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Tesofensine

Aliases: Tesofensine · NS2330

Last verified: 2026-09-23

Clinical trialsModerate evidenceSmall moleculesLow interest

The short version

A dopamine/norepinephrine/serotonin reuptake inhibitor — strong appetite suppression (Phase II: ~−10% weight); originally developed for Parkinson's/Alzheimer's. Status: in clinical trials. Investigational; not approved.

Identity & type

Molecular type
mali molekul
Origin
A dopamine/norepinephrine/serotonin reuptake inhibitor — strong appetite suppression (Phase II: ~−10% weight); originally developed for Parkinson's/Alzheimer's.

Mechanism of action

Monoamine reuptake inhibitor → central satiety and increased thermogenesis.

Dosing & routes

Official / clinical context

No approved official document exists for Tesofensine. Any protocols mentioned are to be read as information, not as a recommendation.

Regulator-approved labeling and published study designs — never a recommendation.

Community-reported practice

Trials: 0.25–1 mg/day. Gray market: strong appetite loss and energy — users describe 3–6 kg/month, but with dry mouth, insomnia and elevated heart rate; caution with cardiovascular risks.

Unverified self-reports. Not medical advice. Not endorsement.

Expected effects (community)

Gray market: strong appetite loss and energy — users describe 3–6 kg/month, but with dry mouth, insomnia and elevated heart rate; caution with cardiovascular risks.

Protocol — official vs community

Official / label

No approval (development for Alzheimer's/Parkinson's pivoted to obesity). Phase 2 obesity: 0.25–1 mg daily, ~10–12% weight loss at 0.5 mg.

  1. 01Start 0.25 mg daily
  2. 02Maintenance 0.5–1 mg daily

Duration: Trial-defined.

Triple monoamine reuptake inhibitor — the psychiatric-side-effect profile is why it isn't approved.

Community (anecdotal)

0.25–0.5 mg oral daily, sourced from gray markets where it appears (mostly EU-centric).

Cycle:
8–12 weeks.
Break:
4 weeks.

The insomnia/anxiety side-effect ceiling keeps community doses at the low end.

Human evidence

Successful Phase II in obesity; Phase III planned (Saniona).

Preclinical evidence

Preclinical literature preceded the clinical trials; details vary by compound.

Known risks

  • Dry mouth, insomnia, increased heart rate/pressure, nausea.characterized

Teal: characterized in clinical/labeling contexts. Amber: theoretical or reported outside controlled settings.

Unknowns & evidence gaps

  • Long-term safety in off-label use

Frequently asked questions

References

Systematic references are being expanded; verify sources directly before any decision.