Tofenacin

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Tofenacin

Chemical structure of Tofenacin

Tofenacin is a tricyclic antidepressant (TCA) that was developed in the 1960s. It is primarily used in the treatment of depression and has been studied for its effects on various neurotransmitter systems in the brain.

Pharmacology

Tofenacin works by inhibiting the reuptake of norepinephrine and serotonin, two key neurotransmitters involved in mood regulation. This action increases the concentration of these neurotransmitters in the synaptic cleft, thereby enhancing neurotransmission and improving mood in patients with depression.

Chemical Properties

Tofenacin is a member of the tricyclic antidepressant class, characterized by its three-ring chemical structure. The chemical structure of Tofenacin is depicted in the image to the right. This structure is crucial for its ability to interact with neurotransmitter transporters in the brain.

Clinical Use

Tofenacin is prescribed for the treatment of major depressive disorder. It is typically administered orally and dosage is adjusted based on the patient's response and tolerance to the medication. Like other TCAs, Tofenacin may take several weeks to exhibit its full therapeutic effects.

Side Effects

Common side effects of Tofenacin include dry mouth, constipation, urinary retention, and blurred vision. These effects are due to its anticholinergic properties. Patients may also experience drowsiness, weight gain, and orthostatic hypotension.

Mechanism of Action

Tofenacin's primary mechanism of action is the inhibition of the reuptake of norepinephrine and serotonin. By blocking the transporters responsible for the reuptake of these neurotransmitters, Tofenacin increases their availability in the synaptic cleft, which is thought to contribute to its antidepressant effects.

History

Tofenacin was developed in the 1960s during a period of extensive research into tricyclic antidepressants. It was one of several compounds synthesized to improve the efficacy and reduce the side effects associated with earlier antidepressants.

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Contributors: Prab R. Tumpati, MD