Tianeptine Sodium is a drug used for treating major depressive episodes (mild, moderate, or severe).

 It has structural similarities to the tricyclic antidepressants, but it has different pharmacological properties. 

Tianeptine is a selective serotonin reuptake enhancer (SSRE), opposite to the action of SSRIs. 

One review points to the cancellative effects of tianeptine and fluoxetine coadministration on serotonin reuptake. 

Another suggests that long-term administration of tianeptine has no effect on serotonin pathways. 

Tianeptine enhances the extracellular concentration of dopamine in the nucleus accumbens and modulates the D2 and D3 dopamine receptors. 

There is also action on the NMDA and AMPA receptors.

Function

1) Tianeptine Sodium Improves Depressive Symptoms.
2) Tianeptine Sodium Lessens Anxiety, Stress, and PTSD and Symptoms From Stress. 
3) Tianeptine Sodium Benefits Memory and Learning.
4) Tianeptine Sodium is an Anti-inflammatory.
5) Tianeptine Sodium decreases pain.
6) Tianeptine Sodium Helps Treat Irritable bowel Syndrome.
7) Tianeptine Sodium Reduces Asthma.

Application

Tianeptine sodium salt is a salt of Tianeptine. Tianeptine, a tricyclic compound, is a selective facilitator of 5-HT (serotonin; sc-201146) uptake in vitro and in vivo. Additionally, Tianeptine is reported to act as a selective inhibitor of dopamine uptake . Tianeptine does not have a noted effect on monoamine uptake. In a study utilizing purified synaptosomes from rat brain, Tianeptine was reported to enhance serotonin uptake in selective brain regions. Purified synaptosomes were obtained from rats and incubated with tritium-labeled 5-HT and Tianeptine in vitro . The synaptosomes were then analyzed for uptake and release of 5-HT via a liquid scintillation.

Tianeptine is antidepressant. The animal has: the hippocampus pyramidal cells increased spontaneous activity, and accelerating its function was inhibited after recovery; increase in cortical and hippocampal neurons at sites of 5- serotonin reuptake. Tianeptine without following adverse effects: sleep and alertness; cardiovascular system; cholinergic system ( without anticholinergic symptoms ); drug craving.