What does Tesofensine do? Benefits and evidence
An oral appetite drug with weight-loss trial results and heart-rate and psychiatric risks.
Also called: NS2330, NS-2330, NS 2330.
Fat-loss drugs · Serotonin, norepinephrine and dopamine reuptake inhibitor.
Tesofensine is a small-molecule drug, not a peptide. Obesity trials found weight loss with daily oral doses. It has no FDA approval, and Mexican approval was not confirmed as of this review. Heart-rate increases and mental health effects are key concerns. The main 2008 trial later received an expression of concern about safety reporting.
- A phase 2 trial reported weight loss, but its safety reporting raised concerns. (Studied in a trial)
- A larger trial in Mexico also points to weight loss, though its full safety data were never published. (Studied in a trial)
- In a study, people felt full sooner at first, but this faded with continued use. (Studied in a trial)
- Some users report less appetite, and changes in mood, focus or motivation. (Reported by users)
Uses in the sources
- A phase 2 obesity trial found more weight loss than placebo, but the journal later raised concerns about safety reporting. (Studied in a trial) (source)
- Tesomet combines tesofensine with metoprolol. Small trials studied hypothalamic obesity, Prader–Willi syndrome and type 2 diabetes. (Studied in a trial) (source)
- Alzheimer’s and Parkinson’s studies did not establish useful clinical benefit. (Studied in a trial) (source)
- Some users report focus or mood effects. These are anecdotes, not evidence for ADHD or depression care. (Reported by users) (source)
Related to Tesofensine
- Tirzepatide: A weekly GIP/GLP-1 injection with strong diabetes and weight-loss evidence and common stomach side effects.
- Retatrutide: An experimental weekly injection with phase 3 weight-loss results.
- 5-amino-1MQ: An experimental NNMT blocker with animal findings, no human dosing trials and uncertain risks.
- SLU-PP-332: An exercise-mimicking research chemical with mouse benefits and no human dosing trials.
- AOD-9604: A growth-hormone fragment whose largest obesity trial failed to show meaningful weight loss.
Sources
- 503B Bulk Drug Substances List, FDA · FDA · 2026
- Bulk Drug Substances Nominated for Use in Compounding Under Section 503A of the Federal Food, Drug, and Cosmetic Act, FDA · FDA · 2026
- Download medicine data, European Medicines Agency · European Medicines Agency · 2026
- METOPROLOL SUCCINATE tablet, extended release, DailyMed / National Library of Medicine · 2026
- MHRA Products | Home, MHRA · MHRA · 2026
- The 2026 Prohibited List, World Anti-Doping Agency · WADA · 2026
- Therapeutic Goods (Poisons Standard—October 2026) Instrument 2026, Australian Government · Australian Government · 2026
- Bulk Drug Substances Nominated for Use in Compounding Under Section 503B of the Federal Food, Drug, and Cosmetic Act, FDA · FDA · 2025
- Darmerica, LLC - 716152 - 12/08/2025, FDA · FDA · 2025
- Expression 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) · 2013
- Under-reporting of adverse effects of tesofensine., Astrup A et al. · Lancet (London, England) · 2013
- About the ARTG Search Visualisation Tool, Therapeutic Goods Administration
- Drug Product Database online query, Health Canada
- Sertraline: an antidepressant medicine, NHS
- Body Composition and Lifestyle Interventions in Pharmacological Treatment of Acquired Hypothalamic Obesity: A Systematic Review of Randomized Controlled Trials., Yu H et al. · Obesity (Silver Spring, Md.) · 2026
Sources checked: 2026-10-18.
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