The father walked across the parking lot to meet his child’s preschool teacher but soon felt unwell. He returned to the car and collapsed due to a substance he had consumed earlier. In the emergency room, the doctors couldn’t revive him and they found out the substance he consumed was a product called, Neptune’s Fix.
This product called Neptune’s Fix contains tianeptine, also known as gas-station heroin. Tianeptine is among a growing class of addictive, unregulated products available in gas stations, convenience stores, smoke shops and across the internet. These products often originate in other countries and are not approved as medicines in the United States.
At least nine states have banned or restricted tianeptine and in late November, the F.D.A. issued a nationwide alert about Neptune’s Fix and tianeptine in general, warning people not to consume it. It has also been linked to overdoses and deaths.
Tianeptine appears as a concentrated powder or an ingredient in various products and is sold illegally with claims to improve brain function and treat various conditions. The F.D.A. does not evaluate supplements for safety or effectiveness and often cannot forbid manufacturers from marketing them as medical treatments.
Many people turn to tianeptine in the mistaken belief that it is a safe alternative to street opioids. There are also dangers associated with misuse, and case reports are increasing.
Tianeptine patients quickly develop a tolerance and require increased dosages, leading to rapid advancement in dosing. This can also lead to withdrawal symptoms and high expenses, along with severe dangers.
Case reports of tianeptine abuse have increased over the years, and they often lead to unpredictable overdose symptoms.
Tianeptine use leads to addiction, and even in high doses, the F.D.A. states that this substance should not be marketed as a dietary supplement. However, it is being openly marketed under their eyes, without the F.D.A. being able to stop the sales.
Some addiction psychiatrists believe medication like buprenorphine can be used to manage withdrawal from tianeptine. Such misconceptions lead to serious health threats and dangers.
The F.D.A. sent warnings to two companies for illegally marketing tianeptine products as dietary supplements. Enforcing bans and regulation around tianeptine is a challenge, and some believe that educating emergency responders and consumers about inherent risks in such products is a more effective approach.
While there are experts who disagree about how the F.D.A. should grapple with tianeptine and other supplements, there is consensus that awareness and education are crucial to dealing with the issue effectively.
