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.

🤔 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 WordUsual MeaningJapanese Understanding
FluCan mean real influenza OR a bad coldInfluenza
InfluenzaMedical term for the fluInfluenza

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.

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