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Dexisometheptene mucate is the (R)-enantiomer of isometheptene, a sympathomimetic small molecule investigated for the treatment of tension-type headache. It acts as a potent agonist at the imidazoline-1-receptor and has vasoconstrictive properties. Dexisometheptene mucate was studied in clinical trial NCT02423408 under the code name TNX-201 for single tension-type headache but its development was discontinued in 2016[2][3][4][7]. The drug’s mechanism involves indirect sympathomimetic activity, likely contributing to its antimigraine effects.
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