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Tianeptine ("Gas Station Heroin"): Why the FDA Keeps Warning About This Fake Focus Supplement

Tianeptine is an unapproved opioid-acting drug sold as a nootropic in gas stations. What the FDA has warned, the names to watch for, and what to do if you bought one.

Nutrition Reviews Editorial Team October 7, 2026 11 min read 13 sources
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Key takeaways

  • Tianeptine is an unapproved drug with full mu-opioid receptor activity, not a dietary ingredient — the FDA considers any supplement containing it adulterated.
  • Watch for the names Tianaa, Zaza, Neptune's Fix, Pegasus, TD Red and Tianna Green/Red/White, and for ingredient lines reading tianeptine sodium, sulfate, free acid or ethyl ester sulfate.
  • Labels marked 'research chemical' or 'for laboratory use only' alongside mood or focus claims are a regulatory dodge the FDA has acted against.
  • U.S. poison center exposures rose from a handful a year a decade ago to roughly 350 in 2024, with withdrawal a common reason for the call.
  • Some bottles have contained substances not on the label: a New Jersey cluster of 17 severely ill patients traced back to a product adulterated with synthetic cannabinoids.
  • If you have been using a tianeptine product daily, do not stop cold without medical advice — withdrawal can resemble opioid withdrawal.

If you shop for focus or energy products, you have probably walked past tianeptine without knowing it: a small, brightly colored bottle on a gas station counter, sold as a "nootropic" or a mood shot. It is not a supplement and not a legal ingredient in the United States — it is an unapproved drug with opioid activity that the FDA has warned about three times since 2023. Here is what tianeptine actually is, which product names and label words to watch for, and what to do if a bottle is already in your bag.

What is tianeptine, and why is it called "gas station heroin"?

Tianeptine is a drug, not a nutrient. In some European, Asian and Latin American countries it is licensed as an atypical antidepressant; in the United States it is not approved by the FDA for any medical use, is not generally recognized as safe for use in food, and does not meet the legal definition of a dietary ingredient [1][2].

Pharmacologically, it is unusual. It is thought to act through glutamate modulation, and it is a full mu-opioid and weak delta-opioid receptor agonist — the same receptor family that opioid painkillers act on [1]. Clinicians also describe it as an atypical tricyclic antidepressant that enhances serotonin reuptake alongside that mu-opioid activity [3]. In countries where it is approved, the usual labeled dose for depression is 12.5 mg taken three times a day, and the FDA notes that higher doses can produce euphoria, which is why several countries have restricted prescribing or added addiction warnings to the label [1].

The nickname comes from where people find it. The FDA says tianeptine is frequently sold in convenience stores, gas stations, vape shops and through online retailers, and that it "has also been referred to as 'gas station heroin'" [1]. News coverage of the agency's 2025 alert used the same framing: a product with opioid-like effects sitting on shelves next to ordinary energy shots [4].

Bottom line: Tianeptine is not a vitamin, botanical, amino acid or any other dietary ingredient. Products that contain it are, in the FDA's view, adulterated and unlawful — regardless of how the bottle is labeled [2].

Part of what makes tianeptine confusing for shoppers is that it has not been scheduled federally under the Controlled Substances Act, so it is not "illegal" in the way people usually mean [1]. That is a regulatory gap, not a safety verdict. Because tianeptine is neither a dietary ingredient, an approved food additive, nor generally recognized as safe, any supplement containing it is adulterated under federal law, and products sold with health claims are unapproved new drugs [2].

Timeline: the FDA's escalating warnings, 2023–2025

The agency's language has hardened steadily over two years.

Date Action
Nov 21, 2023 FDA warns consumers not to buy or use Neptune's Fix or any tianeptine product after severe adverse event reports, including seizures and loss of consciousness leading to hospitalization [5]
Jan 11, 2024 FDA writes to convenience store, gas station and other trade associations urging retailers to stop selling Neptune's Fix and any other tianeptine product [5]
Jan 23, 2024 FDA reports continuing severe adverse events, now including death, and warns of potentially life-threatening interactions with other medications [5]
Jan 28, 2024 Neptune Resources, LLC issues a voluntary nationwide recall of Neptune's Fix Elixir, Extra Strength Elixir and Tablets [5][6]
Feb 1, 2024 CDC publishes a report on a New Jersey cluster of severe illness linked to Neptune's Fix adulterated with synthetic cannabinoids [3]
Feb 2024 Criminal enforcement: an Arizona company and its CEO are sentenced for illegal distribution of tianeptine and ordered to forfeit $2.4 million, and a California man is sentenced for smuggling the drug from China [7][8]
Feb 15, 2024 Super Chill Products, another Neptune's Fix distributor, recalls its products without issuing a public consumer notice [5]
May 8, 2025 FDA Commissioner Martin Makary sends a letter to health care professionals calling tianeptine "a dangerous and growing health trend," with particular concern for young people [1][4]
Sep 8, 2025 FDA issues a warning letter to online seller PureRawz over five tianeptine products marketed as research chemicals [9]

Alongside those public alerts, the FDA has issued warning letters to companies selling tianeptine and placed products on import alert so shipments can be detained at the border [1][10].

Two details in that timeline matter more than the dates. First, the Super Chill recall was never publicly announced by the company, so bottles could easily have stayed in circulation [5]. Second, the FDA's own alert notes that Neptune's Fix labels did state tianeptine as an ingredient, but the products "may contain other harmful ingredients not listed on the label" [5]. With this category, the label is not a reliable description of what is in the bottle.

How tianeptine is marketed as a "nootropic" or energy and focus supplement

Tianeptine rarely shows up branded as an opioid alternative. It is dressed as a brain or mood product. The FDA says it is marketed as a "research chemical," a "nootropic" cognitive enhancer, or a dietary supplement, with unproven claims that it can improve brain function and treat anxiety, depression, pain and opioid use disorder [1][10].

Product names the FDA has specifically listed include Tianaa, Zaza, Neptune's Fix, Pegasus and TD Red [1]. The agency's ingredient directory also lists aliases used on labels and listings: tianeptine sulfate, tianeptine sodium powder, Tianaa, Tianna Green, Tianna Red and Tianna White [2]. Formats vary — the FDA has seen pills, liquids and powders sold online [10], while the New Jersey cases involved a flavored elixir shot sold in small colorful bottles, combined with kavain [3].

The "research chemical" dodge is the clearest tell. In its September 2025 warning letter, the FDA told an online seller that despite labeling products "for laboratory and research use only," the marketing language on its website and social accounts established that the tianeptine products were intended as drugs for humans — and therefore unapproved new drugs [9]. The claims the agency quoted included treating major depressive disorder, reducing anxiety and enhancing cognitive function [9].

Good to know: Tianeptine may not show up on routine drug screening panels, which is one reason clinicians can miss it when someone arrives at an emergency department confused or sedated [1].

The real risks: dependence, overdose and death

Doses far beyond anything therapeutic

The FDA points to case reports describing U.S. consumers taking daily doses on the order of 1.3 to 250 times the daily dose recommended in labeled foreign drug products — roughly 50 mg to 10,000 mg a day, against a labeled 12.5 mg three times daily [1]. People escalate because the mu-opioid effect produces tolerance, and because nothing on a gas station counter is dosed like medicine.

Reported adverse effects

Adverse events the FDA associates with tianeptine ingestion include agitation, confusion, drowsiness, sweating, nausea, vomiting, tachycardia, hypertension, respiratory depression, coma and death [1]. The agency has also identified serious harm in people who combined tianeptine with other drugs, including antidepressants and antianxiety medicines [10].

Dependence and withdrawal

This is the part most product pages never mention. Tianeptine is frequently used chronically, and the FDA warns that abruptly stopping can produce withdrawal symptoms resembling opioid discontinuation: craving, sweating, goose flesh, diarrhea and muscle aches [1]. The CDC has reported that the clinical effects of tianeptine abuse and withdrawal can mimic opioid toxicity and withdrawal [10]. In the CDC's review of national poison center data from 2000 to 2017, 29 of 218 tianeptine calls were withdrawal-associated, most commonly involving agitation, nausea, vomiting and tachycardia [11].

The exposure numbers keep climbing

Poison center data give the clearest picture of the trend:

  • From 2000 through 2013, U.S. poison centers logged just 11 tianeptine exposure calls in total; calls then rose from 5 in 2014 to 38 in 2015, 83 in 2016 and 81 in 2017 [11].
  • Annual cases reached 151 in 2020 [12] and about 350 in 2024, up from 4 in 2013 [10].
  • An analysis of single-substance tianeptine exposures reported to U.S. poison centers found 892 cases between 2015 and 2023, with the exposure rate rising roughly 1,400% over that period and withdrawal accounting for about 22.5% of cases [13].

Severity is not trivial. Among tianeptine-only exposures in the CDC's 2000–2017 review, neurologic effects were the most common finding, and about a quarter of people with a reported level of care were admitted to a critical care unit [11].

When the bottle contains something else entirely

The New Jersey cluster shows how unpredictable these products are. Between June and November 2023, the state poison center received 20 exposure calls involving 17 patients aged 28 to 69 — a sharp jump from a baseline of two or fewer calls a year [3]. Fourteen had taken Neptune's Fix. Every patient had altered mental status; 11 had tachycardia, 10 had low blood pressure, 8 had seizures, 7 had a prolonged QT interval and 1 had a cardiac arrest. Thirteen of the 17 were admitted to intensive care and 7 required intubation, though none died [3].

Laboratory analysis of six bottles found variable composition, including two synthetic cannabinoid receptor agonists that were not on the label, which listed only kavain and tianeptine [3].

Safety note: Call 911 if someone is unconscious or having trouble breathing [5]. For guidance on any suspected tianeptine reaction or overdose, the national Poison Help line is 1-800-222-1222, and the FDA points health professionals and the public toward over-the-counter naloxone nasal spray as an overdose reversal option to have on hand [1][5].

Red flags: how to spot tianeptine products before you buy

Most readers will never seek this drug out deliberately. The risk is buying it by accident from a display of focus shots, mood pills or "nootropic" capsules. These are the signals worth scanning for.

Check the ingredient line for these words: tianeptine, tianeptine sodium, tianeptine sulfate, tianeptine free acid, tianeptine ethyl ester sulfate [2][9]. Any of them means put the product down.

Watch the brand names the FDA has flagged: Tianaa, Zaza, Neptune's Fix, Pegasus, TD Red, plus Tianna Green, Tianna Red and Tianna White [1][2]. Brand names change faster than regulators can publish them, so treat the list as examples rather than a complete catalogue.

Treat "research chemical" and "not for human consumption" as warnings, not disclaimers. A product that tells you it is for laboratory use while describing how it will lift your mood is describing a drug, and the FDA has said exactly that in enforcement letters [9].

Be skeptical of claims no supplement is allowed to make. Marketing that promises to treat depression, anxiety, pain or opioid dependence is, by definition, a drug claim [10][12]. Our guide to reading a Supplement Facts label walks through what legitimate labels can and cannot say.

Notice where and how it is sold. Small colorful shot bottles, flavored elixirs and single-serve pills at gas stations, smoke shops and vape shops are the classic format [1][3]. Online, the same products often sell through storefronts that also ship peptides and other "research" compounds [9].

Red flag on a focus or energy product What a credible product looks like
"Research chemical," "for laboratory use only" A clear Supplement Facts panel with every active ingredient and amount
Ingredient names ending in -ine sodium, sulfate or ethyl ester sulfate that you cannot find on an authoritative source Recognizable ingredients such as caffeine, L-theanine, creatine or B vitamins
Claims to treat depression, anxiety, pain or withdrawal Structure/function language and realistic expectations
Euphoric or opioid-adjacent effects described in reviews No intoxicating effect claimed at all
No manufacturer address, lot number or contact details Named manufacturer, lot number and, ideally, third-party testing

If you buy from marketplaces or social commerce, the vetting problem is the same one we cover in how to check TikTok Shop supplements, and third-party certification is the most useful filter available to a shopper — see NSF vs. Informed Sport vs. USP.

What to do if you already bought one

  • Stop using it — but do not assume stopping cold is harmless. The FDA told consumers, distributors and retailers holding recalled Neptune's Fix products to dispose of them or return them to the place of purchase [5]. If you have been taking a tianeptine product daily, talk to a clinician before stopping, because withdrawal can resemble opioid withdrawal [1].
  • Keep the packaging. Photos of the label, the lot number, the expiration date and where you bought it are exactly what FDA investigators need [1].
  • Report it. Adverse events can be submitted to FDA's MedWatch program online or by phone at 1-888-INFO-FDA [1].
  • Get help if you need it. For suspected poisoning, call 1-800-222-1222. For substance use treatment, the FDA points consumers to findtreatment.gov and the national helpline at 1-800-662-HELP (4357) [1][10].
  • Tell your clinician what you took. Tianeptine may not appear on standard drug screens, and it can interact with antidepressants and antianxiety medications, so the information changes how you are treated [1][5][10].

This is one of those situations where a conversation with a healthcare professional genuinely matters — particularly if you are pregnant, taking prescription medication for mood or pain, or managing a substance use disorder.

Legitimate options for focus and energy

The uncomfortable truth behind this market is that tianeptine sells because it does something noticeable. Nothing in the legal supplement aisle produces an opioid-like effect, and that is a feature rather than a shortcoming: a focus product should make a normal day feel manageable, not altered.

If you are shopping that category, a few principles keep you out of trouble:

  • Stick to ingredients with transparent, dose-labeled amounts. Caffeine, L-theanine, creatine and B vitamins all appear on labels with real numbers you can evaluate. We break down which stimulant and nootropic ingredients earn their place — and which are filler — in pre-workout ingredients that work.
  • Fix the inputs first. Energy and concentration complaints often trace back to short or broken sleep rather than a missing compound; our evidence-ranked sleep supplement guide is a more useful starting point than another stimulant.
  • Be suspicious of any product whose effect feels like a drug. Sedation, euphoria or a next-day crash from a "supplement" is a reason to check the ingredient list against authoritative sources, not a sign that you found something that works.
  • Prefer products that submit to outside scrutiny. Third-party certification does not guarantee a product works, but it makes undeclared pharmaceuticals far less likely.

The bottom line

Tianeptine is an unapproved drug with full mu-opioid receptor activity that is being sold to American shoppers as a nootropic, a mood shot or an energy supplement [1]. The FDA has warned about it repeatedly since November 2023, overseen recalls, sent letters to gas station and convenience store trade groups, pursued criminal cases and, as recently as September 2025, warned online sellers to stop [5][7][9]. Poison center exposures have climbed from a handful a year a decade ago into the hundreds [10][13], the products are sometimes adulterated with substances that are not on the label [3], and the withdrawal pattern looks like opioid withdrawal [1].

You do not need to memorize pharmacology to stay safe here. Read the ingredient line, walk away from anything labeled a research chemical, and buy focus and energy products that tell you exactly what is in them and how much.

This article is for general information and isn’t medical advice. Supplements can interact with medications and conditions — talk to a qualified healthcare professional before starting one. Medical disclaimer.

Frequently asked questions

What is tianeptine and why is it called gas station heroin?
Tianeptine is a drug licensed as an atypical antidepressant in some countries but not approved in the United States for any medical use. It acts as a full mu-opioid receptor agonist, so at high doses it can produce opioid-like euphoria, dependence and withdrawal. The nickname comes from where it is sold: convenience stores, gas stations and vape shops, usually packaged as a nootropic, mood shot or energy supplement rather than as a drug.
Is tianeptine legal to sell in the United States?
It is not scheduled federally under the Controlled Substances Act, which is why it still appears on shelves, but that does not make it legal to sell as a supplement. The FDA says tianeptine is not a dietary ingredient, is not generally recognized as safe in food and is not an approved drug, so supplements containing it are adulterated and products sold with health claims are unapproved new drugs. The agency has issued recalls, import alerts and warning letters.
Which product names contain tianeptine?
The FDA has specifically named Tianaa, Zaza, Neptune's Fix, Pegasus and TD Red, and its ingredient directory also lists Tianna Green, Tianna Red and Tianna White. Labels may list the compound as tianeptine sodium, tianeptine sulfate, tianeptine free acid or tianeptine ethyl ester sulfate. Brand names change quickly, so scan the ingredient line rather than relying only on a list of brands.
What happens if you stop taking tianeptine suddenly?
People who use tianeptine regularly can develop dependence, and the FDA warns that stopping abruptly may trigger withdrawal that resembles opioid discontinuation, including craving, sweating, goose flesh, diarrhea and muscle aches. Poison center records also show agitation, nausea, vomiting and rapid heartbeat in withdrawal cases. If you have been taking a tianeptine product daily, speak with a clinician rather than stopping on your own.
I already bought a tianeptine product. What should I do?
Stop using it and either dispose of it or return it to where you bought it, but talk to a healthcare professional first if you have been taking it daily, because withdrawal can be significant. Keep photos of the label, lot number and purchase location, and report the product to FDA MedWatch. For a suspected reaction or overdose, call Poison Help at 1-800-222-1222, or 911 if someone is unconscious or struggling to breathe.

References

  1. [1]New "Gas Station Heroin" Tianeptine Product TrendU.S. Food and Drug Administration (May 8, 2025)
  2. [2]Tianeptine in Dietary SupplementsFDA Dietary Supplement Ingredient Directory (accessed 2026)
  3. [3]Notes from the Field: Cluster of Severe Illness from Neptune's Fix Tianeptine Linked to Synthetic Cannabinoids — New Jersey, June–November 2023MMWR Morbidity and Mortality Weekly Report (2024)
  4. [4]FDA issues warning against "gas station heroin" tianeptineCBS News (2025)
  5. [5]FDA warns consumers not to purchase or use any tianeptine product due to serious risksU.S. Food and Drug Administration (updated May 2025)
  6. [6]Neptune Resources, LLC Issues Voluntary Nationwide Recall of Neptune's FixU.S. Food and Drug Administration (2024)
  7. [7]Arizona Company and CEO Sentenced for Illegal Distribution of Tianeptine and Other Drugs and Ordered to Forfeit $2.4 MillionFDA Office of Criminal Investigations (2024)
  8. [8]California Man Sentenced for Smuggling Fraudulent Cognitive Enhancement Drug Into the United States from ChinaFDA Office of Criminal Investigations (2024)
  9. [9]PureRawz - 715218 - 09/08/2025 (FDA Warning Letter)FDA Center for Drug Evaluation and Research (2025)
  10. [10]Tianeptine Products Linked to Serious Harm, Overdoses, DeathFDA Consumer Update (accessed 2026)
  11. [11]Notes from the Field: Tianeptine Exposures Reported to US Poison Centers — United States, 2000–2017MMWR Morbidity and Mortality Weekly Report (2018)
  12. [12]Tianeptine (Health Fraud Scams)U.S. Food and Drug Administration (updated May 2025)
  13. [13]Tianeptine Exposures Reported to United States Poison Centers, 2015–2023Journal of Medical Toxicology (2024)

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