Premature ejaculation
Approved in Europe, not in the United States: what that difference means
This is the one category on the site where Europe and the United States genuinely diverge. Dapoxetine, sold as Priligy, holds national approvals across most of the European Union for exactly this condition. The US Food and Drug Administration has never approved it, or anything else, for premature ejaculation.
The practical consequence is that American sources describe the whole field as off-label, while a German or Italian pharmacy dispenses an approved product against an ordinary prescription. Neither description is wrong. They are answers about different countries, and the pages below keep them apart.
Medicines
Premature ejaculation
- DapoxetinePriligyThe only medicine approved specifically for premature ejaculation, taken a few hours before sex rather than every day, and approved in Europe but not in the United States.Prescription only
- SertralineZoloftAn antidepressant prescribed off-label for premature ejaculation, mainly in countries where dapoxetine is not available.Prescription onlyNot approved for this use
Written by us
How to get it legally
In the European Union, dapoxetine is prescription-only and dispensed by pharmacies against a prescription, including one issued after an online consultation. In the United States there is nothing approved to prescribe, so American doctors who treat the condition use antidepressants off-label, which is legal and documented but not the same thing as an approval.
A topical lidocaine and prilocaine spray is approved in Europe and available without prescription in some countries. It is the one option in this category where the rules differ by country rather than by continent.