Tianeptine is a highly addictive, opioid-like antidepressant drug that has not been FDA-approved for medical or commercial use. It is commonly sold under the names “Tianna,” “ZaZa” and “Red Dawn” in the U.S. and may be even more accessible in certain European or Asian countries under the names “Coaxil” or “Tatino.” Tianeptine is commonly used to self-treat anxiety, depression, pain or opioid use disorder and is marketed to improve brain function, but it’s not safe. Tianeptine is illegally sold online, in gas stations and at convenience stores, sometimes as a dietary supplement, in the form of tablets or powder. The Drug Enforcement Agency issued a recent warning outlining the dangers of tianeptine. Tianeptine has a high potential for abuse once someone starts using it and use is associated with vomiting, high blood pressure, distress, slowed or stopped breathing, coma and death. Service members should avoid tianeptine and be wary of false or misleading advertising. The FDA has released a report outlining the dangers of tianeptine products and how you can protect yourself and others. Stay alert and only use medications prescribed by your health care provider.