Influenza |
In English, the word “flu” is flexible.
In Japanese, it’s strictly medical.
This mismatch can easily cause confusion at pharmacies.
💊 So What Can You Buy Without a Prescription?
Japan has many over-the-counter cold medicines that can help with:
- Fever and chills
- Sore throat
- Cough and runny nose
- Fatigue
Just be clear about your symptoms, and pharmacists will do their best to find the right product for you.
🏪 Feeling Sick in Asakusa?

If you’re feeling under the weather while visiting Asakusa, don’t worry — BLEZ Pharmacy is here for you.
We’re the most English-friendly pharmacy in the area, and we’re used to helping travelers from all over the world.
Whether it’s a cold, flu-like symptoms, or anything else, just drop by and tell us how you feel.
We’ll do our best to find the right medicine and make sure you feel better soon.


