title: The role of cultural interaction in Tianeptine Abuse and Different Tianeptine Application Methods.
abstract: Tianeptine is a selective serotonin reuptake enhancer, possessing strong antidepressant and anxiolytic properties. Its relative lack of sedative, anticholinergic and cardiovascular side effects makes it a highly tolerable substance of abuse. However, physical dependence quickly develops and withdrawal symptoms are common. Abusers in Georgia and Armenia use tianeptine by intravenous injection. Drug abusing behaviour usually starts during puberty, since it stems from psychological, social and cultural circumstances. Sociodemographic studies show that drug abusing behaviour in Turkey varies according to region and substance. This paper investigates differences between Georgian foreigners and the local population in the eastern Black Sea region in terms of tianeptine abuse and discusses complications resulting from intravenous injection of tiapentine.
authors.affiliation: Department of Anaesthesiology and Reanimation, Faculty of Medicine, Recep Tayyip Erdoğan University, Rize, Turkey.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Şen
authors.affiliation: Department of Cardiovascular Surgery, Faculty of Medicine, Recep Tayyip Erdoğan University, Rize, Turkey.
authors.forename: Gökhan
authors.initials: G
authors.lastname: İlhan
authors.affiliation: Department of Anaesthesiology and Reanimation, Faculty of Medicine, Recep Tayyip Erdoğan University, Rize, Turkey.
authors.forename: Yakup
authors.initials: Y
authors.lastname: Tomak
authors.affiliation: Department of Anaesthesiology and Reanimation, Faculty of Medicine, Recep Tayyip Erdoğan University, Rize, Turkey.
authors.forename: Başar
authors.initials: B
authors.lastname: Erdivanlı
authors.affiliation: Department of Anaesthesiology and Reanimation, Faculty of Medicine, Recep Tayyip Erdoğan University, Rize, Turkey.
authors.forename: Tahir
authors.initials: T
authors.lastname: Ersöz
authors.affiliation: Department of Cardiovascular Surgery, Faculty of Medicine, Recep Tayyip Erdoğan University, Rize, Turkey.
authors.forename: Murat Şaban
authors.initials: MŞ
authors.lastname: Ergene
keywords: Tianeptine; complication; drug abuse; intravenous injection