Long-term use of tianeptine in 380 depressed patients
Loo H, Ganry H, Dufour H, Guelfi JD, Malka R, Olie JP,
Scharbach H, Tignol J, Marey C, Kamoun A.
Service Hospitalo-Universitaire de Sante Mentale et de Therapeutique,
Hopital Sainte Anne, Paris, France.
Br J Psychiatry Suppl. 1992 Feb;(15):61-5
ABSTRACTTianeptine is a new tricyclic compound whose principal action is to increase the reuptake of serotonin. In a multicentre trial in which 380 depressed patients were treated for one year, tianeptine produced a significant reduction in the MADRS scores from day 14, with a sustained reduction maintained for up to 12 months; other measures of efficacy (HRSA, HSCL, and CGI) also reflected the improvement. Only 11% of patients withdrew because of recurrence of depression and 2% because of side-effects, which were mainly drowsiness, irritability, and gastrointestinal disturbance. Apart from a minor reduction in heart rate, unaccompanied by any conduction changes, no clinically relevant changes in vital signs or laboratory tests were seen. Seven subjects who attempted suicide by tianeptine overdose had favourable outcomes, in spite of also taking other psychotropic drugs or alcohol. No evidence of tolerance or withdrawal symptoms was seen after treatment was stopped. These results suggest that tianeptine has the potential to provide safe antidepressant activity in both the acute and chronic phases of treatment.
Ethyl alcohol + tianeptine
Tianeptine and Panic Disorder
Discriminative stimulus properties
Ultra-high dose psychostimulant effect
Antidepressant comparisons: SSRIs v tianeptine
and further reading
The Abolitionist Project
The Hedonistic Imperative
The Reproductive Revolution
Critique of Huxley's Brave New World
The Good Drug Guide
The Responsible Parent's Guide
To Healthy Mood Boosters For All The Family