- Tianeptine, dubbed 'gas station heroin,' has led to life-threatening risks at supratherapeutic doses.
- It is sold as a dietary supplement or research chemical despite lacking FDA approval.
- Adverse effects include agitation, respiratory depression, and death, with withdrawal symptoms resembling opioid discontinuation.
- Severe illnesses linked to tianeptine highlight its compounded toxicity.
- The FDA has issued consumer warnings and enforced import alerts for tianeptine-containing products.
Source: FDA
