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All across the country, in late 2017 and early 2018, alarm bells had been going off concerning a drug called tianeptine. In Michigan, lawmakers sought to ban gross sales of the drug, which has opioidlike results, after reports that users grew to become addicted. In New York, researchers found that it may result in abuse and overdose. In Texas, a pair alleged that their son had died because of taking the drug. Now, emails obtained by Consumer Reports reveal that the Food and Drug Administration on the time was also trying into the dangers of tianeptine, which is used as a dietary complement ingredient despite being unlawful. But the company-which regulates drugs and supplements in the U.S.-waited at least 9 months to alert the general public in regards to the dangers. A latest investigation by CR discovered significant shortcomings with the agency’s enforcement efforts around tianeptine. The new emails, obtained by way of the freedom of knowledge Act, underscore issues about the FDA’s capability to effectively police the $46 billion dietary complement trade.



(Image: [[https://live.staticflickr.com/5716/21581610341_f4f90ca6b6_n.jpg|https://live.staticflickr.com/5716/21581610341_f4f90ca6b6_n.jpg]])"When there are blatant examples of illicit medicine being offered as supplements, particularly drugs which are known to be dangerous, we need to have an agency that’s proactive," says Pieter Cohen, MD, a Harvard Medical School affiliate professor who research dietary supplements. Tianeptine seems to have arrived within the U.S. 2010s, when opioid-crisis crackdowns on fentanyl and oxycodone drove folks to seek cheaper and easier-to-come-by alternatives. Not less than four individuals have died using it, CR’s report found. It remains obtainable for sale on-line to this present day. The FDA denies dragging its ft, citing instead its intensive review course of. The agency should analyze the ingredient, do a market survey, and accumulate documentation of hurt, says Courtney Rhodes, an FDA spokesperson. "Those issues take time, especially when finished in the context of limited resources and competing priorities," she says. But health specialists, client advocates, and complement trade groups say the FDA had slam-dunk evidence of harm and illegality and may have introduced enforcement motion in opposition to tianeptine manufacturers a lot faster. "It’s not a useful resource situation," says Daniel Fabricant, PhD, president of the Natural Products Association, a supplements trade group, and a former director of the FDA’s supplements division.



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