Mixing Tianeptine (gas station heroin) and Zolpidem (Ambien)
Dangerous
Two depressants that slow breathing by different routes, and naloxone reaches only the tianeptine.
Do not combine. Put anyone who won't wake on their side.
General answer for Benzodiazepines: nothing specific to these two is documented.
What to do
- Say what was taken and how much.Responders need it, and in most US states Good Samaritan laws protect both of you from drug possession charges when you call for an overdose.
- Unresponsive: put them on their side, tilt the head back, and stay until help arrives.Never leave someone alone to “sleep it off”.
- Give naloxone (Narcan) if you have it.It is sold over the counter in every US state and does no harm if opioids turn out not to be involved.
- Never Use Alone 1-800-484-3731Stays on the line and sends help if you stop responding.
- Full steps: what to do if it is already happeningOverdose signs, the recovery position, what to say on the call, and whether you can be charged for making it.
- Poison Control 1-800-222-1222Free and 24/7, for “is this bad?” before it becomes an emergency.
What “Dangerous” means
High risk of death or life-changing injury. Do not combine.
How the ratings workThe longer explanation
Benzodiazepines were among the most common things found alongside tianeptine in US poison-centre calls. Two depressants that slow breathing by different routes, and naloxone reaches only the tianeptine.
Sources (3)
- FDA warns consumers not to purchase or use any tianeptine product due to serious risks. 2025fda.gov
- Gassaway MM et al. The atypical antidepressant and neurorestorative agent tianeptine is a μ-opioid receptor agonist. Transl Psychiatry. 2014nature.com
- El Zahran T et al. Characteristics of Tianeptine Exposures Reported to the National Poison Data System — United States, 2000–2017. MMWR. 2018pmc.ncbi.nlm.nih.gov
Think this is wrong, or know a better source? Send it.
Other names
- Tianeptine
- gas station heroin, tianaa, zaza red, neptune's fix, pegasus, td red
- Sold as a supplement — at the doses people take, a full opioid
- Zolpidem
- ambien, ambien cr, stilnox, edluar, intermezzo, zolpimist
- Works like a benzo, plus sleepwalking and sleep-driving with no memory of it
Related combinations
- AlcoholDangerous
- XylazineDangerous
- GHB / GBLDangerous
- PregabalinDangerous
- OpioidsDangerous
- FentanylDangerous
Can you mix Tianeptine (gas station heroin) and Zolpidem (Ambien)?
MixSafe rates mixing Tianeptine and Zolpidem as "Dangerous" — high risk of death or life-changing injury. Do not combine. No interaction specific to Tianeptine and Zolpidem is documented; this is the default for Benzodiazepines. Source: MixSafe research. Educational information, not medical advice.
This is a class-level answer, inherited from Benzodiazepines. Nothing specific to this exact pair is documented, so treat it as the default for the class rather than a measurement of these two drugs together.