(±)-tianeptine
Sign in to saveTianeptine, sold under the brand names Stablon, Tatinol, and Coaxil among others, is an atypical tricyclic antidepressant which is used mainly in the treatment of major depressive disorder, although it may also be used to treat anxiety, asthma, and irritable bowel syndrome.
Key facts
- Drug.Verifiedfields
- changed
- Drug.Watchedfields
- changed
- Drug.verifiedrevid
- 455249171
- Drug.IUPAC_name
- 7-[(3-Chloro-6-methyl-5,5-dioxo-11H-benzo[c][2,1]benzothiazepin-11-yl)amino]heptanoic acid
- Drug.image
- Tianeptine skeletal formula.svg
- Drug.image_class
- skin-invert-image
- Drug.width
- 225px
- Drug.image2
- Tianeptine_3D_ball-and-stick.png
- Drug.image_class2
- bg-transparent
- Drug.width2
- 200
- Drug.tradename
- Stablon, Coaxil, Tatinol
- Drug.legal_BR
- C1
- Drug.legal_status
- In general: Rx-onlyUS: Investigational New Drug AU: S4Others: controlled in FR, IT, BH, SG
- Drug.routes_of_administration
- By mouth
- Drug.bioavailability
- 99%
- Drug.protein_bound
- 95%
- Drug.metabolism
- Hepatic by β-oxidation
- Drug.elimination_half life
- 2.5–3 hours4–9 hours (elderly)
via Wikipedia infobox
Research
684 papers- Antidepressants for the treatment of adults with major depressive disorder in the maintenance phase: a systematic review and network meta-analysis.Molecular psychiatry · 2023
- Classics in Chemical Neuroscience: Tianeptine.ACS chemical neuroscience · 2024
- Tianeptine, an atypical pharmacological approach to depression.Revista de psiquiatria y salud mental · 2019
- An Update on Tianeptine Regulations.Journal of addictions nursing · 2024
- Tianeptine Products: Public Health Threat or Niche Substance use?Journal of psychoactive drugs · 2025
via PubMed
Article
25 sectionsContents
- Medical uses
- Depression and anxiety
- Other uses
- Contraindications
- Side effects
- By frequency
- Pharmacology
- Pharmacodynamics
- Atypical μ-opioid receptor agonist
- Glutamatergic, neurotrophic, and neuroplastic modulation
- Serotonin reuptake enhancer
- Other actions
- Pharmacokinetics
- Chemistry
- Analogues
- History
- Society and culture
- Approval and brand names
- Development
- Recreational use
- Legality
- United States
- See also
- References
- External links
Tianeptine, sold under the brand names Stablon, Tatinol, and Coaxil among others, is an atypical tricyclic antidepressant which is used mainly in the treatment of major depressive disorder, although it may also be used to treat anxiety, asthma, and irritable bowel syndrome.
Tianeptine has antidepressant and anxiolytic effects with a relative lack of sedative, anticholinergic, and cardiovascular side effects. It has been found to act as an atypical agonist of the μ-opioid receptor with clinically negligible effects on the δ- and κ-opioid receptors. This may explain part of its antidepressant and anxiolytic effects; however, it is thought that tianeptine also modulates glutamate receptors, and this may also explain tianeptine's antidepressant/anxiolytic effects.
Gallery (2)
Connections
Categories
AnxiolyticsChemical pages without DrugBank identifierChloroarenesDrugboxes which contain changes to verified fieldsDrugboxes which contain changes to watched fieldsDrugs with non-standard legal statusDrugs with unknown mechanisms of actionECHA InfoCard ID from WikidataEuphoriantsLaboratoires ServierMu-opioid receptor agonistsNitrogen heterocycles