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Depending on the circumstances of the potential exposure, necessary additional tests are also provided within this package at no extra cost. For urgent PEP prescriptions, such as when more than 72 hours have passed since exposure which is beyond the usual consultation hours, please contact us via our official LINE account. [Price] = [Consultation Fee] + [Package Price] + [Optional Fees] – Consultation Fee: First visit 2,500 JPY, Follow-up 1,000 JPY – A doctor’s consultation is required for PrEP prescriptions.

Continuity of Dermatology Care for Pets, With Public Health & Wellness

Please consult with our doctor for more details. Prescriptions can also be provided through telephone consultations. In collaboration with the AIDS Clinical Center (ACC) and our partner clinic, Personal Health Clinic based in Tokyo, we prescribe Doxy-PEP to patients at high risk of contracting STIs. We are accumulating data to evaluate the effectiveness of Doxy-PEP in Japan and aim to develop new preventive healthcare models and contribute to society. [Price] = [Consultation Fee] + [Package Price] + [Optional Fees] – Consultation Fee: First visit 2,500 JPY, Follow-up 1,000 JPY – Doxy-PEP prescriptions require a mandatory consultation with a doctor.

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Before starting or continuing Doxy-PEP, proper testing is essential. Receiving a prescription without testing or through personal imports without examination increases the risk of antimicrobial resistance and is dangerous. To receive a Doxy-PEP prescription, testing for syphilis, gonorrhea and chlamydia (all potentially exposed sites) is required. We offer special discounted STI testing for everyone starting or continuing Doxy-PEP. Syphilis, gonorrhea and chlamydia (genital, throat and rectum): 5,000 JPY (normally 20,000 JPY) If you prefer individual tests in combination with other services, we offer the following discounted prices: Syphilis (quantitative): 3,000 JPY (normally 5,000 JPY) Gonorrhea and chlamydia (genital, throat and rectum): 3,000 JPY (normally 20,000 JPY) If you have completed testing for syphilis, gonorrhea and chlamydia (all potentially exposed sites) within the past week, you can receive a prescription with only a consultation and medication fee.

Recent Research Findings

This applies to test results from other clinics as well. If you are using our 3-test regular package, Doxy-PEP can be prescribed on the day of testing, as it includes syphilis, gonorrhea and chlamydia. If you are requesting Doxy-PEP as a medication-only option, please bring documentation of your test results. Always undergo proper testing when starting or cialis order mastercard continuing Doxy-PEP. Prescriptions from clinics that do not offer testing or imported medications without testing are risky and may lead to antimicrobial resistance. – 1 bottle of PEP (30 tablets of Taffic) * Take 1 tablet daily for 28 days.

Product Dosage Quantity + Bonus Price
Cialis Generic20mg30 + 4 Pills68.05€ 64.81€
Cialis Black80mg270 + 10 Pills502.88€ 478.93€
Cialis Generic40mg60 + 6 Pills130.98€ 124.74€
Cialis Generic5mg60 + 4 Pills86.02€ 81.92€
Cialis Generic5mg360 + 10 Pills268.08€ 255.31€
Cialis Original20mg92 + 4 Pills377.99€ 359.99€
Cialis Generic40mg120 + 8 Pills206.98€ 197.12€
Cialis Generic40mg10 Pills37.79€ 35.99€
Cialis Soft Tabs20mg20 + 2 Pills66.98€ 63.79€
Cialis Super Active20mg90 + 10 Pills314.14€ 299.18€
Cialis Generic40mg270 + 10 Pills382.19€ 363.99€
Cialis Professional20mg30 Pills104.57€ 99.59€
Cialis Original20mg22 + 2 Pills129.20€ 123.05€
Cialis Generic5mg270 + 10 Pills205.81€ 196.01€

The remaining 2 tablets are for backup use. Special discounted testing for syphilis, gonorrhea, chlamydia, and other STIs is available at the start and after completing PEP. We offer the following discounted tests exclusively to those who purchase a PEP package, valid for one month from the date of purchase.

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[Total Price] = [Consultation Fee] + [Test Fee] + [Medication Fee] – Consultation Fee: 2,500 JPY for the initial consultation, 1,000 JPY for follow-up visits – If a doctor’s consultation is not required, no consultation fee will be charged. However, the first visit always requires a doctor’s consultation. For vaccinations after the first visit, only the vaccination fee is required. No follow-up consultation fee will be charged. The following vaccines are available at our clinic: *If you have completed the primary series during childhood, only 1 dose is needed. Gonorrhea & Chlamydia (Genital, Throat, Anal – 3 sites): 3,000 JPY (20,000 JPY) Vaginal Discharge Test (Vaginal Candida, Trichomonas, Bacterial Vaginosis): 3,000 JPY (4,500 JPY) These options are valid for one month after purchasing PEP. A follow-up test one month after completing PEP is available at a special discounted price. If you wish to use doxy-PEP in addition to PEP, adding the “Gonorrhea and chlamydia (genital, throat and rectum; 3 sites)” test (3,000 JPY) allows same-day doxy-PEP prescription. We offer gonorrhea, chlamydia and syphilis testing at a special price for everyone who starts or continues doxy-PEP. HIV, Hepatitis B & Kidney function: 3,000 JPY HIV, Hepatitis B, Kidney function & Syphilis: 5,000 JPY This method involves taking medication within 72 hours after sexual activity to prevent syphilis, gonorrhea, and chlamydia.

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It is known that treating partners together can help prevent bacterial vaginosis. A randomized controlled trial published in March 2025 cialis sublingual reported that, in addition to standard treatment for women, providing male partners with 7 days of oral medication plus topical treatment reduced the 12-week recurrence rate from 63% to 35%, approximately a 50% reduction. – Test items: vaginal candida, trichomonas and bacterial vaginosis – Results: Results for candida, trichomonas and bacterial vaginosis are available on the same day (approximately 30 minutes) The results will be explained by a doctor, and a consultation fee will be charged separately. For the patient: Vaginal suppositories: 4,500 JPY for 6 days – Use the vaginal suppository once daily at bedtime for 6 days. Symptoms often improve within 2-3 days, but it is important to complete the full 6-day course.

Standard Regimens (PBS Reference Dosing)

For the partner: Oral medication plus topical medication: 6,000 JPY for 7 days – If you prefer only oral or only topical medication, it can be prescribed for 4,000 JPY. We offer generic Nebido, the long-acting male hormone injection, at nearly half the price of its original. [Total Cost] = [Consultation Fee*] + [Testing Fee] + [Package Price] * First visit: 2,500 JPY, 2nd+ visit: 1,000 JPY Note that no consultation fee will be charged if it’s just for prescription purposes. *The number of days for test results is counted from the “start of testing.” For specimens collected in the evening, on Sundays, holidays or during the New Year holidays, the next business day will be considered the “start of testing.” For not covered by Japanese national insurance services, results are available by email. The price for hormone therapy is as follows: ** Dosage and amount may vary depending on each patient’s individual condition.

So, what can you do?

Please consult your doctor during your visit. *** For 1UP Formula, a 2,200 JPY prescription fee is paid at our clinic, and the medication cost (approximately 12,100 JPY) is paid separately at a specialized pharmacy. For the first visit, an additional consultation fee will be charged (2,500 JPY for the initial consultation, 1,000 JPY for follow-up visits). From the second visit onwards, no consultation fee will be charged if you are only receiving a vaccination. We offer same-day vaccinations and prescriptions for all medications available at our clinic. The reported canadian generic cialis pharmacy effectiveness of prevention is 87% for syphilis, 88% for chlamydia, and 55% for gonorrhea (International AIDS Society, July 2022). These STIs have a high transmission rate when having sexual contact with an infected person—around 30% for syphilis and 50% for chlamydia and gonorrhea—making this prevention method highly effective and globally recognized. We provide thorough explanations of the risks and benefits of preventive medications during a doctor’s consultation and determine eligibility for each patient. Please consult with our doctor for more details. Prescriptions can also be provided through telephone consultations. In collaboration with the AIDS Clinical Center (ACC) and our partner clinic, Personal Health Clinic based in Tokyo, we prescribe Doxy-PEP to patients at high risk of contracting STIs. We are accumulating data to evaluate the effectiveness of Doxy-PEP in Japan and aim to develop new preventive healthcare models and contribute to society.

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We also offer a discounted vaginal discharge test (for vaginal candida, trichomonas and bacterial vaginosis) for those prescribed Doxy-PEP. Vaginal discharge test (vaginal candida, trichomonas, bacterial vaginosis): 3,000 JPY (normally 4,500 JPY) Contraceptive injection (Depo-Provera): 8,000 JPY* (9,000 JPY) per dose or 22,000 JPY* (25,000 JPY) per 3-dose package *If you purchase PrEP, doxy-PEP or medication for the prevention of vaginal candida from us, we can offer special pricing. Vaginitis (vaginal candida and bacterial vaginosis) can be managed with an option focused on preventing recurrence. We also offer prevention of vaginitis through phone consultation and medication delivery. When it recurs four or more times per year, it is referred to as recurrent vaginal candida, and recurrence rates of approximately 60-70% within 6 months have been reported.

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Using preventive medication for vaginal candida taken once weekly for 6 months has been reported to reduce the recurrence rate to approximately 10-20%. Induction therapy (initial phase): Oral dosing on day 1, day 4 and day 7 (3 doses total) Maintenance therapy (maintenance phase): As a general rule, continue oral dosing once weekly for 6 months After completing 6 months of maintenance therapy, we will monitor progress and consider next steps as needed. If you experience side effects such as mild nausea or abdominal discomfort, or if you are planning pregnancy, the duration can be adjusted in consultation with a doctor. For first-time patients, the induction plus 6-month continuation package offers the best value. For ongoing therapy, you may choose a 1-month, 3-month or 6-month supply.

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Induction package (day 1, 4 and 7): 4,000 JPY Continuation 1 month (once weekly x 4): 5,000 JPY Continuation 3 months (once weekly x 12): 12,000 JPY Continuation 6 months (once weekly x 24): 20,000 JPY Induction plus continuation 6-month package: 22,000 JPY For patients starting or undergoing induction with preventive medication for vaginal candida, we offer vaginal discharge testing and contraceptive injections at special prices. Vaginal discharge test (vaginal candida, trichomonas and bacterial vaginosis): 3,000 JPY (4,500 JPY) Contraceptive injection (Depo-Provera): 8,000 JPY (9,000 JPY) per dose or 22,000 JPY (25,000 JPY) for 3 doses Special pricing is available for those who purchase PrEP, doxy-PEP or preventive medication for vaginal candida from us. Bacterial vaginosis occurs when the balance of bacteria in the vagina is disrupted. It can develop even in individuals without sexual experience, and many women may experience it at least once. While it usually does not cause severe symptoms, it may increase the risk of HIV infection and other STIs. [Price] = [Consultation Fee] + [Package Price] + [Optional Fees] – Consultation Fee: First visit 2,500 JPY, Follow-up 1,000 JPY – Doxy-PEP prescriptions require a mandatory consultation with a doctor. Before starting or continuing Doxy-PEP, proper testing is essential. Receiving a prescription without testing or through personal imports without examination increases the risk of antimicrobial resistance and is dangerous.

Medication Cost per Dose (USD) Effectiveness Side Effects Profile
Cialis 40mg 50 High Mild to moderate
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Levitra 20mg 45 Moderate Fewer side effects

To receive a Doxy-PEP prescription, testing for syphilis, gonorrhea and chlamydia (all potentially exposed sites) is required. We offer special discounted STI testing for everyone starting or continuing Doxy-PEP. Syphilis, gonorrhea and chlamydia (genital, throat and rectum): 5,000 JPY (normally 20,000 JPY) If you prefer individual tests in combination with other services, we offer the following discounted prices: Syphilis (quantitative): 3,000 JPY (normally 5,000 JPY) Gonorrhea and chlamydia (genital, throat and rectum): 3,000 JPY (normally 20,000 JPY) If you have completed testing for syphilis, gonorrhea and chlamydia (all potentially exposed sites) within the past week, you can receive a prescription with only a consultation and medication fee. This applies to test results from other clinics as well. If you are using our 3-test regular package, Doxy-PEP can be prescribed on the day of testing, as it includes syphilis, gonorrhea and chlamydia. If you are requesting Doxy-PEP as a medication-only option, please bring documentation of your test results. Always undergo proper testing when starting or cialis order mastercard continuing Doxy-PEP. Prescriptions from clinics that do not offer testing or imported medications without testing are risky and may lead to antimicrobial resistance. We also offer a discounted vaginal discharge test (for vaginal candida, trichomonas and bacterial vaginosis) for those prescribed Doxy-PEP. Vaginal discharge test (vaginal candida, trichomonas, bacterial vaginosis): 3,000 JPY (normally 4,500 JPY) Contraceptive injection (Depo-Provera): 8,000 JPY* (9,000 JPY) per dose or 22,000 JPY* (25,000 JPY) per 3-dose package *If you purchase PrEP, doxy-PEP or medication for the prevention of vaginal candida from us, we can offer special pricing.

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Vaginitis (vaginal candida and bacterial vaginosis) can be managed with an option focused on preventing recurrence. We also offer prevention of vaginitis through phone consultation and medication delivery.

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When it recurs four or more times per year, it is referred to as recurrent vaginal candida, and recurrence rates of approximately 60-70% within 6 months have been reported. Using preventive medication for vaginal candida taken once weekly for 6 months has been reported to reduce the recurrence rate to approximately 10-20%. Induction therapy (initial phase): Oral dosing on day 1, day 4 and day 7 (3 doses total) Maintenance therapy (maintenance phase): As a general rule, continue oral dosing once weekly for 6 months After completing 6 months of maintenance therapy, we will monitor progress and consider next steps as needed.

What is Hyperpigmentation in Dogs? Learn About this Skin Condition

Depending on the circumstances of the potential exposure, necessary additional tests are also provided within this package at no extra cost. For urgent PEP prescriptions, such as when more than 72 hours have passed since exposure which is beyond the usual consultation hours, please contact us via our official LINE account. [Price] = [Consultation Fee] + [Package Price] + [Optional Fees] – Consultation Fee: First visit 2,500 JPY, Follow-up 1,000 JPY – A doctor’s consultation is required for PrEP prescriptions. – 1 bottle of PEP (30 tablets of Taffic) * Take 1 tablet daily for 28 days. The remaining 2 tablets are for backup use.

Safe Storage

Special discounted testing for syphilis, gonorrhea, chlamydia, and other STIs is available at the start and after completing PEP. We offer the following discounted tests exclusively to those who purchase a PEP package, valid for one month from the date of purchase. Gonorrhea & Chlamydia (Genital, Throat, Anal – 3 sites): 3,000 JPY (20,000 JPY) Vaginal Discharge Test (Vaginal Candida, Trichomonas, Bacterial Vaginosis): 3,000 JPY (4,500 JPY) These options are valid for one month after purchasing PEP. A follow-up test one month after completing PEP is available at a special discounted price. If you wish to use doxy-PEP in addition to PEP, adding the “Gonorrhea and chlamydia (genital, throat and rectum; 3 sites)” test (3,000 JPY) allows same-day doxy-PEP prescription.

Financial and insurance assistance

We offer gonorrhea, chlamydia and syphilis testing at a special price for everyone who starts or continues doxy-PEP. HIV, Hepatitis B & Kidney function: 3,000 JPY HIV, Hepatitis B, Kidney function & Syphilis: 5,000 JPY This method involves taking medication within 72 hours after sexual activity to prevent syphilis, gonorrhea, and chlamydia. The reported canadian generic cialis pharmacy effectiveness of prevention is 87% for syphilis, 88% for chlamydia, and 55% for gonorrhea (International AIDS Society, July 2022). These STIs have a high transmission rate when having sexual contact with an infected person—around 30% for syphilis and 50% for chlamydia and gonorrhea—making this prevention method highly effective and globally recognized. We provide thorough explanations of the risks and benefits of preventive medications during a doctor’s consultation and determine eligibility for each patient. If you experience side effects such as mild nausea or abdominal discomfort, or if you are planning pregnancy, the duration can be adjusted in consultation with a doctor.

Country Average Price (USD) Price Range (USD) Availability
USA 50 45 - 55 Widely available
UK 48 42 - 55 Easy access
Canada 52 48 - 55 Readily available
Australia 55 50 - 60 Available via prescription
Germany 47 43 - 52 Accessible

For first-time patients, the induction plus 6-month continuation package offers the best value. For ongoing therapy, you may choose a 1-month, 3-month or 6-month supply.

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Induction package (day 1, 4 and 7): 4,000 JPY Continuation 1 month (once weekly x 4): 5,000 JPY Continuation 3 months (once weekly x 12): 12,000 JPY Continuation 6 months (once weekly x 24): 20,000 JPY Induction plus continuation 6-month package: 22,000 JPY For patients starting or undergoing induction with preventive medication for vaginal candida, we offer vaginal discharge testing and contraceptive injections at special prices. Vaginal discharge test (vaginal candida, trichomonas and bacterial vaginosis): 3,000 JPY (4,500 JPY) Contraceptive injection (Depo-Provera): 8,000 JPY (9,000 JPY) per dose or 22,000 JPY (25,000 JPY) for 3 doses Special pricing is available for those who purchase PrEP, doxy-PEP or preventive medication for vaginal candida from us. Bacterial vaginosis occurs when the balance of bacteria in the vagina is disrupted. It can develop even in individuals without sexual experience, and many women may experience it at least once.

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While it usually does not cause severe symptoms, it may increase the risk of HIV infection and other STIs. It is known that treating partners together can help prevent bacterial vaginosis. A randomized controlled trial published in March 2025 cialis sublingual reported that, in addition to standard treatment for women, providing male partners with 7 days of oral medication plus topical treatment reduced the 12-week recurrence rate from 63% to 35%, approximately a 50% reduction. – Test items: vaginal candida, trichomonas and bacterial vaginosis – Results: Results for candida, trichomonas and bacterial vaginosis are available on the same day (approximately 30 minutes) The results will be explained by a doctor, and a consultation fee will be charged separately. For the patient: Vaginal suppositories: 4,500 JPY for 6 days – Use the vaginal suppository once daily at bedtime for 6 days. Symptoms often improve within 2-3 days, but it is important to complete the full 6-day course. For the partner: Oral medication plus topical medication: 6,000 JPY for 7 days – If you prefer only oral or only topical medication, it can be prescribed for 4,000 JPY. We offer generic Nebido, the long-acting male hormone injection, at nearly half the price of its original. [Total Cost] = [Consultation Fee*] + [Testing Fee] + [Package Price] * First visit: 2,500 JPY, 2nd+ visit: 1,000 JPY Note that no consultation fee will be charged if it’s just for prescription purposes. *The number of days for test results is counted from the “start of testing.” For specimens collected in the evening, on Sundays, holidays or during the New Year holidays, the next business day will be considered the “start of testing.” For not covered by Japanese national insurance services, results are available by email. The price for hormone therapy is as follows: ** Dosage and amount may vary depending on each patient’s individual condition. Please consult your doctor during your visit. *** For 1UP Formula, a 2,200 JPY prescription fee is paid at our clinic, and the medication cost (approximately 12,100 JPY) is paid separately at a specialized pharmacy. For the first visit, an additional consultation fee will be charged (2,500 JPY for the initial consultation, 1,000 JPY for follow-up visits).

Pharmacy Type Average Cost (USD) Discount Offered Prescription Needed
Online Pharmacy 45 10% annual Yes
Local Drug Store 50 None Yes
Hospital Pharmacy 55 N/A Yes

From the second visit onwards, no consultation fee will be charged if you are only receiving a vaccination. We offer same-day vaccinations and prescriptions for all medications available at our clinic. [Total Price] = [Consultation Fee] + [Test Fee] + [Medication Fee] – Consultation Fee: 2,500 JPY for the initial consultation, 1,000 JPY for follow-up visits – If a doctor’s consultation is not required, no consultation fee will be charged. However, the first visit always requires a doctor’s consultation. For vaccinations after the first visit, only the vaccination fee is required. No follow-up consultation fee will be charged. The following vaccines are available at our clinic: *If you have completed the primary series during childhood, only 1 dose is needed.

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