Tianeptine (Stablon, Coaxil) is unique, atypical antidepressant drug developed that was developed in 1981 in France.3www.tianeptine.com/tianeptine-stablon.pdf It has anti-depressive, anxiolytic, and nootropic qualities.4www.ncbi.nlm.nih.gov/pubmed/155829225www.ncbi.nlm.nih.gov/pubmed/29029227www.ncbi.nlm.nih.gov/pubmed/19704408
Some notable nootropic qualities of tianeptine include potent neuroprotection, reversal of stress-related brain damage, and memory enhancements. Interestingly, tianeptine is also characterized by a distinct lack of sedation or anticholinergic effects (which are common of other antidepressant drugs).
In addition to being used to treat depression, panic disorder, and social phobia, Tianeptine also shows promise for treating asthma, autism, ADHD, IBS, and various neurodegenerative pathologies including “cerebral ischaemia, cerebral traumatism, cerebral aging, Alzheimer’s disease, multiple sclerosis, amyotrophic lateral sclerosis, demyelating pathologies, encephalopathies, chronic fatigue syndrome, myalgic encephalomyelitis post-viral fatigue syndrome, the state of fatigue following a bacterial or viral infection, and the dementia syndrome of AIDS.”3www.tianeptine.com/tianeptine-stablon.pdf
Tianeptine is a very novel drug with a pharmacological profile that is quite unlike other antidepressants. While it is technically classified as a tricyclic antidepressant (a group of antidepressants that contain three rings of atoms in the chemical structure), it is so uniquely unusual that it is considered to be in its own distinct class and is usually referred to as an “atypical” antidepressant.
Tianeptine acts as a serotonin reuptake enhancer1www.ncbi.nlm.nih.gov/pubmed/18221189, which shows how little we understand about modern psychiatric medicine and the surrounding psychopharmacology. Most antidepressant drugs are serotonin reuptake inhibitors, which increase the availability of serotonin in the synapses. Given that Tianeptine does the exact opposite, this makes the “low serotonin” model of depression seem reductionistic and confounding.
Tianeptine was also discovered to be a full agonist at the μ-opioid and δ-opioid receptors, with a much weaker affinity at the latter.2www.ncbi.nlm.nih.gov/pmc/articles/PMC4119213/ The μ-opioid receptors act as a hedonic hotspot in the brain, causing euphoria, while the role of the δ-opioid receptors in the brain is less understood at this time. Tianeptine’s unique ability to target both of these sites may be critical to its acute and chronic anxiolytic and antidepressant qualities.
Despite it’s affinity for opioid receptors, Tianeptine does not cause physiological tolerance or withdrawals when used at the intended, therapeutic doses.6 www.ncbi.nlm.nih.gov/pubmed/28303899 When Tianeptine is taken at its therapeutic dose range, its affinity for the opioid receptors is very weak in comparison with traditional opioids, and thus has virtually zero risk of addiction or dependence.
Unfortunately, there are some people who take Tianeptine recreationally – using supratherapeutic doses to experience a “high”. This is not how Tianeptine was ever intended to be used, but as a result Tianeptine has been subject to criticism due to the actions of uninformed and irresponsible drug users. When Tianeptine is used properly, you may not necessarily “feel” anything – this is the type of drug that works in the background and may not provide immediate relief.
However, as stated earlier, Tianeptine’s most important qualities come not from its opioid or serotonergic properties, but from its nootropic qualities.
Tianeptine has profound effects on glutaminergic neurons. Glutamate is the primary excitatory neurotransmitter in the brain and plays many roles, but it is known that overexcitation of glutamate receptors can cause cell death (excitotoxicity). Tianeptine acts as a neuroprotective agent and prevents excitotoxicity in the hippocampus via modulation of the glutamate receptors. Chronic use of Tianeptine also appears to prevent programmed cell death (apoptosis) in the temporal cortex and hippocampus as well.
Most importantly of all, Tianeptine has been shown to significantly raise levels of BDNF (brain-derived neurotrophic factor), an agent that causes new neurons to form and proliferate. Tianeptine also promotes neuroplasticity, an ability of the brain to adapt and undergo structural changes. Through these neuroplastic mechanisms, Tianeptine has been shown to reverse the damage in the brain that occurs from chronic stress.7www.ncbi.nlm.nih.gov/pubmed/197044088www.ncbi.nlm.nih.gov/pubmed/155503489www.ncbi.nlm.nih.gov/pubmed/1575395710www.ncbi.nlm.nih.gov/pubmed/1822118911www.ncbi.nlm.nih.gov/pubmed/18072812
Chronic stress leads to excessive cortisol levels which can cause pathological changes in the brain. Excess cortisol levels cause dendritic shrinkage in the hippocampus and a growth of dendrites in the amygdala; tianeptine appears to reverse these changes through its neuroplastic mechanisms.
Additionally, Tianeptine has demonstrated direct nootropic benefits; it’s been shown to improve memory consolidation, intellectual performance12www.ncbi.nlm.nih.gov/pmc/articles/PMC2701287/, and facilitate working and reference memory13www.ncbi.nlm.nih.gov/pubmed/2680463, thereby preventing stress-induced memory deficiencies.
Among all the nootropics available today, Tianeptine is one of the greatest. It causes profound structural changes in the brain that provide immense benefit over time.
It is a travesty how commonly it is mischaracterized by uninformed people as mere opiate that gets you “high”, as they are completely unaware of its immense nootropic and therapeutic potential.
Tianeptine Dosage Information
There are two forms of Tianeptine available: Tianeptine Sodium and Tianeptine Sulfate
Tianeptine Sodium has a short half-life at only about 2.5 hours14www.ncbi.nlm.nih.gov/pubmed/3180120, and requires two redoses throughout the day. The tianeptine sodium dosage is 12.5 mg taken three times daily, for a total of 37.5mg per day.
Tianeptine Sulfate Unlike the sodium form which has a noticeable spike and dip in its effects, the sulfate form is much more stable and slow-releasing. As such, the sulfate form is widely considered superior as it is more stable and less susceptible to abuse. Therefore, the tianeptine sulfate dosage is 35mg taken once per day.
*Do not exceed 50mg of tianeptine in one day. Doing so can open the door for abuse and addiction potential. Tianeptine may have some immediate mood brightening effects that seemingly disappear after extended use; do not increase your dosage to replicate those initial feelings. Just be patient and let tianeptine do its work in the background.
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