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                            Library & Multimedia
 Notes from the Field: Cluster of Severe Illness from Neptune’s Fix Tianeptine Linked to Synthetic Cannabinoids — New Jersey, June–November 2023
NCJ Number
              308563
Journal

*Morbidity and Mortality Weekly Report* Volume: 73 Issue: 4 Dated: February 1, 2024 Pages: 89-90
Author(s)
          Christopher J. Counts;
                        Anthony V. Spadaro;
                        Trevor A. Cerbini;
                        Alex J. Krotulski;
                        Howard A. Greller;
                        Lewis S. Nelson;
                        Bruce E. Ruck;
                        Diane P. Calello
Date Published

February 2024
Length
              2 pages
Annotation
              This report describes a review of New Jersey exposure calls involving tianeptine, an atypical tricyclic antidepressant that has not been approved by the Food and Drug Administration, but which is available for purchase in elixir formulations online and in gas stations.
Abstract
              This article reports on a retrospective review of exposure calls involving tianeptine exposure which were identified in the New Jersey Poison Information and Education System’s Toxicall database, from June 17 to November 6, 2023. It describes 20 cases of tianeptine ingestions (often sold as “gas station heroin”) during that time period, with severe associated clinical effects with synthetic cannabinoid receptor agonists (SCRAs) identified in samples of the ingested products. The article emphasizes that postmortem forensic toxicology testing suggests a high potential for substantial clinical effects of tianeptine products, and encourages members of the public and health care professionals to be aware that it is an unregulated drug which may cause adverse effects as well as dependence, and is sold under several product names, including Neptune’s Fix, Pegasus, and Zaza.
      
  
          Additional Details
Grant Number(s)
        15PNIJ-22-GG-04434-MUMU


  
  
        
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        NIJ-Sponsored


  
  
        
  Publication Type
        Research (Applied/Empirical)


  
  
        
  Award
        Implementation of NPS Discovery – An Early Warning Systems for Novel Drug Intelligence, Surveillance, Monitoring, Response, and Forecasting using Drug Materials and Toxicology Populations in the US
    
  
  
Date Published: February 1, 2024
    
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