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1729 Wildwood Dr., Suite 103 | Virginia Beach, VA

Now Accepting Patients  |   (757) 938-3654

Tianeptine Use Recovery Virginia Beach

Sold as ZAZA and Pegasus in gas stations and smoke shops, tianeptine acts like an opioid, and dependence is real. Few practices treat it. We do.

  • No referral needed
  • Insurance accepted
  • In-person & telehealth
4.7 ★★★★★
DMAS Accredited
LegitScript Certified
OVERVIEW

Understanding Tianeptine

Tianeptine is an atypical antidepressant originally developed for major depressive disorder. In the U.S. it has attracted attention for misuse: it produces opioid-like effects, including euphoria, and is sold under brand names like ZAZA and Pegasus in smoke shops and gas stations.

Although tianeptine is not an opioid, its misuse leads to real dependence, and withdrawal that mirrors opioid withdrawal. Our team is well-versed in the unique challenges of tianeptine dependence.

Tianeptine Withdrawal Timeline

Withdrawal typically follows this pattern:

  • First 12 hours

    Fatigue, insomnia, muscle aches, anxiety, restlessness and excessive sweating.

  • 12–96 hours

    Nausea and vomiting, diarrhea, high blood pressure, blurry vision, abdominal pain and rapid heartbeat.

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Prefer to talk it through? (757) 938-3654
IS IT RIGHT FOR ME?

Signs It May Be Time to Get Help

If several of these feel familiar, it’s worth a conversation, tianeptine dependence responds well to treatment.

Buying ZAZA, Pegasus or similar products regularly Needing higher doses for the same effect Withdrawal symptoms within hours of stopping Using to avoid feeling sick Failed attempts to quit on your own Spending heavily at smoke shops or gas stations
OUR APPROACH

How We Treat Tianeptine Dependence

One plan combining the right tools, adjusted with you at every follow-up.
01

Comprehensive evaluation

Medical management integrated with personalized therapy, built around tianeptine’s unique challenges.
02

Lucemyra for withdrawal

A non-opioid medication managing withdrawal without causing dependence, significant relief in the first days.
03

Careful transition to Suboxone

Timed to avoid precipitated withdrawal from tianeptine’s lingering effects; Suboxone then stabilizes cravings long-term.
04

Counseling & coordination

Individual, group and family sessions, DBT, CBT, EMDR and ACT, plus coping skills and trigger management.