Notice: Holiday and Irregular Schedule


Dr Mikasa will be out-of-the-office on the following dates. Please schedule early as the appointments can be limited upon return.

Wednesday, March 21st, 2018 – National Holiday – Vernal Equinox Day

Thursday, March 22nd, 2018 – A substitute physician is available in the morning. General Medicine will be closed in the afternoon. Psychiatry patients will be seen as scheduled.

Friday, March 23rd, 2018 – General Medicine will be closed in the morning. A substitute physician is available in the afternoon. Psychiatry patients will be seen as scheduled.

Thank you for your understanding and cooperation.

American Clinic Tokyo is an appointment based, General Medicine & Psychiatry Clinic


American Clinic Tokyo is an appointment based clinic. We ask for your cooperation to place an appointment in advance. This will help us secure sufficient time for each patient and will help us maintain the highest standards of privacy and infection control.

Reach us at or call 03-6441-0969 with the following information.

  1. Name
  2. Date of Birth
  3. Contact Number or Email
  4. Reason for Visit
  5. Current Location

Please read our FAQ section for details before proceeding to place an appointment. We do not consult or handle time-sensitive matters over email. Emails without the information above may not be answered. Thank you in advance for your understanding and cooperation.

Widespread Flu activity in Japan

2018 Outbreak Flu: January 15th, 2018 – January 21st, 2018

(Reported on January 24th, 2018)

The flu vaccine may be only about 30% effective against the predominant strain. Officials still recommend the flu vaccine for those who haven’t received it.

Seasonal Flu Vaccinations 2017-2018

We are pleased to report that we have received an adequate supply of seasonal flu vaccines for this season. Please schedule an appointment and receive yours as soon as possible. Thank you so much for your patience.

Fees: Influenza Vaccine 3600 yen (includes Tax and consultation)

Immunization Recommendations for 2017-2018 Flu Season

• Recommendation for vaccination: Routine annual vaccination is recommended for all persons aged 6 months and above who do not have contraindications.

• Composition of influenza virus vaccines for use in the 2017-2018 northern hemisphere influenza season will contain the following:

  • A/Singapore/GP1908/2015 (H1N1)pdm09-like virus
  • A/Hong Kong/4801/2014 (H3N2)-like virus
  • B/Texas/2/2013-like virus
  • B/Phuket/3073/2013-like virus

• Timing of vaccination: Vaccination should occur before onset of influenza activity in the community.

• Travelers: Travelers who wish to reduce the risk for influenza infection should consider influenza vaccination, preferably 2 weeks before departure.

Please contact our office for details and appointments. Special arrangements can be made for large groups or companies that require all employees to be vaccinated. We are scheduled to receive the first batch of influenza vaccinations during October 2017.

Our Performance Against Set Standards

In an effort to measure and assess our performance against set standards, Dr Andrew Kissane has taken part in clinical governance activities, including an audit cycle. We are conducting this practice at the American Clinic Tokyo and have audited the outcomes we are achieving for patients. The data has been published in an audit poster at the Royal College of Psychiatrists International Congress 2017 held in Edinburgh.

ACT audit RCPsych Int Congress 2017    Audit RCPsych Int Congress 2017

For more information, please follow the links below:

CDC Committee recommends against Flumist for 2017-2018

At its June 21-22 meeting, the CDC’s Advisory Committee on Immunization Practices (ACIP) recommended against the use of live attenuated influenza vaccine (LAIV; FluMist) for the 2017-2018 flu season because of the vaccine’s reduced efficacy.

Therefore, the American Clinic Tokyo will not import or offer FluMist this season. We hope this will change and look forward to being able to provide more options in the future.

Seasonal influenza vaccines will be administered as usual. We are supposed to receive the vaccines for the 2017-2018 season in October so please schedule with us when you can.

Urinary tract infections: Treat with antibiotics as soon as possible

Urinary tract infections (UTIs) happen when bacteria get into the urethra and travel up into the bladder. They are among the most common infections in people, and antibiotic treatment is usually helpful in treating an infection.

If the infection stays just in the bladder, it is a called “cystitis.” Common symptoms include pain or burning when urinating, urinary frequency or urgency, blood in the urine. Treatment will usually require a 3-5 day course of antibiotics.

But if the infection travels up past the bladder and into the kidneys, it is called “pyelonephritis.” Common symptoms include fever, flank pain, nausea, and vomiting. Treatment will usually require a 7-14 day course of antibiotics.

More information can be found here:

If you have any questions, feel free to call us at 03-6441-0969 and talk with one of our nurses.

Morning-after-pill NorLevo® and oral contraceptives in Japan

Oral contraceptive (levonorgestrel) NorLevo® has been released for prescription in Japan on April 2016. It is better known as Plan B (morning after pill) in the United States. This is a single pill you take by mouth. It must be taken within 72 hours (3 days) after unprotected sex or birth control failure to help prevent pregnancy. The sooner you take it, the better it will work for you.

When used as directed, oral contraceptives are generally safe and effective. But it shouldn’t be used as regular birth control, because it’s not as effective. Some may experience side effects, such as: Nausea, Abdominal cramps, Fatigue, Headache, Dizziness, Breast tenderness, Vomiting, and a period that is lighter, heavier, early, or late. It is contraindicated during pregnancy as the indication is for emergency contraception only. This pill will not protect you against HIV/AIDS or other sexually transmitted infections (STIs).

You will know it worked when you get your next period, which should come at the expected time. If your period is more than a week late, it is possible you may be pregnant. You should get a pregnancy test and follow up with your doctor. If you have any questions, feel free to call us at 03-6441-0969 and talk with one of our nurses.