Left photo of male patient speaking to doctor (male). Right photo of woman looking very concerned about online purchase made on her laptop. She is holding her credit card.


Persons looking for to treat their ailments often error a products as getting safe and sound simply because it is effortlessly offered, irrespective of whether on line or even at gasoline stations. But availability is no sign of usefulness or protection. This is in particular true of tianeptine, an unapproved drug related with really serious overall health hazards and even death.

Tianeptine is not authorised by the U.S. Foodstuff and Drug Administration for any professional medical use. In spite of that, some providers are illegally marketing and providing merchandise made up of tianeptine to consumers. They are also generating dangerous and unproven promises that tianeptine can increase mind operate and take care of nervousness, depression, soreness, opioid use dysfunction, and other conditions.

Although the Food and drug administration has warned individuals about tianeptine, distributors keep on to sector and promote this drug. The Fda is informed that tianeptine has been offered on the web, typically in pill or powder form.

Tianeptine Isn’t Food and drug administration Authorized for Any Clinical Use 

Tianeptine is an unapproved drug in the U.S. Despite the fact that other international locations have permitted tianeptine to handle despair and nervousness, some have limited how tianeptine is approved or dispensed, or revised the drug label to warn of achievable dependancy.

In the U.S., reports of undesirable reactions and unwanted outcomes involving tianeptine are raising. Poison handle heart circumstances involving tianeptine exposure have improved nationwide, from 11 overall scenarios among 2000 and 2013 to 151 instances in 2020 on your own.

Tianeptine Presents Safety Dangers and Can Be Abused 

Instances explained in clinical journals, in calls to U.S. poison handle centers, and in reviews to the Food and drug administration counsel that tianeptine has a prospective for abuse. Folks with a record of opioid use problem or dependence may be at unique hazard of abusing tianeptine.

Some folks have turned to tianeptine as an opioid alternative, or to self-treat panic or despair. Medical journals and reports to the Food and drug administration counsel that adverse gatherings may well take place when tianeptine is taken at doses better than the doses recommended in the countries wherever the drug has been accepted. Some persons may possibly have issue stopping their use of tianeptine and might working experience withdrawal signs and symptoms. The clinical outcomes of tianeptine abuse and withdrawal can mimic opioid toxicity and withdrawal, in accordance to the Facilities for Condition Command and Avoidance (CDC).

The Food and drug administration has discovered instances in which individuals skilled other severe dangerous outcomes from abusing or misusing tianeptine by alone or with other medicines, like antidepressants and anti-nervousness medications. These consequences integrated agitation, drowsiness, confusion, sweating, speedy heartbeat, high blood strain, nausea, vomiting, slowed or stopped breathing, coma, and dying.

How to Shield Oneself and Your Family members

Consumers need to avoid all solutions containing tianeptine, like all those saying to treat an ailment or dysfunction. Discuss to your wellbeing treatment company if you need aid with opioid dependence, despair, anxiety, ache, or other conditions. There are permitted therapies for those people and relevant conditions.

Assistance is obtainable to treat opioid or other material use disorders. Locate condition-certified suppliers who specialize in dealing with material use problems and addiction at Or get in touch with 1-800-662-Enable (4357).

The Food and drug administration has taken measures to safeguard individuals from unapproved tianeptine items, including warning customers that tianeptine is an unsafe meals additive and not a nutritional component. We have issued warning letters to companies illegally advertising and marketing tianeptine solutions as dietary supplements and unapproved medication. We also have issued import alerts to assist halt tianeptine shipments at our borders.

The Fda will carry on to choose regulatory motion to discourage the importation and advertising of unapproved tianeptine merchandise. In the meantime, you can report an adverse event involving tianeptine by applying the FDA’s MedWatch Basic safety Info and Adverse Occasion Reporting Method:

  • Entire and post the report on the web.
  • Download the form or get in touch with 1-800-332-1088 to request a reporting kind despatched to you in the mail, then entire and return to the address on the sort, or submit it by fax to 1-800-Food and drug administration-0178.

If you have a query about a medicine, phone your pharmacist or the Food and drug administration. The FDA’s Division of Drug Data (DDI) will respond to pretty much any drug dilemma. DDI pharmacists are available by email at [email protected], and by cellphone, at 1-855-543-DRUG (3784) and 301-796-3400.