Provided is a drug removal device for removing drugs from one or more pockets from among a plurality of pockets arranged in the short-side direction of a drug sheet, for example. The drug removal device is provided with: a sheet conveyance path (2) for conveying a PTP sheet (100); an opening (26) for dropping drugs, which is formed orthogonal to the direction of conveyance of the PTP sheet (100); a pocket-pressing part (3) for removing drugs from drug-accommodating pockets (100a) in the PTP sheet (100); a raising part (4) for raising a push-out member (31) of the pocket-pressing part (3); a sheet-fixing part (5) for pressing and fixing the PTP sheet (100); a drug flow passage (6) for conducting drugs removed from the drug-accommodating pockets (100a) to a drug accommodation part; a conveyance with adjustment part (7) for adjusting the width of conveyance of the sheet conveyance path (2); and an opening with adjustment part (8) for adjusting the width of the opening (26) for dropping drugs.