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**18-methoxycoronaridine** is a synthetic congener of the iboga alkaloid coronaridine, developed as a potential treatment for substance use disorders and other conditions. It was invented in 1996 by researchers at Albany Medical College and the University of Vermont. Mechanistically, it acts primarily as an antagonist at neuronal nicotinic acetylcholine receptors containing α3β4 subunits, modulating reward pathways implicated in addiction. In animal studies, it reduces self-administration of morphine, cocaine, methamphetamine, nicotine, ethanol, and sucrose without the neurotoxic or tremorigenic side effects associated with ibogaine. It also produces anorectic effects in obese rats. Clinical development has included trials for opioid withdrawal and cutaneous leishmaniasis[1][2][3][4][5].
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