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Rivanicline is a small molecule drug that acts as a partial agonist at neuronal nicotinic acetylcholine receptors, with selectivity for the α4β2 subtype. It was originally developed for its nootropic effects as a potential treatment for Alzheimer's disease. Subsequently, it was found to inhibit the production of Interleukin-8 (IL-8), conferring anti-inflammatory properties and leading to its development as an investigational therapy for ulcerative colitis. Rivanicline also exhibits stimulant and analgesic actions thought to be mediated by increased noradrenaline release. The compound has been evaluated in clinical trials up to phase II but development appears discontinued[1][2][3][4][5][6][7].
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