Vyvanse (lisdexamfetamine) is a prescription medication widely known for treating attention-deficit hyperactivity disorder (ADHD) and binge eating disorder (BED). In countries like the United States and Canada, it’s commonly prescribed and regulated. However, when it comes to Japan, the legal landscape surrounding Vyvanse is significantly stricter and far more complex.

Is Vyvanse Legal in Japan?

In short: Vyvanse is not legal in Japan.

Japan has one of the world’s most rigid drug control policies, particularly when it comes to stimulants and amphetamine-based medications. Lisdexamfetamine, the active ingredient in Vyvanse, is a prodrug of dextroamphetamine, a substance that falls under Japan’s Stimulants Control Law (覚醒剤取締法). This law prohibits the import, possession, and use of amphetamines and related compounds unless special government permission is granted—which is extremely rare for foreign travelers or residents.

What Happens if You Bring Vyvanse to Japan?

Travelers who attempt to bring Vyvanse into Japan, even with a valid prescription from their home country, risk confiscation, fines, and even arrest. Japanese customs enforces drug laws strictly, and ignorance of local regulations is not accepted as an excuse.

Even medications that are considered standard in Western countries must be approved by Japan’s Ministry of Health, Labour and Welfare (MHLW). Vyvanse is not approved for use or sale in Japan, and currently, there are no official channels to obtain it legally.

Alternatives of Vyvanse Available in Japan

While Vyvanse itself is banned, Japan does recognize ADHD as a treatable condition, and medications like:

• Concerta (methylphenidate) – Approved and regulated; requires a prescription from a licensed Japanese physician.
• Strattera (atomoxetine) – A non-stimulant ADHD medication, also approved for use in Japan.

1. Concerta (Methylphenidate)

• Status: Approved in Japan for ADHD.
• Mechanism: A stimulant that increases dopamine and norepinephrine in the brain.
• Prescription: Requires a diagnosis and special prescription from a registered physician under the Japanese Methylphenidate Control Program.
• Use: Commonly prescribed for both children and adults with ADHD.

2. Strattera (Atomoxetine)

• Status: Approved in Japan for ADHD.
• Mechanism: A non-stimulant that selectively inhibits norepinephrine reuptake.
• Prescription: Easier to access than Concerta, as it doesn’t fall under Japan’s stricter stimulant regulations.
• Use: Preferred for patients with contraindications to stimulants or anxiety issues.

3. Modafinil

• Status: Indefinite.
• Use: Often used as an adjunct or standalone treatment for ADHD

What’s Not Available in Japan

• Vyvanse (lisdexamfetamine)
• Adderall (amphetamine/dextroamphetamine)

Both are banned under Japan’s Stimulant Control Law and cannot be legally imported, possessed, or prescribed—even with a prescription from abroad.

These alternatives are typically prescribed under close supervision, and access may still be limited depending on regional availability and individual cases.

In Japan, Vyvanse (lisdexamfetamine) is not approved or legal, as amphetamine-based medications are strictly regulated. However, several legal and medically accepted alternatives to Vyvanse are available to treat ADHD and related conditions:

Important Note for Expats and Tourists

Even if you have a documented medical need for Vyvanse, you cannot bring it into Japan legally. If your condition requires treatment, consult a Japanese medical professional who can prescribe alternatives legally available within the country.

For travelers with ADHD, it’s advised to speak with a Japanese consulate before traveling and consider transitioning to a Japan-approved treatment plan in advance of the trip.

Summary

• Vyvanse (lisdexamfetamine) is illegal in Japan under stimulant drug laws.
• Importing, possessing, or using Vyvanse in Japan can result in serious legal consequences.
• Methylphenidate (Concerta) and Atomoxetine (Strattera) are the primary ADHD medications legally available in Japan.
• Visitors and expats should consult local physicians and avoid traveling with prohibited medications.

If you’re planning travel to or residence in Japan and rely on stimulant medication, it’s critical to understand and respect the local pharmaceutical laws. In Japan, medical compliance isn’t just about health—it’s also about staying on the right side of the law.