Is Cocaine Legal in Japan?
NCD permit required
Medical cocaine (used as a topical anesthetic in ENT procedures) is a narcotic in Japan and requires an NCD permit for import. Outside of medical use, cocaine possession is prohibited.
Japan status
Permit Required
Quantity threshold
Not applicable
Substance class
Narcotic
Why is Cocaine controlled in Japan?
Cocaine and ecgonine esters are narcotics under Japan's Narcotics and Psychotropics Control Law.
How to apply for the NCD import permit
- 1Apply for the NCD import permit at least 14 days before your arrival date.
- 2Doctor's letter (dated within 3 months) must list: your full name, diagnosis, medical necessity, drug name, strength, daily dose, and the prescribing doctor's signature.
- 3Attach photos of original packaging showing drug name and strength.
- 4You must carry the import certificate with you and present it at customs — not in checked baggage.
Application form: Submit through the Japan Narcotics Control Department (NCD).
NCD import permit applicationFrequently asked questions
Can I travel with medical cocaine for procedures?▼
Medical cocaine is rarely prescribed for self-administration. If a procedural use is required during your trip, work with the Japanese hospital to source the medication locally.
Related medications
Check your full travel kit
Cocaine is just one medication — most travelers carry several. Our free checker reviews your entire prescription list against Japan’s import rules.
Check all my medicationsSource: MHLW Narcotics Control Department — Controlled Substances List (12 Dec 2024). Page last reviewed 2026-05-31 by Dr. Lo and Dr. Lee (PharmD). Regulations change — verify with the MHLW Narcotics Control Department before travel. This page is for informational purposes and is not a substitute for advice from your prescribing physician or from a Japanese customs authority.