While tianeptine is not listed in the federal Controlled Substances Act, which bans drugs like heroin and cocaine that have no medical use or a high likelihood of abuse. But about a dozen states, including Alabama, Georgia, Michigan, Tennesee and Ohio, restrict or ban it.

Tianeptine, dubbed "gas station heroin," is causing concern in the US due to rising misuse, severe health risks, and lack of FDA regulation or oversight.

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