PlainPill

SAM-E vs Tianeptine for mood

Short answer: For mood, users rate them about the same: 92% report improvement with SAM-E (114 reports) and 95% with Tianeptine (148 reports).

SAM-E has 3 meta-analyses and 1 randomized trials on PubMed; Tianeptine has 18 and 42.

Based on 284 reports about SAM-E and 322 about Tianeptine. Not medical advice.

SAM-E
Supplement
Tianeptine
Medication
Users say it helped63%helped131 reports · high confidence63%helped155 reports · high confidence
Verdict
Mostly positive
Mostly positive
ResearchBResearch: ModerateAResearch: Strong
Meta-analyses / RCTs3 / 118 / 42
Mainly used for
Mood
% reporting improvement
92% (114)95% (148)
Anxiety
% reporting improvement
67% (21)95% (62)
Energy
% reporting improvement
87% (23)86% (14)
Focus
% reporting improvement
100% (13)93% (14)
Pain & inflammation
% reporting improvement
100% (8)67% (3)
Common side effectsinsomnia, jitteriness, stomach issues, anxietyaddiction, withdrawal, tolerance, headache
Typical dose reported200-400 mg / dailyNot listed
SAM-E
Latest review conclusion

Our results showed that robotic surgery contributed positively to some perioperative outcomes but longer operative times remained a shortcoming. Better quality evidence is needed to guide surgical decision making regarding the precise clinical targets of this innovation in the next generation of its use.

Surg Endosc, 2016 ↗
What a user said
“I also take SAM-e in the morning (200mg or 400mg per day depending on how I'm feeling) for my general depression/anxiety.”
Full SAM-E profile →
Tianeptine
Latest review 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.

Mol Psychiatry, 2023 ↗
What a user said
“It has really improved the quality of my life, more than anything else I have taken.”
Full Tianeptine profile →

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Percentages come from first-hand user reports and are not clinical outcomes. Talk to a doctor before starting, stopping or combining anything. How we rate