Dietary Supplement or Over the Counter Opiod?

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According to the New York Times, tianeptine, found at convenience stores, at smoke shops and online, can mimic an opioid. It is among a growing class of dietary supplements that are difficult to control.

Questions:

  1. In which states has tianeptine been banned or restricted?
  2. What are some of the risks of these growing unregulated classes of products?
  3. What is the FDA doing about these substances? 

Source:

Hoffman, J. (2024). ‘Gas-Station Heroin’ Sold as Dietary Supplement Alarms Health Officials. The New York Times, Jan. 10 (Retrievable online at https://www.nytimes.com/2024/01/10/health/gas-station-heroin-tianeptine-addiction.html)