Do drug tests detect tianeptine?
A common question about Tianeptine is will it show up on a standard drug panel? To answer, Tianeptine can be tested for, but is a specific drug test and not generally flagged in a standard drug panel.
Tianeptine is known as ZaZa and Tianna Red by users, who were able to find it readily available in gas stations. In their Clinical Toxicology paper, Rushton and colleagues reported on 48 cases of tianeptine toxicity — overdoses and withdrawal — between Jan.
The metabolism of tianeptine is hepatic, via β-oxidation. CYP enzymes are not involved, which limits the potential for drug-drug interactions. Maximal concentration is reached in about an hour and the elimination half-life is 2.5 to 3 hours.
Michigan, Georgia, Alabama, and Tennessee banned the sale and manufacturing of Tianeptine between 2018 and 2022. This bottle of Zaza contains Tianeptine. Alabama followed in Michigan's footsteps in 2021. In 2022, Georgia, Tennessee and Ohio took a more severe stance by classifying it as schedule I.
Structurally, it is classified as a tricyclic antidepressant (TCA), however, it possesses different pharmacological properties than typical tricyclic antidepressants 1.
It has equivalent antidepressant efficacy to several classical antidepressant agents (amitriptyline, clomipramine, imipramine, mianserin) and the SSRIs fluoxetine (in most patients), paroxetine and sertraline.
What is tianeptine like and how does it feel? Tianeptine has anti-depressant and anti-anxiety properties. When used in high amounts, online users report an opioid like euphoric effect. Opioid effects typically involve pain reduction and sedation as well as a general sense of well-being.
The Tianeptine, also known as “ZaZa Red,” is an antidepressant, and one of the earliest depression treatments, according to the University of Alabama at Birmingham. The Madisonville Police said the drug creates withdrawal similar to heroin and has not been approved by the Federal Drug Administration for use in any way.
Tianeptine is an unapproved drug in the U.S. Although other countries have approved tianeptine to treat depression and anxiety, some have restricted how tianeptine is prescribed or dispensed, or revised the drug label to warn of possible addiction.
These novel synthetic opioids include the benzamide-based opioids U-47700 and AH-7921, tianeptine and MT-45. Novel synthetic opioids are amongst the most abundant and potentially lethal new psychoactive substance (NPS) chemical subclass.
What is the legal status of tianeptine?
Tianeptine is not currently controlled under the Controlled Substances Act.
While tianeptine is available by prescription in certain countries, it has a risk of misuse and abuse. Taking high doses of tianeptine can cause drowsiness, confusion, difficulty breathing, coma, and death. Long-term use can cause dependence and withdrawal.

The new law places the drug Zaza under the dangerous controlled drug act as a Schedule 2 illegal narcotic. Anyone who is caught illegally selling or in possession of Za Za could be fined with a class a misdemeanor. This carries up to 11 months, 29 days in jail, and/or fines up to $2,500.
Tianeptine increases the extracellular concentrations of dopamine in the nucleus accumbens by a serotonin-independent mechanism. Neuropharmacology.
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Pills and powders containing a substance known as tianeptine are being marketed as supplements that claim to provide an "intense mood boost" and "mental clarity." The "supplement," which commonly goes by the brand names ZaZa or Tianna Red, are instead bringing deadly outcomes.
The half-life of tianeptine is around 2.5 hours with active metabolite half-life around 7 hours.
Unlike other antidepressants, tianeptine is not primarily metabolized by the cytochrome P450 system. Instead, β-oxidation is the main metabolic pathway. Two major metabolites MC5 and MC3 are found in plasma and urine, respectively, and the behavioral effects of MC5 are comparable to those of tianeptine (Couet et al.
Introduction: Tianeptine is an antidepressant drug structurally similar to tricyclic antidepressants that is not approved by the FDA for any medical use in the US. It is known to be an opioid receptor agonist, and adverse events and deaths have been reported from the use of tianeptine.
The researchers found that tianeptine also reduces pain but does not result in tolerance or withdrawal like morphine. Tianeptine may have potential as a painkiller, but it has yet to be studied in that capacity.
Can you sleep on tianeptine?
This antidepressant agent neither inhibited paradoxical sleep nor increased slow wave sleep. However, tianeptine induced a slight, but significant increase in wakefulness during the first hour following its administration, and had no sedative effects.
The drug may induce a wide range of side effects including stomach aches, overdose, drowsiness, confusion. Withdrawal symptoms are similar and may include anxiety, appetite loss, dizziness, headaches, flu-like symptoms, insomnia, moodiness, tremors and suicidal ideation.
Drug testing for tianeptine is not routinely available, but specialty-testing laboratories might have the capacity. Withdrawal symptoms can also be seen in people chronically using tianeptine. Signs and symptoms were agitation, nausea, vomiting, tachycardia, hypertension, diarrhea, tremors and diaphoresis.
Mentally, you'll be relaxed and completely resigned to the world, with no concerns or stress anywhere. This makes ZaZa a great strain for insomnia or those that suffer from stress, depression, and anxiety. ZaZa also makes you hungry, making it a great choice for people with low appetites or nausea issues.
The new law places the drug Zaza under the dangerous controlled drug act as a scheduled 2 illegal narcotic. Anyone who is caught illegally selling or in possession of Za za could be fined with a class a misdemeanor. This carries up to 11 months, 29 days in jail, and/or fines up to $2,500.
Some common illicitly produced synthetic opioids that are currently encountered by law enforcement include, but are not limited to, acetyl fentanyl, butyryl fentanyl, beta- hydroxythiofentanyl, furanyl fentanyl, 4-fluoroisobutyryl fentanyl, acryl fentanyl, and U-47700.