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SEP-225,289 is an antidepressant drug derived from the active enantiomer of sibutramine, which was being developed by Sepracor. It is a so-called triple reuptake inhibitor (TRI).[1][2][3]
As can be seen by analyzing the molecular structure, SEP-225289 is a single isomer of sibutramine that has been N-dimethylated to yield a primary amine compound. According to one source, makes the compound stronger as a catecholaminergic relative to its actions on serotonin.[4] Apparently, both isomers of sibutramine are active but it is the R enantiomer that is held accountable for its anorectic action.
M: PSO/PSI
mepr
dsrd (o, p, m, p, a, d, s), sysi/epon, spvo
proc (eval/thrp), drug (N5A/5B/5C/6A/6B/6D)
* Note that many TCAs, TeCAs, antipsychotics, ergolines, and some piperazines like buspirone and trazodone all antagonize α1-adrenergic receptors as well, which contributes to their side effects such as orthostatic hypotension.
* Note that many atypical antipsychotics and azapirones like buspirone (via metabolite 1-PP) antagonize α2-adrenergic receptors as well.
* Note that MAO-B inhibitors also influence norepinephrine/epinephrine levels since they inhibit the breakdown of their precursor dopamine.
Cocaine, Iron, Zinc, Lysergic acid diethylamide, 5-Carboxamidotryptamine