Tianeptine Sodium: Potentially Lethal?

Because this piece does not have an abstract, we have provided for your benefit the first 3 sentences of the full text.

To the Editor: In recent years, “nootropics” have become increasingly popular drugs and supplements accessible from internet resources and used to enhance mood and cognitive functioning, often without medical consultation. Some nootropics, eg, tianeptine sodium, are medications prescribed in other countries but have not received US Food and Drug Administration approval for use in the United States. The international sale of nootropic agents is growing; estimated sales approach 1 billion US dollars annually.