i haven't looked into if its under european approval. on know dupilumab has just been approved for investigation by the european medical association which is good news hopefully it will be accepted shortly after the fda approves it. I'm sorry but i don't know much about.. maybe consult your dermatologist or speak to a local pharmacy and see if they know anything about its availability. I'm sure you could do more research on the internet and find out information regarding it in europe.