OpioidDulls pain, slows breathing
Tianeptine
Also called gas station heroin, tianaa, zaza red, neptune's fix
Sold in gas stations as a supplement (Zaza, Tianna). An antidepressant in some countries that acts on opioid receptors at higher doses. It is short-acting, and daily use builds strong dependence.
- Kicks in
- 15–60 min
- Lasts
- 1–3 h
- Watch for
- Dependence
Typical times. Dose, how you take it and your body all change them.
Often mixed with
Riskiest first. Tap one for what to do.
- KratomDangerous · BodyKratom's ceiling doesn't apply once a full opioid like tianeptine is involved.
- AlcoholDangerous · BodyAs with any opioid, the two together can stop your breathing, and tianeptine's short action tempts redosing while drinking.
- BenzodiazepinesDangerous · BodyTwo depressants that slow breathing by different routes, and naloxone reaches only the tianeptine.
- CannabisLow risk, increased effectLow risk of harm, but the effects amplify each other.
Don't mix with
21Rated dangerous or unsafe with Tianeptine. Tap one for why.
Slows your breathing
Both slow breathing. Together they can stop it, most often during sleep.
Dangerous13
Unsafe1
Confusion and sedation
Delirium on top of heavy sedation: overheating, falls and choking.
Unsafe1
Other reasons
- CocaineDangerousCocaine hides how much the opioid is slowing you down, so you take more; when the cocaine wears off first, breathing can stop.
- DXMDangerousTogether they slow breathing and strain the heart and liver, and DXM makes the opioid hit harder.
- KetamineDangerousTogether they can cause vomiting and unconsciousness.
- MAOIsDangerousTianeptine's label rules out MAOIs: collapse, sudden high blood pressure, overheating, convulsions and death.
- MXEDangerousMXE can make the opioid hit harder.
- MethamphetamineUnsafeMeth hides how much the opioid is slowing you, and when it fades, everything you redosed hits at once, often as you fall asleep.