Article verified for accuracy by Sara Rittenhouse, FNP-C, APRN, DNP
Family Nurse Practitioner & Substance Use Disorder Program Manager
June 5, 2025
You may have heard people talk about products like kratom or tianeptine at gas stations, online, or even on social media. Some people say they’re “natural” or helpful for feeling calm or focused. What they don’t tell you is how dangerous these substances can be.
Let’s break it down so you know the facts and make informed decisions.
What is Kratom?
Kratom is a plant that grows in Southeast Asia. Some people use it to feel more awake or to try to manage pain. But Kratom affects the brain in a way that is similar to opioids—a group of drugs that can be highly addictive.
Kratom comes in many forms. It can be sold as a powder, capsules, tablets, liquids, or even as tea. Some products are made with a much stronger ingredient from the plant called 7-hydroxymitragynine (or 7-OH). This version is even more powerful and addictive. People who use it may find it very hard to stop and could experience serious health problems.
What is Tianeptine?
Tianeptine is sometimes sold as a supplement or as an antidepressant in other countries. Here in the U.S., it is not approved by the FDA. You might see it at gas stations, smoke shops, or online with names like “Zaza” or “Tianna.”
It is often sold in pill or capsule form, and it can also come as a powder or liquid. Some people call it “gas station heroin” because it acts like an opioid. It can make people feel high at first, but it also comes with huge risks like addiction, overdose, and even death.
Why Is This So Important?
Even though these products might look harmless or even helpful, they can be really dangerous. The FDA has warned people not to use them. They are not safe, and they can hurt your body and your brain.
What Can You Do?
- Stay informed: Knowing the facts helps you make smart choices.
- Ask questions: If you’re not sure about something, talk to your healthcare provider or pharmacist before taking it. Students can also reach out to a trusted adult like a parent, teacher, or doctor.
- Look out for loved ones: If someone you know is using these substances, encourage them to get help.
- Keep Narcan (Naloxone) in your emergency kit: Narcan can help stop Kratom and Tianeptine overdoses. Narcan is safe to administer to all ages, including infants and pets, and is a simple spray in the nose. Call 911 after you give it.
We have Narcan available for FREE in our health centers and it is available for anyone in our community. Ask our front desk for more information.
You don’t have to figure this out alone. There are people who care about and want to help you stay safe and healthy.
Need Help or Have Questions?
If you or someone you know is struggling or has questions about substance use, you’re not alone. The team at Chapa-De Indian Health is here to support you. We offer caring, confidential help and resources through our Substance Use Disorder (SUD) services.
One helpful option is our Partnering for Recovery Group. This virtual group is educational and topic-based to help you explore and learn more about the complexity of the disease of substance use disorders.
Topics include:
- The Science of Addiction and Substance Use Disorders
- Communication Supports Recovery
- Forgiveness and Rebuilding Trust
- Setting and Maintaining Boundaries
- Enabling and Co-dependence
- Self-care for Partners for Recovery
This group is designed to empower individuals with tools for healing and connection in a judgment-free environment. Download the flyer.
Call (530) 537-2785 or visit chapa-de.org/addiction-substance-use to learn more or to reach out for support.
Chapa-De Indian Health Auburn Grass Valley | Medical Clinic
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