Frequently Asked Questions

Shinsatsu Dash is a service that delivers the prescription medicines you need, quickly, following an online consultation with a doctor.
After a consultation and prescription by a doctor at a partner clinic, the appropriate medication is sent to you.
※Shinsatsu Dash is not itself a medical institution.
※Online consultation complements in-person care. The doctor may decide that an in-person consultation is necessary; if so, please follow the doctor's instructions.

After booking through LINE or the web questionnaire form, you complete a medical questionnaire and then have an online consultation with a doctor. Once the consultation is finished and payment is complete, your medicine is dispatched. If booking, consultation and payment are all completed within the cut-off time for same-day dispatch, we send it the same day. After dispatch we provide a tracking number so you can follow your delivery.

You can use the service (booking, reordering and so on) 24 hours a day.
Consultations with doctors at our partner clinics are available during the following hours.
・10:00 to 19:00
※Available consultation hours may vary from day to day.

Health insurance does not apply. All treatment is self-funded.

If you were unable to add us on LINE, or forgot to, please use the button below or the “Consult with us on LINE” link on any page.

Shinsatsu Dash online consultations are available only to residents of Japan, and medicines are shipped within Japan only. If you are visiting from abroad, please see our partner clinic, OKACHI CLINIC (1 min. walk from Okachimachi Station, Ueno), for an in-person consultation.
https://okachi-clinic.jp/en/
Once you have had an in-person consultation at OKACHI CLINIC, you can use online consultations from your second visit onward.

After you book, a doctor sees you by video call on your smartphone or computer. You can attend from home or anywhere else you like.

Including review of your questionnaire and an explanation of the medication, consultations usually take about 5 to 10 minutes. The length can vary depending on your symptoms and concerns.

Yes. We explain everything clearly for first-time patients. Please raise anything you are unsure about during the consultation.

If you were unable to take the call, we will contact you on LINE. If you would like us to call again, send us a LINE message saying you would like a call back. We will check the details and respond in turn.

Yes. You can change your booking on LINE or by email at any time up to the moment your consultation is due to start. There is no charge for changing.
You can make changes at any time on LINE. If you contact us by email there may be a delay before we reply, but we will respond as quickly as we can.

Yes. You can cancel on LINE or by email at any time up to the moment your consultation is due to start. There is no cancellation fee.
You can make changes at any time on LINE. If you contact us by email there may be a delay before we reply, but we will respond as quickly as we can.

If you have not been contacted at your appointment time, or your consultation has not started, please get in touch via chat.

In principle everything is completed online, but depending on your symptoms we may recommend an in-person consultation.

No. As this is self-funded treatment, your insurance card is not required.

No. Consultations cannot be carried out by a representative, and we cannot prescribe for anyone other than the patient.

Yes. Please book under whichever treatment you most want to discuss.
Let the doctor know during the consultation that you would like to discuss additional symptoms.

Yes. Even without symptoms, you are welcome to get in touch — whether you want to discuss your health, would like medication, would like testing, or have questions about prevention or something that worries you.
The doctor will review your situation and advise on the care that suits you.

If you notice any change in how you feel, stop taking the medicine immediately and contact the partner clinic's doctor on LINE or by email. We will arrange a further consultation or other appropriate steps as needed.

Prescription medicines can have stronger effects.
Even where a prescription medicine and an over-the-counter product claim the same effect, differences in ingredients, strength, excipients or formulation can change how well and how quickly they work.
Over-the-counter medicines, by contrast, are aimed at relieving common symptoms and are intended for mild to moderate cases.

Please complete the questionnaire and discuss it with the doctor during your consultation. Because of the risk of interactions, a different medicine may need to be prescribed instead.

Please complete the questionnaire and discuss it with the doctor during your consultation. Allergies and your medication history may limit what can be prescribed.

A consultation with a doctor is required to change or add medication. Please book a follow-up consultation via LINE or by email. Depending on the outcome of the consultation, we may not be able to meet your request.

Always follow your doctor's instructions. A usage guide is available under My Page → Files.

Always follow your doctor's instructions when taking medication. It is important to observe the dose and the way it is taken. Prescription medicines can improve symptoms, but they can also cause side effects, which is why a doctor's prescription is required. If the effect seems too strong, or you feel no effect, consult your doctor so the dose can be adjusted appropriately.

You can check this from the purchase menu.

Delivery is a flat ¥550, whatever the treatment. There is no consultation fee and no payment-processing fee. We dispatch in packaging that does not reveal the contents, out of respect for your privacy.

Depending on where you live, your medicine will usually reach you 1 to 3 days after dispatch. *Delivery to Hokkaido, Okinawa, remote islands and some other areas may take longer.
*Delivery may fall outside the estimate because of medicine supply conditions or transport circumstances.

If booking, consultation and payment are all completed within the cut-off time for same-day dispatch, we send it the same day.

Yes.
The available time slots are
・Morning
・14:00–16:00
・16:00–18:00
・18:00–20:00
・19:00–21:00
Please tell us during your consultation or via chat.

You can find it under My Page → Purchased items.
※Depending on the courier's processing, it may take some time to appear. If it is not shown, please check again a little later.

Yes. Once your medicine has been dispatched we send a dispatch notice and tracking number on LINE or by email. You can follow the delivery through the courier's tracking service.

It is sent as “お品物” (goods).

We use Yamato Transport. Depending on the item and the period, it is either posted through your letterbox or handed over at your door.

Please enter the tracking number shown under My Page → Purchased items into Yamato Transport's tracking system.
https://toi.kuronekoyamato.co.jp/cgi-bin/tneko
If you do not have a tracking number, please contact us via chat.

At present we accept credit cards only. Bank transfer, convenience store payment and PayPay are being prepared.

■Before dispatch
Please pause or otherwise amend your order under My Page → Subscription items.
If a subscription is active, we notify you by email the day before it renews.

■After dispatch
We regret that prescription medicines cannot be returned after dispatch where the reason is a change of mind.

The payment confirmation for your card transaction serves as a receipt, so we do not issue separate receipts.

If you believe an item is faulty, please return it to us carriage forward.
We will submit it to the manufacturer, and if it is confirmed as faulty we will exchange it.

Please contact us via chat. Once we have checked, we will send the correct medicine.

Once the consultation and prescription are confirmed and payment has been made, we cannot accept returns, exchanges or cancellations where the reason is a change of mind.
※If you receive the wrong medicine or a damaged item, please contact us via chat.

GLP-1 is a naturally occurring hormone, produced in the intestine, that everyone has. Mounjaro is a self-injected medicine given once a week. By suppressing appetite and prolonging the feeling of fullness, it reduces how much you eat and supports weight management.

Results vary from person to person, but most people notice a change in their weight over several weeks to a few months. It is not designed for rapid weight loss; results are expected through continued use.

This depends on your target weight and lifestyle. The doctor will review your weight and any side effects with you and decide together how long to continue.

A very fine needle is used, so discomfort is generally considered minimal.

Yes. You administer it yourself. Clear instructions are included, so it is straightforward even if it is your first time.

Once a week, on the same day each week. It does not matter when you eat, so choose whatever time suits you.

Severe dietary restriction is not required. Aiming for a well-balanced diet will help you get more from the treatment.

It is not essential, but adding moderate exercise such as walking can improve your results.

Small amounts are often not a problem, but drinking too much can lead to side effects or make you feel unwell. We recommend keeping it to a minimum.

Digestive symptoms such as nausea, constipation, diarrhea, bloating and reduced appetite are relatively common. They tend to occur when starting treatment or increasing the dose, and often improve with time.

Eat slowly and in small amounts, and avoid fatty foods and overeating. If the symptoms are severe or persist, please consult your doctor.

Mild symptoms are usually monitored rather than treated, but if you have severe abdominal pain, repeated vomiting or a fever, stop using it and seek medical attention promptly.

Rybelsus is a tablet taken daily; Mounjaro is a self-injection given once a week. The doctor will propose whichever suits your circumstances and preferences.

Depending on what you are already taking, combined use may not be possible. Please be sure to tell us about all your current medicines during the consultation.

No. It cannot be used by anyone who is pregnant, breastfeeding, or hoping to become pregnant.

Yes. Store it in a refrigerator at 2–8°C. Do not allow it to freeze.

The needle retracts into the device after use. Please dispose of it according to your local authority's rules. Sorting requirements differ by area, so check with your local authority if you are unsure.

We dispatch in packaging that does not reveal the contents, out of respect for your privacy.

Our medical weight management is self-funded treatment, so health insurance does not apply.

If the doctor examines you and judges that it can be used safely, it can be prescribed through an online consultation. Depending on the outcome of the consultation, it may not be possible to prescribe.

Yes. STIs can be present without any symptoms. You are welcome to book whether you have had an encounter that worries you, or simply want regular testing.

We provide consultation and treatment for chlamydia, throat chlamydia, ureaplasma
and mycoplasma.
We also offer test kits for a range of sexually transmitted infections.

Yes. You can purchase a test kit on its own. Depending on your results, we will guide you to an online consultation if you need one.

The items tested vary by plan. Please see the list of test kits for details, or feel free to ask us.

Yes, you can. However, if your symptoms are severe or prompt treatment seems advisable, we recommend seeing a doctor.

Results are usually available a few days after your sample reaches the laboratory.

We offer Zithromac (azithromycin).
It is prescribed when a doctor has examined you and judged it appropriate.

Yes. STIs can pass back and forth between partners. To prevent reinfection, we recommend that your partner is also tested and treated where appropriate.

To prevent reinfection and passing the infection to a partner, we recommend abstaining until treatment is complete and your doctor advises otherwise.

No. Treatment does not confer immunity, so reinfection is possible.

We dispatch in packaging that does not reveal the contents, out of respect for your privacy.

Our online STI consultations and test kits are self-funded treatment, so health insurance does not apply.

The emergency contraceptive pill is taken when no contraception was used, or when contraception failed, to increase the chance of preventing pregnancy. The sooner it is taken, the more effective it is expected to be.

Please get in touch as soon as possible in situations such as these.

・A condom broke or came off
・You had sex without contraception
・Withdrawal was used but you are worried
・You missed a low-dose pill
・You have experienced sexual assault
・You are unsure whether contraception worked

We offer the following two options.

・Madonna (a levonorgestrel product): recommended within 72 hours of intercourse.
・Ulpisad (an ulipristal acetate product): recommended within 120 hours of intercourse.

The doctor will check how much time has passed and your circumstances, then advise which is suitable.

The main difference is the window in which they can be taken.

・Madonna: taken within 72 hours of intercourse.
・Ulpisad: can be taken within 120 hours of intercourse.

With both, the sooner you take it, the greater the expected contraceptive effect.

Ulpisad is an emergency contraceptive containing the active ingredient ulipristal acetate.
It can be taken up to 120 hours after intercourse, and the ingredient is widely used internationally.

Even after 72 hours, emergency contraception with Ulpisad may be possible provided you are within 120 hours.

The right choice depends on how much time has passed since intercourse and on your circumstances.

・Within 72 hours, either Madonna or Ulpisad can be offered.
・Beyond 72 hours and within 120 hours, Ulpisad is offered.

With both, the sooner it is taken the greater the expected effect, so we recommend consulting us as early as possible.

No. Even within the permitted window, the earlier you take it, the greater the expected contraceptive effect.

No. Pregnancy is still possible with withdrawal. If you are worried, please get in touch as soon as you can.

We are sorry, but we do not currently prescribe or ship emergency contraceptive pills to Okinawa Prefecture.
Timing is critical with this medicine. Because delivery to Okinawa can take longer depending on the area, the weather and flight conditions, there is a risk it would not reach you in time to be taken appropriately, so it falls outside what we can prescribe.

Once your medicine arrives, take it as soon as possible with about a glass of water or lukewarm water. It can be taken before or after food.

If you vomit within two hours of taking it, the medicine may not have been fully absorbed. Please contact us as soon as possible.

Common cold remedies and painkillers can usually be taken alongside it, but care may be needed depending on what you are taking. Please tell us about your current medicines at your consultation.

It can sometimes be prescribed while breastfeeding, though depending on the medicine you may be asked to pause breastfeeding for a period. Please discuss this at your consultation.

The main side effects are

・Nausea
・Headache
・Abdominal pain
・Fatigue
・Irregular bleeding
・Dizziness

and similar. Most are temporary and resolve on their own.

It often arrives around the expected date, but it may come a few days to about a week earlier or later.

A period or bleeding alone is not always a reliable sign that pregnancy has been prevented. We recommend confirming with a pregnancy test.

Use it about three weeks after intercourse, or about one week after your period was due.

No. It reduces the likelihood of pregnancy, but it does not prevent it entirely. We recommend confirming with a pregnancy test afterwards.

At present there are no reports that taking an emergency contraceptive pill once affects future pregnancy.

You can take it when needed, but it is intended for emergencies. If you would like ongoing contraception, please talk to us about options such as the low-dose pill.

We dispatch in packaging that does not reveal the contents, out of respect for your privacy.

Our emergency contraceptive prescriptions are self-funded treatment, so health insurance does not apply.

Isotretinoin is an oral medicine used for severe or persistent acne. By reducing sebum production and improving blocked pores and inflammation, it can also help prevent acne from returning.

It may suit you if any of the following apply.

・Your acne keeps coming back
・Insurance-covered treatment has not improved it
・You want to avoid further acne scarring
・You have a lot of inflammatory acne
・You are bothered by acne on your back or chest

This varies, but most people notice an improvement from around one to two months after starting, and treatment usually continues for about three to six months.

It depends on your symptoms, but generally around four to six months. The length of treatment is decided while reviewing your progress at consultations.

Take one dose as soon as you remember. However, if it is nearly time for your next dose, skip the missed one and continue as normal. Do not take two doses together.

Yes. Acne can appear to worsen temporarily shortly after starting, which is known as an initial flare. In most cases this is temporary and improves afterwards.

The main side effects are as follows.

・Dry lips and skin
・Dry mouth and nose
・Nosebleeds
・Dry eyes
・Muscle and joint pain
・Abnormal liver function
・Raised triglyceride and cholesterol levels

If any symptom concerns you, please consult your doctor.

Yes. Your skin and lips will become dry more easily, so we recommend using moisturizer and lip balm frequently.

You can, but you may develop dry eyes. If dryness bothers you, consider wearing glasses or using artificial tears.

Small amounts may be fine, but given the load on the liver we recommend avoiding alcohol as far as possible.

Depending on what you are taking, combined use may not be possible. Particular care is needed with vitamin A preparations and some antibiotics (tetracyclines). Please tell us about your current medicines at your consultation.

No. You cannot donate blood while taking it, or for a set period after finishing.

No. It cannot be taken while pregnant or breastfeeding, nor by anyone hoping to become pregnant.

Yes. Because isotretinoin can cause serious harm to an unborn baby (teratogenicity), reliable contraception is required while taking it and for a set period after finishing.

Men can take it too. Take it exactly as your doctor directs, and get in touch if any side effect concerns you.

We may ask you to have blood tests where needed, so that treatment can continue safely.

Yes. You become more sensitive to UV light, so please protect yourself with sunscreen, a hat and similar measures.

Depending on the procedure, the risk of skin problems increases, so we may ask you to avoid cosmetic procedures while taking isotretinoin. Please consult us in advance if you are considering one.

We dispatch in packaging that does not reveal the contents, out of respect for your privacy.

Our isotretinoin treatment is self-funded, so health insurance does not apply.

If a family member or someone you live with has caught influenza, prescribing prevention medication may be considered.
It is mainly intended for people at high risk of serious illness, such as older people and those with underlying conditions.
At Shinsatsu Dash, the doctor checks how you were in contact with the infected person and your state of health, and decides whether a prescription is possible.

Oseltamivir and Inavir are expected to suppress the multiplication of the influenza virus and reduce the risk of developing influenza.
However, using prevention medication does not completely prevent infection or illness. It is important to keep taking infection-control measures such as handwashing and ventilation.

As a rule, preventive use must begin within 48 hours of contact with the infected person.
Effectiveness has not been confirmed when it is started more than 48 hours after contact, so if you would like prevention medication, please contact us as early as possible.

Healthy adults are also welcome to consult us.
However, as a rule, approved preventive use is for household members or people living with a person who has influenza, particularly those at high risk of serious illness.
Prescribing for people outside this group is off-label, so the doctor carefully assesses the need and safety.

Yes, you can.
However, having an important event coming up is not in itself a reason to prescribe prevention medication. The doctor checks how you were in contact with the infected person and your state of health, and decides whether a prescription is necessary.

Oseltamivir is an oral medicine taken once daily for 10 days.
Inavir is an inhaled medicine; for adults, inhale 40 mg (2 kits) once, or 20 mg (1 kit) once daily for 2 days.
As they differ in how they are taken and in the points to note, the doctor recommends the appropriate medicine taking into account your age, medical conditions, allergy history and other factors.

Nausea, vomiting and abdominal pain have been reported with oseltamivir, and diarrhea, nausea and dizziness with Inavir.
In rare cases, serious allergic reactions may occur. If you have any medical conditions or allergies, or are taking other medicines, be sure to tell the doctor during your consultation.

If you already have symptoms such as fever or a cough, you may need treatment for influenza rather than preventive use.
If you have symptoms, please consider visiting a medical facility that can test for and treat influenza.

The ingredients in Bonjesta have been used for many years overseas to treat morning sickness, and research to date has not shown an increased risk of birth defects.
However, this does not guarantee that there is no risk at all. At Shinsatsu Dash, the doctor checks how many weeks pregnant you are, your symptoms and your health, and carefully decides whether a prescription is needed.

Bonjesta is also used for morning sickness in early pregnancy. The doctor decides when to start, taking into account how many weeks pregnant you are, how severe your symptoms are and your general condition.
As this is a medicine for use during pregnancy, please do not take it on your own judgement. Consult a doctor first.

Bonjesta is a medicine to reduce nausea and vomiting during pregnancy, but its effectiveness and safety for hyperemesis gravidarum have not been established.
If you cannot keep fluids down, keep vomiting or have lost a significant amount of weight, you may need treatment with a drip or hospital admission. In that case, please see an obstetrician in person as soon as possible.

Drowsiness has been reported as a main side effect of Bonjesta. Dizziness and dry mouth may also occur.
Side effects vary from person to person. Avoid driving or hazardous work while taking it, and consult the doctor if you notice any symptoms that concern you.

At Shinsatsu Dash, you can have an online consultation from home or elsewhere using a smartphone or computer.
Even if morning sickness makes it hard to go out, you can consult a doctor without the burden of traveling to a medical facility.

Shinsatsu Dash provides the Bonjesta authorized for sale in Switzerland (marketing authorization holder: Exeltis Suisse SA).
Bonjesta is a treatment for nausea and vomiting in pregnancy approved by the U.S. FDA. It is not approved in Japan, so it is prescribed as self-funded treatment.

How quickly it works varies from person to person. Bonjesta combines immediate-release and extended-release properties and is intended to reduce morning sickness symptoms continuously. Take it every day as instructed by the doctor, not only when symptoms appear.

You normally start with one tablet at bedtime. If symptoms do not improve, the doctor may increase the dose to two tablets a day: one in the morning and one at bedtime. The maximum dose is two tablets a day.

Depending on the medicines you are taking, it may not be possible to take them together. Particular care is needed with medicines that cause drowsiness, such as sleeping pills and anti-anxiety medicines. Please tell the doctor about any medicines you are currently taking during your consultation.

Yes, you can consult us. The doctor checks the progress of your pregnancy and the medicines you are taking, and decides whether a prescription is possible. If necessary, we may advise you to consult your regular obstetrician.

Bonjesta is not approved in Japan, so we provide it as self-funded treatment. Health insurance does not apply.