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MetabolicOral

Tesofensine

Also known as: NS2330

Triple monoamine reuptake inhibitor (dopamine, noradrenaline, serotonin). Originally developed for Parkinson's and Alzheimer's; weight-loss effects emerged as adverse-event findings. Suppresses appetite via central noradrenergic and dopaminergic signaling.

At a glance

Half-life
9.8 days
Common route
Oral
Typical dose range
2501,000mcg
Stability (reconstituted)
90days refrigerated

Best timing

Once daily in the morning. Long half-life means steady-state takes ~5 weeks to reach.

Contraindications

  • Cardiovascular disease, arrhythmia, or uncontrolled hypertension
  • Concurrent MAOI use
  • History of substance use disorder
  • Pregnancy
  • Hyperthyroidism

Watch symptoms

  • Resting heart rate and blood pressure elevation
  • Insomnia, anxiety, agitation
  • Dry mouth, constipation
  • Mood changes — euphoria or dysphoria
  • Risk of dependence at higher doses
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