Drug intelligence / Profile preview

levomilnacipran

Development stage
Approved
Lead developer
Allergan
Modality
Small Molecules
Administration
Oral
01

Overview

Levomilnacipran is a small molecule antidepressant classified as a selective serotonin and norepinephrine reuptake inhibitor (SNRI). It is primarily used for the treatment of major depressive disorder (MDD) in adults. Levomilnacipran works by inhibiting the reuptake of serotonin and norepinephrine, increasing their levels in the central nervous system. It has higher selectivity for norepinephrine reuptake inhibition compared to serotonin, with over 15-fold greater potency at the norepinephrine transporter. Levomilnacipran does not significantly bind to other receptors or ion channels and does not inhibit monoamine oxidase[2][3][5]. The drug was developed as an enantiomer of milnacipran.

Brand names
Fetzima
Other names
(1S,2R)-milnacipranMILNACIPRAN (1S,2R)Levomilnacipran ERLevomilnacipran SR
02

Targets

NMDAR (Glutamate receptor ionotropic, NMDA)SERT (Sodium-dependent serotonin transporter)NET (Norepinephrine Transporter)

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