PlainPill

Tianeptine

People mainly take Tianeptine for mood, anxiety, focus. Based on 97 first-hand reports and 18 meta-analyses & systematic reviews in the medical literature. Ranked #220 of 1,974 overall.

41
User score
Mixed
23% positive12% mixed11% negative54% unclear

Of reports that state an outcome, 50% are positive.

Clinical research
AStrong research base
18
meta-analyses
42
RCTs
650
papers

What Tianeptine does, according to users

Of the people who reported each effect, the share who said it got better.

What the research says

Systematic reviews and meta-analyses from PubMed, with their published conclusions.

AStrong research base

3+ meta-analyses or systematic reviews and 10+ randomized controlled trials in humans. The grade measures how much human research exists — read the conclusions below for what it found.

Mol Psychiatry · 2023 · Meta-analysis / systematic review
Antidepressants for the treatment of adults with major depressive disorder in the maintenance phase: a systematic review and network meta-analysis

Conclusion: Compared to placebo, venlafaxine was associated with a lower incidence of dizziness, while desvenlafaxine, sertraline, and vortioxetine were associated with a higher incidence of nausea/vomiting. In conclusion, desvenlafaxine, paroxetine, venlafaxine, and vortioxetine had reasonable efficacy, acceptability, and tolerability in the treatment of adults with stable MDD.

PubMed 36253442 ↗
J Child Psychol Psychiatry · 2021 · Meta-analysis / systematic review
Practitioner Review: Pharmacological treatment of attention-deficit/hyperactivity disorder symptoms in children and youth with autism spectrum disorder: a systematic review and meta-analysis

Conclusion: Direct pooled evidence supports the efficacy and tolerability of methylphenidate or atomoxetine for treatment of ADHD symptoms in children and youth with ASD. The current review highlights the efficacy of standard ADHD pharmacotherapy for treatment of ADHD symptoms in children and youth with ASD. Consideration of the benefits weighed against the limitations of safety/efficacy data and lack of data evaluating long-term continuation is undertaken to help guide clinical decision-making regarding treatment of co-occurring ADHD symptoms in children and youth with ASD.

PubMed 32845025 ↗
Front Psychiatry · 2020 · Meta-analysis / systematic review
Antidepressants in Children and Adolescents: Meta-Review of Efficacy, Tolerability and Suicidality in Acute Treatment

Conclusion: There is a paucity of data on suicidal ideation/behavior, but paroxetine may increase the risk of suicidality in the treatment of AD and venlafaxine for MDD. Findings from this review must be considered in light of potential limitations, such as the lack of comparative information about many antidepressants, the short-term outcomes and the quality of the available evidence.

PubMed 32982805 ↗
Nephrol Dial Transplant · 2012 · Meta-analysis / systematic review
Antidepressants for depression in stage 3-5 chronic kidney disease: a systematic review of pharmacokinetics, efficacy and safety with recommendations by European Renal Best Practice (ERBP)

Conclusion: Dose reduction in CKD3-5 is necessary for selegiline, amitriptylinoxide, venlafaxine, desvenlafaxine, milnacipran, bupropion, reboxetine and tianeptine. The evidence on effectiveness of antidepressants versus placebo in patients with CKD3-5, and with the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV)-defined depression is insufficient, and in view of the high prevalence, a well-designed RCT is greatly needed.

PubMed 22859791 ↗

Dosage people report

As stated by users — not a recommendation. Follow the label or your doctor.

12.5 mg3x daily
half the monthas reported
12.5 mgas reported
15 mg3x daily
occasionallyas reported
dailyas reported

Reported side effects

How often each side effect came up across all reports.

headache ×2addiction ×2addiction risk ×1withdrawal ×1brain fog ×1fatigue ×1

What users say

Verbatim quotes, shortened only — each links to the original discussion.

“Taking something like tianeptine or mucuna pruriens tends to help with that for several more hours after the natural dip.”
Source discussion ↗
“Tianeptine, Memantine, Phenibut, CBD, Agmatine, Bromantane”
Source discussion ↗
“I am currently prescribed tianeptine taken as 12.5 mg three times per day.”
Source discussion ↗
“I just started tianeptine yesterday, and it works very well at alleviating depressive symptoms rapidly. I will need more time to give you a yes or no”
Source discussion ↗
“I personally think it's effects on energy/motivation are stronger than tianeptine. Similar to noopept, but reliable where as noopept works sometimes and other times feels detrimental.”
Source discussion ↗
Top discussions (5)

Other options for mood

User data from public discussions; research from PubMed. Information only, not medical advice — talk to a doctor before starting, stopping or combining anything. Data updated October 2, 2026. How we rate