The Dangers of Tianeptine: FDA Warnings and Illicit Availability
The Food and Drug Administration (FDA) has issued urgent warnings highlighting The Dangers of Tianeptine, a synthetic drug commonly referred to as “gas station heroin.” Available in tablet or powder form, tianeptine is sold online and in various retail settings such as convenience stores, gas stations, and smoke shops. Despite its approval as a prescription drug for depression treatment in some countries, tianeptine poses serious risks, similar to opioids like fentanyl, including addiction, withdrawal, overdose, psychosis, seizures, kidney damage, and even death. The FDA has explicitly stated that tianeptine does not meet the definition of a dietary ingredient and is an unsafe food additive. However, vendors continue to promote it as a dietary supplement, further endangering consumers.
Insights from Pharmacist C. Michael White
Pharmacist C. Michael White, an expert in substance abuse and natural products, sheds light on the growing health risks associated with tianeptine. This synthetic drug stimulates the same receptors as opioids like fentanyl, heroin, and morphine. Upon reaching the brain, these drugs bind to the mu opioid receptors, causing pain relief, euphoria, and dangerous effects such as slowed or stopped breathing. Tianeptine, at high doses, can induce euphoric effects similar to heroin and a dissociative state similar to ketamine, an anesthetic often abused as a street drug. Tianeptine-containing products are often referred to as “legal high drugs” or “gas station drugs,” encompassing several non-FDA-approved synthetic drugs casually sold online and in gas stations.
The Dangers of Tianeptine – Adverse Effects and Manufacturing Risks
Evidence from clinical trials, case reports, and poison control centers indicates common adverse effects induced by Tianeptine, including agitation, rapid heart rate, high blood pressure, confusion, nightmares, drowsiness, dry mouth, and nausea. The most severe consequences involve slowed or stopped breathing, coma, heart arrhythmia, and death. Moreover, products containing Tianeptine may not adhere to proper manufacturing practices, potentially containing lead, heavy metal contamination, microorganisms like salmonella or mold, or undisclosed drug ingredients. This lack of quality control raises concerns about the increased risk of adverse events resulting from the combination of active ingredients. Additionally, the variability of Tianeptine amounts within products, even from the same manufacturer, undermines the consistency of its effects.
Regulatory Challenges Around The Dangers of Tianeptine
Unlike FDA-approved drugs, Tianeptine falls under the purview of the Drug Enforcement Agency (DEA) as a controlled substance. However, manufacturers can sell their products to US citizens without notifying the DEA beforehand. For the DEA to ban an active ingredient like Tianeptine, it must be designated as Schedule I, indicating no legitimate medical purpose and high abuse potential. Unfortunately, Tianeptine initially entered the market as a dietary supplement, bypassing the necessary scrutiny. Additionally, its online sale for alleged research purposes further confuses consumers and allows unrestricted purchases.
The Risks of Non-FDA-Approved Synthetic Drugs
The use of non-FDA-approved products containing synthetic drugs poses significant risks and should be avoided. FDA-approved drugs require a prescription or have approved ingredients. Consumers should exercise caution when encountering non-FDA-approved drug products in settings like gas stations or online platforms that promise pain relief, anxiety reduction, increased energy, or a recreational buzz. These substances may be dangerous, especially considering that successful experiences with them are not indicative of future outcomes. Furthermore, sellers often label their products as “not for human consumption” or “for research purposes only,” flagging a high risk if ingested. Before using any dietary supplement, it is crucial to verify the active ingredient’s nature (natural or synthetic) and ensure its safety.
Recognizing The Dangers of Tianeptine and Advocating for Safety
Recognizing potentially dangerous situations is essential in protecting oneself and others from Tianeptine and similar substances. Unmarked powder bags, products labeled for research use or not for human consumption, and non-standard drug packaging are signs of potential harm. Standard drug tests available over the counter may not detect Tianeptine use, making it a popular alternative substance of abuse. To address emerging threats, states have the power to ban the sale of dangerous active ingredients in products. However, as of January 2024, only 12 states have banned Tianeptine sales, leaving room for illegal procurement through the internet. Contacting state legislators can be a proactive step towards preventing harm caused by these products.
Tianeptine presents a significant health risk due to its similarity to opioids, potential for addiction, and severe adverse effects. The unregulated sale of Tianeptine-containing products in various retail settings and online platforms highlights the urgent need for increased awareness among consumers. By understanding the dangers associated with non-FDA-approved synthetic drugs and advocating for stricter regulations, individuals can safeguard themselves and others from the harmful consequences of tianeptine use.
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