They do have all these things, but are not that easy to get on prescription for those who are not at late middle age or elderly.
This is because of the strong recreational drugs culture here, the risk of diversion or overdose/suicide attempts and that European nations all have public provided healthcare. Whilst this is really good for treating genuinely ill people and the developmnent of teaching hospitals, it also means bad news travels fast – and recreational users are quickly identified and judged by non users as they are seen as a drain on the taxpayer funded system. Paradoxically a lot of the loose prescription in the USA is viewed as “legalised drug dealing” in Europe. There are a lot of diverted pills from the USA and Asia finding their way into Europe outside of the public health services (where they count every last pill – I work in such a place as an IT engineer and have seen the security procedures in use, they are robust).
At age 42 in Europe you would be still considered a young person (middle age only starting from 50-80 and old age from 80-100+), and to get the stronger stuff you might even have to spend time at an “old peoples home” normally used for age 80-100+
