Understanding Tianaa/Tianeptine

What Is Tianeptine (Tianaa)?

Tianeptine is a drug sometimes marketed in the U.S. under names like Tianaa or ZaZa Red. Although classified as an antidepressant in some countries, in the United States it is not FDA-approved for medical use. Instead, it is often sold as a dietary supplement or “research chemical.” Because Tianeptine acts on the brain’s opioid receptors, it can produce opioid-like effects. This has led to growing concerns over misuse, dependence and withdrawal. At BHG, we provide compassionate, evidence-based treatment for individuals struggling with Tianeptine misuse and addiction.

Why Tianeptine Is Dangerous

Although sometimes labeled as a supplement, Tianeptine is not a safe alternative to antidepressants or pain relievers. It can create feelings of euphoria, relaxation or stimulation — but repeated use quickly builds tolerance and dependence. 

Risks of Tianeptine misuse include: 

  • Severe withdrawal symptoms (similar to opioids) 
  • Drowsiness, confusion and memory problems 
  • Heart issues, seizures or liver damage 
  • Overdose, especially when combined with other substances 

Because products like Tianaa are often unregulated, users may also be exposed to inconsistent or contaminated formulations. 

Treatment and Support for Tianeptine Addiction

Many people turn to Tianeptine while looking for mood support, pain relief or help with anxiety — but misuse can escalate into dependence and life-threatening consequences. 

At BHG, we understand the unique challenges of emerging substances like Tianeptine. Our treatment programs provide comprehensive support, including: 

Medication-Assisted Treatment (MAT) when appropriate

Counseling and behavioral therapies to address triggers and stressors 

Intensive Outpatient Programs (IOP) and wraparound support services 

What is MAT for Tianeptine Addiction?

While no medications are approved specifically for tianeptine, MAT can use strategies from opioid use disorder treatment to manage dependence, reduce cravings and safely detox under clinical supervision. 

This approach is essential for managing the unique risks of tianeptine use. 

How MAT Supports Tianeptine Recovery

Tianeptine withdrawal can be physically and emotionally intense, with symptoms ranging from depression and insomnia to severe cravings. MAT helps stabilize the body, calm the nervous system and rewire the brain’s reward system. Counseling and case management support a smooth transition to recovery and a healthier future. 

The BHG Difference in Tianeptine Treatment

BHG leads the way in treating emerging substance use disorders like tianeptine addiction. Our providers stay up to date with evolving best practices and use flexible, patient-centered plans. With IOP, counseling, medications for opioid use disorder (MOUD) and ongoing support, we help patients move beyond addiction toward real stability and hope. 

Frequently Asked Questions About Tianeptine (Tianaa)

Is Tianeptine addictive?

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Yes. Tianeptine acts on the brain’s opioid receptors, which can lead to dependence and withdrawal symptoms similar to opioid addiction. Many people who start with small doses find it difficult to stop without professional treatment.

Is Tianeptine legal?

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Tianeptine is not FDA-approved in the U.S. and several states have banned its sale due to safety concerns. However, it may still be sold illegally online or mislabeled as a supplement.

What are the withdrawal symptoms of Tianeptine?

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Withdrawal can include anxiety, irritability, sweating, muscle aches, nausea, insomnia and intense cravings. Symptoms are often similar to opioid withdrawal and may require medical support.

Can you overdose on Tianeptine?

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Yes. High doses or combining Tianeptine with other substances can lead to overdose, respiratory depression, seizures or death.

How is Tianeptine addiction treated?

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Treatment typically involves a combination of medical support, counseling and behavioral therapies. While there is no medication approved specifically for Tianeptine, BHG uses evidence-based approaches to manage withdrawal, reduce relapse risk and support recovery.

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