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Is dapoxetine available over the counter in USA? Yes. In the US and Europe TCA is not available over the counter. It can be bought, however, from a pharmacy, some pharmacists, drugstores, or online. Is dapoxetine safe to take during pregnancy? There are no studies in humans and risk with TCA when pregnant. is a "long term", long-acting treatment used for mild to moderate depression, not that much different than other antidepressants. There is much higher than average use of TCA in menopausal women and elderly. However, the only long-term study that was done in women and found the use of TCA to be riskier in older women. Another study found TCA to help with treatment