Metabolic

Tesofensine

Controlled trials

An oral triple monoamine (noradrenaline, dopamine, serotonin) reuptake inhibitor, not a peptide.

OralAdvancedApproved outside the USappetite controlfat loss

Also known as NS2330 · Obesitas

At a glance

Dose summary

Typical dose500 mcg
Range250 mcg–1 mg
FrequencyDaily
Half-life~9.2 days
ScheduleOnce daily
Cycle length24 weeks
RouteOral
Experience levelAdvanced
Evidence gradeControlled trials
ApprovalApproved outside the US
Where the dose comes fromPublished trial dosing

Form

Nothing to reconstitute

Tesofensine is taken by mouth, not injected, so there is no vial, no diluent and no draw volume. The typical dose is 500 mcg per administration — that is the number on the capsule or tablet, and the reconstitution calculator deliberately excludes this compound.

Mechanism & evidence

What it is, and what is known

An oral triple monoamine (noradrenaline, dopamine, serotonin) reuptake inhibitor, not a peptide. A 24-week randomized phase 2 obesity trial tested 0.25, 0.5 and 1.0 mg daily; 0.5 mg is the dose carried forward and the strength approved in Mexico. It is NOT FDA or EMA approved. The 1.0 mg arm produced clearly more cardiovascular and psychiatric adverse effects, so the upper end of this range is documented but not recommended.

Values here are capsule strengths in mg, not vial sizes, and the reconstitution fields do not apply to an oral drug.

The caveat

A 24-week randomized phase 2 in obesity; approved in Mexico, not by the FDA or EMA. The 1 mg arm produced clearly more cardiovascular and psychiatric adverse effects.

Tolerability

Reported side effects

  • Insomnia, especially when taken late in the day
  • Dry mouth
  • Raised heart rate and blood pressure, dose-dependent and pronounced above 0.5 mg
  • Agitation, anxiety or mood change
  • Nausea and constipation

Hard stops

Do not use this if

  • Pregnancy, possible pregnancy, or breastfeeding
  • Under 18

These are flags, not a screening. They do not replace a conversation with a clinician who knows your history.

Handling

Storage

Sealed, as supplied24 months
Once opened30 days

Keep it cold, dry and dark. The figures above are shelf-life conventions, not stability testing on the product you bought.

References

Sources

Educational information only, not medical advice. Talk to a licensed clinician before starting, changing, or stopping anything.