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Brofaromine is a small molecule drug that acts as a selective, reversible inhibitor of monoamine oxidase A (MAO-A), also known as a RIMA (reversible inhibitor of monoamine oxidase A). It was developed by Ciba-Geigy (now part of Novartis) for the treatment of depression and anxiety disorders. In addition to its MAO-A inhibitory activity, brofaromine also inhibits serotonin reuptake, giving it dual pharmacological effects that were thought to offer advantages in treating depressive disorders with fewer anticholinergic side effects compared to tricyclic antidepressants. Despite promising clinical trial results showing efficacy comparable to tricyclic antidepressants and standard MAOIs, development was discontinued before market approval. Brofaromine was also investigated for post-traumatic stress disorder (PTSD)[2][3][5][6][7][8].
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