Reboxetine mesylate

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Description

Reboxetine Mesylate is a norepinephrine reuptake inhibitor use in the treatment of unipolar depression.Target: OthersReboxetine is a drug of the norepinephrine reuptake inhibitor class. Reboxetine dose-dependently and potently inhibits locus coeruleus neuronal firing in rats with ED50 of 191 ??g/kg. Reboxetine inhibition of the locus coeruleus neurons is reversible by the ??2 antagonist piperoxan (1.5 mg/kg, IV). Reboxetine dose-dependently reverses reserpine-induced blepharospasm and hypothermia in the mouse. Reboxetine is also found to antagonize clonidine-induced hypothermia dose-dependently in mice. Reboxetine reverses reserpine-induced blepharospasm and hypothermia in rats with ED50 of 10 mg/kg and 3 mg/kg (p.o.), respectively [1]. Reboxetine is associated with a markedly lower relapse rate than placebo (22% vs. 56%) and a greater cumulative probability of a maintained response during long-term treatment in patients with recurrent DSM-III-R major depression. Reboxetine effectively prevents recurrence of depressive symptoms following episode resolution [2]. Acute systemic administration of Reboxetine (0.3 mg/kg-20 mg/kg) dose-dependently increases extracellular norepinephrine in the rat frontal cortex while having no effect on extracellular serotonin. Reboxetine (20 mg/kg) also increases extracellular dopamine in the rat frontal cortex. Chronic administration of Reboxetine for 14 days results in elevated basal concentrations of extracellular norepinephrine and dopamine and a greater net increase of extracellular norepinephrine and dopamine, but not serotonin in the rat frontal cortex [3].

Clinical Trial

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Ethicon, Inc.

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Nanjing Medical University

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Radboud University

Pelvic Organ Prolapse-Cystocele-Rectocele-Uterine Prolapse

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William Beaumont Hospitals

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Karolinska Institutet-Karolinska University Hospital

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Mood Disorder-Substance-related Disorders-Amphetamine-related Disorders

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Hospital Universitari Vall d'Hebron Research Institute

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Geha Mental Health Center

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Fundació Sant Joan de Déu-Centro de Investigación Biomédica en Red de Salud Mental

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NCT00354094

Pfizer

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NCT00357825

Pfizer

Pain

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Healthy

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Pain

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Diabetic Neuropathies

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Attention Deficit Hyperactivity Disorder

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Fibromyalgia

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Depressive Disorder, Major

June 2004

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Universitätsklinikum Hamburg-Eppendorf-German Research Foundation-University Hospital Tuebingen

Cerebral Stroke

January 2009

Phase 4

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Hadassah Medical Organization

Major Depressive Disorder

September 2007

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Guiyang Medical University

Bone Mineral Density Quantitative Trait Locus 7

March 2012

Phase 3

NCT00993876

Zentrum für Integrative Psychiatrie-German Research Foundation

Cognitive Performance in Major Depression

August 2005

NCT02374567

Hannover Medical School

Dementia-Depression-Schizophrenia-Psychosomatic Disorders-Anxiety Disorders

January 2015

Phase 3

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References

[1].Wong, E.H., et al., Reboxetine: a pharmacologically potent, selective, and specific norepinephrine reuptake inhibitor. Biol Psychiatry, 2000. 47(9): p. 818-29.

[2].Versiani, M., et al., Reboxetine, a unique selective NRI, prevents relapse and recurrence in long-term treatment of major depressive disorder. J Clin Psychiatry, 1999. 60(6): p. 400-6.

[3].Page, M.E. and I. Lucki, Effects of acute and chronic reboxetine treatment on stress-induced monoamine efflux in the rat frontal cortex. Neuropsychopharmacology, 2002. 27(2): p. 237-47.

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