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Compounds / Tesofensine

Tesofensine

Full name
Tesofensine (triple monoamine reuptake inhibitor)
Mechanism
Small molecule (not a peptide) — inhibits reuptake of noradrenaline, dopamine, and serotonin; investigated for obesity via appetite suppression. Included because it is widely co-marketed with weight-loss peptides.
Half-life
~9 days (long)
Administration
oral
Typical dosage*
low: 0.25mg/day (trials) · typical: 0.5mg/day (trial dose) · high: 1mg/day (higher CV/mood risk)
Researched for
investigational obesity research
Reported side effects
increased heart rate/blood pressure, insomnia, mood changes, dry mouth
Interactions
serotonergic drugs (serotonin-syndrome risk), MAOIs, sympathomimetics
Commonly combined
investigational monotherapy; not for self-stacking
Scheduling
🇦🇺 AUInvestigational — not approved
🇺🇸 USInvestigational — not FDA-approved
🇬🇧 UKInvestigational — not licensed
Regulatory status
Investigational small molecule (not a peptide). Not approved. Cardiovascular/mood risk profile.

*Doses are commonly-reported figures from public sources, not a recommendation. Educational only.

10studies
9faqs
metabolicweight-managementinvestigational

Studies (10)

YearTitle / venueSource
2024Tesofensine, a novel antiobesity drug, silences GABAergic hypothalamic neurons
PloS one · preclinical
PMID 38656972
2013Expression of concern--effect of tesofensine on bodyweight loss, body composition, and quality of life in obese patients: a randomised, double-blind, placebo-controlled trial
Lancet (London, England) · preclinical
PMID 23561987
2013Tesofensine induces appetite suppression and weight loss with reversal of low forebrain dopamine levels in the diet-induced obese rat
Pharmacology, biochemistry, and behavior · preclinical
PMID 23932919
2010Tesofensine, a novel triple monoamine reuptake inhibitor, induces appetite suppression by indirect stimulation of alpha1 adrenoceptor and dopamine D1 receptor pathways in the diet-induced obese rat
Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · preclinical
PMID 20200509
2010Subjective and objective effects of the novel triple reuptake inhibitor tesofensine in recreational stimulant users
Clinical pharmacology and therapeutics · human
PMID 20520602
2009Tesofensine, a monoamine reuptake inhibitor for the treatment of obesity
Current opinion in investigational drugs (London, England : 2000) · preclinical
PMID 19777399
2009Tesofensine and weight loss
Lancet (London, England) · preclinical
PMID 19249626
2009Tesofensine and weight loss
Lancet (London, England) · preclinical
PMID 19249625
2009A quantitative enterohepatic circulation model: development and evaluation with tesofensine and meloxicam
Clinical pharmacokinetics · human
PMID 19705923
2008Weight loss produced by tesofensine in patients with Parkinson's or Alzheimer's disease
Obesity (Silver Spring, Md.) · preclinical
PMID 18356831

Questions (9)

What is Tesofensine?

Tesofensine (Tesofensine (triple monoamine reuptake inhibitor)). Small molecule (not a peptide) — inhibits reuptake of noradrenaline, dopamine, and serotonin; investigated for obesity via appetite suppression. Included because it is widely co-marketed with weight-loss peptides.

What is Tesofensine used for?

Commonly discussed uses: investigational obesity research. There is both human and animal/preclinical research, though the depth and quality vary by indication. Note: most uses are not approved indications.

How does Tesofensine work?

Mechanism: Small molecule (not a peptide) — inhibits reuptake of noradrenaline, dopamine, and serotonin; investigated for obesity via appetite suppression. Included because it is widely co-marketed with weight-loss peptides.

Is Tesofensine safe?

Reported considerations: increased heart rate/blood pressure, insomnia, mood changes, dry mouth. There is both human and animal/preclinical research, though the depth and quality vary by indication. Investigational small molecule (not a peptide). Not approved. Cardiovascular/mood risk profile. This is not a safety endorsement; safety data for unapproved compounds is incomplete.

What is the typical dose of Tesofensine?

Commonly cited ranges (educational reference, not a recommendation): low 0.25mg/day (trials), typical 0.5mg/day (trial dose), high 1mg/day (higher CV/mood risk). Administration: oral. Half-life: ~9 days (long).

Is Tesofensine legal in Australia?

Australian status: Investigational — not approved. Investigational small molecule (not a peptide). Not approved. Cardiovascular/mood risk profile. General regulatory context: most active peptides are Schedule 4 and require a prescription; import via the Personal Importation Scheme requires a valid Australian prescription for prescription-only goods.

How do you store Tesofensine?

Reconstitution/storage reference: oral — no reconstitution; storage: room temp per product.

What is Tesofensine commonly stacked with?

Commonly discussed combinations (anecdotal for unapproved compounds): investigational monotherapy; not for self-stacking. Stacking increases interaction/safety uncertainty.