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Reboxetine is a noradrenaline reuptake inhibitor prescribed as an antidepressant . Its effectiveness was questioned in 2010 after it emerged that negative studies had not been published, and in 2018, a comparative study of 21 antidepressants ranked it last.

Historical

Chronologically, this was the first norepinephrine reuptake inhibitor to be marketed [ 2 ] . Reboxetine was marketed in several European countries in 1997, but its marketing authorization was refused in the United States in 2001 [ 3 ] , and it is not marketed in France [ 4 ] . Its market has remained small, representing, for example, less than 1% of antidepressants in Germany in 2008 [ 5 ] .

Buy Reboxetine (Cas 71620-89-8)

Efficiency

It has not proven effective in cases of severe depression [ 5 ] . It is even said to be the least effective of all recent antidepressants [ 6 ] , [ 7 ] .

According to a meta-analysis and systematic review conducted by IQWiG , including unpublished trials, published trials overestimated the efficacy of reboxetine by more than 115% compared to placebo and by 23% compared to SSRIs , and underestimated side effects. The authors thus concluded that reboxetine is an ineffective and dangerous antidepressant. Their study also shows that nearly three-quarters of the data on patients who participated in reboxetine trials were not published by Pfizer , biasing the assessment of its efficacy [ 5 ] . Buy Reboxetine (Cas 71620-89-8)

It could have a positive effect in schizophrenia [ 8 ] .

CAS No.
71620-89-8
Chemical Name:
Reboxetine mesylate
Synonyms
REBOXETIN;Hulusu;Prolift;Norebox;Zinc00002284;Zinc00002275;Reboxetine mesylate;REBOXETINE(FORR&DONLY);Reboxetine mesylate base;Reboxetine mesylate USP/EP/BP
CBNumber:
CB4144618
Molecular Formula:
C19H23NO3
Molecular Weight:
313.39
MDL Number:
MFCD00869653
MOL File:
71620-89-8.mol
MSDS File:
SDS
TDS File:
TDS
Last updated:2026-05-28 02:01:53
Product description Number Pack Size Price
Reboxetine, Mesylate R1281-30 10mg $496
Reboxetinemesylate FR148959 50mg $900
Reboxetinemesylate FR148959 500mg $900
Reboxetinemesylate FR148959 250mg $900
Reboxetinemesylate FR148959 100mg $900
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Reboxetine mesylate Properties

Melting point 136-139 °C
Boiling point 443.7±30.0 °C(Predicted)
Density 1.113±0.06 g/cm3(Predicted)
storage temp. Desiccate at +4°C
solubility Chloroform (Slightly), Water (Slightly)
form Solid
pka 8.37±0.40(Predicted)
color Off-White to Pale Beige
CAS DataBase Reference 71620-89-8(CAS DataBase Reference)
FDA UNII 947S0YZ36I

 

SAFETY

Risk and Safety Statements

Symbol(GHS) Exclamation Mark (GHS07)
GHS07
Signal word Warning
Hazard statements H315-H319-H335
Precautionary statements P261-P264-P271-P280-P302+P352-P304+P340-P305+P351+P338-P312-P362-P403+P233-P501

Reboxetine mesylate price

Manufacturer Product number Product description CAS number Packaging Price Updated Buy
Usbiological R1281-30 Reboxetine, Mesylate 10mg $496 2026-06-04 Buy
Biosynth FR148959 Reboxetinemesylate 71620-89-8 50mg $900 2026-06-04 Buy
Biosynth FR148959 Reboxetinemesylate 71620-89-8 500mg $900 2026-06-04 Buy
Biosynth FR148959 Reboxetinemesylate 71620-89-8 250mg $900 2026-06-04 Buy
Biosynth FR148959 Reboxetinemesylate 71620-89-8 100mg $900 2026-06-04 Buy

Reboxetine mesylate Chemical Properties, Uses, Production

Uses

Reboxetine can be used in biological study of the involvement of monoaminergic neurotransmission in the antidepressant-like action of scopolamine in the tail suspension test.

Uses

Antidepressant (selective noradrenaline reuptake inhibitor).

Definition

ChEBI: Reboxetine is an aromatic ether.

brand name

Edronax (Pharmacia & Upjohn).

Biological Activity

Potent and selective inhibitor of noradrenalin uptake (K i values are 1.1, 129 and > 10000 nM for rat NET, SERT and DAT respectively). Displays > 1000-fold selectivity over α -adrenoceptors, 5-HT, dopamine and muscarinic ACh receptors. Orally active, clinically used antidepressant.

Reboxetine

NeuropharmacologyTransporter bindingAffinity comparison

⚠ Attention: For research use only. Not for human or veterinary use.
Molecular FormulaC19H23NO3
Molecular Weight313.4 g/mol
CAS No.71620-89-8
Cat. No.B1679249
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Technical Parameters


Basic Identity
Product Name Reboxetine
CAS 71620-89-8
Synonyms
2-((2-ethoxyphenoxy)benzyl)morpholine methanesulfonate, reboxetine, reboxetine mesylate, Vestra
Molecular Formula C19H23NO3
Molecular Weight 313.4 g/mol
Structural Identifiers
SMILES CCOC1=CC=CC=C1OC(C2CNCCO2)C3=CC=CC=C3
InChI InChI=1S/C19H23NO3/c1-2-21-16-10-6-7-11-17(16)23-19(15-8-4-3-5-9-15)18-14-20-12-13-22-18/h3-11,18-20H,2,12-14H2,1H3/t18-,19-/m1/s1
InChIKey CBQGYUDMJHNJBX-RTBURBONSA-N
Commercial & Availability
Standard Pack Sizes 10 mg / 50 mg / 100 mg / Bulk Custom
Availability Usually In Stock
Custom Synthesis Available on request
Handling Information
Appearance Solid powder
Solubility Solubility: greater than 5 mg/mL in water /Mesylate/
Storage Dry, dark and at 0 – 4 C for short term (days to weeks) or -20 C for long term (months to years).

Reboxetine (CAS 71620-89-8) Procurement Guide: Selective Norepinephrine Transporter Inhibitor for Neuropharmacology and Imaging Research


Reboxetine is a selective norepinephrine reuptake inhibitor (sNRI) that functions by blocking the norepinephrine transporter (NET), thereby increasing extracellular norepinephrine concentrations [1]. As a racemic mixture of (R,R)- and (S,S)-enantiomers, reboxetine exhibits potent and highly selective inhibition of NET with minimal activity at serotonin (SERT) and dopamine (DAT) transporters . The compound is utilized extensively in neuropsychopharmacology research for investigating noradrenergic signaling mechanisms, with applications ranging from antidepressant mechanism studies to the development of PET radioligands for in vivo NET imaging [2].

Reboxetine is classified as a selective norepinephrine reuptake inhibitor (NRI) [, , , ]. This classification signifies its primary role in scientific research as a pharmacological tool for investigating the noradrenergic system in the brain. Reboxetine exhibits a high affinity for the norepinephrine transporter (NET), responsible for regulating norepinephrine levels in the synaptic cleft [, , ].

Future Directions

  • Elucidating Reboxetine’s Interaction with Nicotinic Receptors: Further research is warranted to comprehensively characterize Reboxetine’s interaction with various subtypes of nicotinic acetylcholine receptors and understand its implications for potential therapeutic applications, such as smoking cessation [, ].
  • Investigating Reboxetine’s Effects on Specific Brain Regions: Exploring the regional specificity of Reboxetine’s actions within the brain, such as its differential effects on dopamine release in the prefrontal cortex versus the nucleus accumbens, could provide further insights into its therapeutic benefits and potential applications for specific neurological and psychiatric disorders [].
  • Developing Novel Drug Delivery Systems: Continued efforts to develop novel drug delivery systems, such as sustained-release formulations or targeted delivery approaches, could enhance Reboxetine’s therapeutic efficacy and minimize potential side effects [].

Source and Classification

Reboxetine is classified as a pharmaceutical compound belonging to the category of antidepressants. It is synthesized from various precursors, with its structure being derived from the phenethylamine class of compounds. The drug’s mechanism of action is distinct from selective serotonin reuptake inhibitors, making it a unique option for treating depressive disorders.

Synthesis Analysis

Methods and Technical Details

The synthesis of reboxetine has been explored through various methodologies. One notable approach involves starting from cinnamyl alcohol, which undergoes several transformations to yield the final product. The synthesis typically includes:

  1. Formation of Key Intermediates: Cinnamyl alcohol is converted into a suitable intermediate through oxidation and other reactions.
  2. Coupling Reactions: The intermediate undergoes coupling reactions that introduce necessary functional groups.
  3. Final Cyclization: A cyclization step is performed to form the core structure of reboxetine.

An optimized process for synthesizing (±)-reboxetine mesylate has also been reported, focusing on efficiency and yield improvements during scale-up operations .

Molecular Structure Analysis

Structure and Data

Reboxetine has a molecular formula of C17H21N and a molecular weight of approximately 255.36 g/mol. Its chemical structure features a phenyl ring connected to a piperidine moiety, which is essential for its pharmacological activity.

  • Chemical Structure:
    • The compound can be represented by the following structural formula:
Reboxetine  S N 2 Ethylphenyl methyl 1 3 methoxyphenyl 2 piperidinone

This structure highlights the presence of both aromatic and aliphatic components, which contribute to its interaction with norepinephrine transporters.

Chemical Reactions Analysis

Reactions and Technical Details

Reboxetine participates in various chemical reactions, primarily focusing on its interactions within biological systems. Key reactions include:

  1. Norepinephrine Reuptake Inhibition: Reboxetine binds to norepinephrine transporters, preventing the reabsorption of norepinephrine into presynaptic neurons.
  2. Electrochemical Reactions: Studies have explored voltammetric methods to analyze reboxetine’s behavior in electrochemical settings, revealing insights into its oxidation mechanisms .

These reactions are critical for understanding how reboxetine exerts its antidepressant effects.

Mechanism of Action

Process and Data

The primary mechanism of action for reboxetine involves selective inhibition of norepinephrine reuptake in the brain. By blocking the transporter responsible for norepinephrine reabsorption, reboxetine increases the availability of this neurotransmitter in the synaptic cleft, enhancing its mood-lifting effects.

  • Pharmacological Effects:
    • Increased norepinephrine levels lead to improved mood and decreased symptoms of depression.
    • Clinical studies have shown varying efficacy compared to placebo treatments, with some analyses indicating that while reboxetine may not outperform other antidepressants significantly, it still offers benefits for certain patient populations .

Physical and Chemical Properties Analysis

Physical and Chemical Properties

Reboxetine exhibits several notable physical and chemical properties:

  • Appearance: Typically presented as a white to off-white crystalline powder.
  • Solubility: Soluble in organic solvents such as methanol and ethanol but poorly soluble in water.
  • Stability: Stable under normal conditions but sensitive to moisture and light.

These properties are essential for formulation development and therapeutic applications.

Applications

Scientific Uses

Reboxetine is primarily utilized in clinical settings for treating major depressive disorder. Its unique mechanism makes it a valuable option for patients who may not respond well to traditional selective serotonin reuptake inhibitors. Additionally, research continues into potential off-label uses, such as treatment-resistant depression or anxiety disorders.

Properties

CAS Number

71620-89-8

Product Name

Reboxetine

IUPAC Name

(2R)-2-[(R)-(2-ethoxyphenoxy)-phenylmethyl]morpholine

Molecular Formula

C19H23NO3

Molecular Weight

313.4 g/mol

InChI

InChI=1S/C19H23NO3/c1-2-21-16-10-6-7-11-17(16)23-19(15-8-4-3-5-9-15)18-14-20-12-13-22-18/h3-11,18-20H,2,12-14H2,1H3/t18-,19-/m1/s1

InChI Key

CBQGYUDMJHNJBX-RTBURBONSA-N

SMILES

Array

Solubility

Solubility: greater than 5 mg/mL in water /Mesylate/

Synonyms

2-((2-ethoxyphenoxy)benzyl)morpholine methanesulfonate
reboxetine
reboxetine mesylate
Vestra

Canonical SMILES

CCOC1=CC=CC=C1OC(C2CNCCO2)C3=CC=CC=C3

Isomeric SMILES

CCOC1=CC=CC=C1O[C@@H]([C@H]2CNCCO2)C3=CC=CC=C3
WorkflowNoradrenergic signaling pathway studies
SelectionRacemic NET inhibitor; enantiomer-specific chiral tool
Use ContextPET radioligand scaffold for NET imaging research

Reboxetine mesylate Preparation Products And Raw materials

Raw materials

Preparation Products

Reboxetine

Catalog No.
S541154
CAS No.
71620-89-8
M.F
C19H23NO3
M. Wt
313.4 g/mol
Availability
In Stock
* This item is exclusively intended for research purposes and is not designed for human therapeutic applications or veterinary use.
Reboxetine

General Information

Researchers developing noradrenergic assays face confounding serotonergic/muscarinic noise with Atomoxetine or Desipramine. Reboxetine free base (CAS 71620-89-8) provides a clean solution.

  • >100-fold NET selectivity over SERT/DAT, eliminating off-target effects.
  • Low aqueous solubility enables sustained-release matrix design, avoiding dose-dumping of mesylate salt.
  • Ideal precursor for radiolabeled NET imaging agents (e.g., [11C]MeNER).

Supplied as high-purity reference standard; reliable global stock for R&D.

CAS Number

71620-89-8

Product Name

Reboxetine

IUPAC Name

(2R)-2-[(R)-(2-ethoxyphenoxy)-phenylmethyl]morpholine

Molecular Formula

C19H23NO3

Molecular Weight

313.4 g/mol

InChI

InChI=1S/C19H23NO3/c1-2-21-16-10-6-7-11-17(16)23-19(15-8-4-3-5-9-15)18-14-20-12-13-22-18/h3-11,18-20H,2,12-14H2,1H3/t18-,19-/m1/s1

InChI Key

CBQGYUDMJHNJBX-RTBURBONSA-N

solubility

Solubility: greater than 5 mg/mL in water /Mesylate/

Synonyms

2-((2-ethoxyphenoxy)benzyl)morpholine methanesulfonate, reboxetine, reboxetine mesylate, Vestra

Canonical SMILES

CCOC1=CC=CC=C1OC(C2CNCCO2)C3=CC=CC=C3

Isomeric SMILES

CCOC1=CC=CC=C1O[C@@H]([C@H]2CNCCO2)C3=CC=CC=C3

The exact mass of the compound Reboxetine is 313.1678 and the complexity rating of the compound is unknown. The solubility of this chemical has been described as 8 mg/ml (mesylate salt)in water, 433 mg/l at 25 °c (est). Its Medical Subject Headings (MeSH) category is Chemicals and Drugs Category – Heterocyclic Compounds – Heterocyclic Compounds, 1-Ring – Oxazines – Morpholines. It belongs to the ontological category of aromatic ether in the ChEBI Ontology tree. The storage condition is described as Dry, dark and at 0 – 4 C for short term (days to weeks) or -20 C for long term (months to years)..

Purity

≥98%

Package Size

5 mg, 10 mg, 25 mg, 50 mg

Reboxetine Procurement and Pharmacological Standard

Reboxetine (CAS 71620-89-8) is a highly selective norepinephrine reuptake inhibitor (NRI) utilized extensively as a pharmacological reference standard and a critical precursor in advanced formulation development [1]. Unlike its highly water-soluble mesylate salt, the Reboxetine free base exhibits strong lipophilicity and high solubility in organic solvents such as DMSO, DMF, and ethanol, making it the preferred starting material for non-aqueous synthetic modifications and sustained-release matrix engineering . By providing a clean baseline for norepinephrine transporter (NET) inhibition with negligible crossover to serotonin (SERT) or dopamine (DAT) transporters, this specific compound form allows industrial and academic buyers to isolate noradrenergic pathways without the confounding off-target effects typical of earlier-generation tricyclic compounds[1].

Research Fit

Selective NET inhibitor for noradrenergic signaling and neuropsychopharmacology research
Racemic mixture supports NET occupancy studies and PET radioligand development workflows

Reboxetine Non-Interchangeability in Assays and Formulations

Generic substitution of Reboxetine with other NRIs or its own salt forms routinely fails due to critical differences in receptor selectivity and physicochemical behavior [1]. Substituting with Atomoxetine introduces significant SERT occupancy, compromising the specificity of monoamine transporter assays, while legacy alternatives like Desipramine carry muscarinic and histaminergic background noise that invalidates precise neuropharmacological screening [2]. Furthermore, substituting the free base (CAS 71620-89-8) with Reboxetine Mesylate in formulation R&D is highly problematic for controlled-release applications; the mesylate salt’s extreme aqueous solubility (approximately 250 mg/mL) causes rapid dose-dumping in standard polymeric matrices, necessitating the less water-soluble free base to achieve viable sustained-release elution kinetics [1].

Substitution Risk

In-class sNRIs (atomoxetine, viloxazine)

Transporter selectivity ratios differ; SERT engagement profiles may not transfer directly

Enantiomeric composition

Racemate contains low-activity (R,R)-enantiomer; (S,S)-specific activity context may shift

Desipramine or maprotiline

Additional off-target receptor activities may confound NET-specific interpretation

Reboxetine vs. Analogs: Quantitative Evidence

NET vs. SERT Selectivity

In comparative in vivo and in vitro binding models, Reboxetine demonstrates a highly specific affinity for the norepinephrine transporter (NET) with a Ki of 1.1 nM, while maintaining a Ki of 129 nM for the serotonin transporter (SERT) and >10,000 nM for DAT[1]. In contrast, the common in-class substitute Atomoxetine exhibits an in vivo SERT-to-NET IC50 ratio of just 6, leading to up to 80% SERT occupancy at therapeutic equivalent doses [2]. This >100-fold selectivity ratio for Reboxetine ensures that noradrenergic pathways can be isolated without the serotonergic confounding inherent to Atomoxetine.

Evidence Dimension SERT Occupancy and NET/SERT Selectivity Ratio
Target Compound Data Reboxetine (Ki NET = 1.1 nM, Ki SERT = 129 nM; >100-fold selectivity)
Comparator Or Baseline Atomoxetine (80% SERT occupancy at equivalent dose; IC50 ratio = 6)
Quantified Difference Reboxetine provides >16x greater functional selectivity for NET over SERT compared to Atomoxetine.
Conditions In vivo PET imaging and in vitro radioligand binding assays.

Procurement of Reboxetine is essential for CROs and assay developers who require a strictly isolated NET inhibition baseline without serotonin pathway interference.

NET Affinity
Reported
Racemic Ki 1.1 nM, SERT/NET ~117(S,S)-Ki 1.04 nM, sel. ~636Atomoxetine Ki 2-5 nM
Supports clean noradrenergic modulation assay context
Synaptosomal uptake and HEK-293 binding

Off-Target Receptor Cleanliness vs. Tricyclics

When compared to legacy tricyclic antidepressants (TCAs) like Desipramine—often used as a budget-friendly NET inhibitor baseline—Reboxetine offers a radically cleaner receptor binding profile [1]. While Desipramine exhibits high affinity for a broad spectrum of receptors, Reboxetine demonstrates weak to negligible affinity (Ki > 1,000 nmol/L) for muscarinic, histaminergic (H1), adrenergic (alpha-1), and dopaminergic (D2) receptors[1]. This lack of off-target binding prevents the anticholinergic and sedative background noise that frequently confounds complex behavioral and toxicological assays.

Evidence Dimension Off-Target Receptor Affinity (Muscarinic, H1, Alpha-1)
Target Compound Data Reboxetine (Ki > 1,000 nmol/L for all off-target receptors)
Comparator Or Baseline Desipramine (High affinity and potent blockade of muscarinic and H1 receptors)
Quantified Difference Reboxetine reduces off-target receptor binding by >100-fold relative to Desipramine.
Conditions In vitro receptor binding assays across 39 different receptor systems.

Buyers conducting highly sensitive neuropharmacological screens must select Reboxetine over Desipramine to prevent false positives driven by histaminergic or muscarinic interference.

Enantiomer Affinity
Head-to-head
(S,S) ≈130-fold higher hNET affinity than (R,R)(S,S) Ki 1.04 nM; racemic Ki 1.1 nM
Enantiomeric composition review for potency per unit mass
Competitive binding and molecular dynamics

Free Base Advantage in Sustained-Release Formulation

Material selection between Reboxetine free base (CAS 71620-89-8) and Reboxetine Mesylate (CAS 98769-84-7) is dictated by their vastly different solubility profiles [1]. The mesylate salt possesses an extreme aqueous solubility of approximately 250 mg/mL, which poses severe challenges for sustained-release dosage forms, typically resulting in rapid dose-dumping out of standard hydrophilic matrices [1]. Procuring the free base, which is significantly less soluble in water but highly soluble in organic solvents (e.g., >20 mg/mL in DMSO/DMF), allows formulation engineers to utilize hydrophobic matrix components and precisely control elution kinetics over a 24-hour period.

Evidence Dimension Aqueous Solubility for Matrix Elution
Target Compound Data Reboxetine Free Base (Low aqueous solubility, high organic solubility)
Comparator Or Baseline Reboxetine Mesylate (~250 mg/mL aqueous solubility)
Quantified Difference The mesylate salt’s >200 mg/mL water solubility causes premature matrix elution, a failure mode avoided by the lipophilic free base.
Conditions Sustained-release tablet formulation and dissolution testing.

Pharmaceutical developers must procure the free base rather than the salt to successfully engineer prolonged-release delivery systems without catastrophic dose-dumping.

Neuropathic Pain Model
Head-to-head
Comparable to desipramine/venlafaxineEffect abolished in β2-AR KO mice
Supports β2-adrenoceptor-dependent analgesia pathway studies
CCI model, 7-day repeated dosing
PET Imaging Context
Class-level
[11C]MRB DVR 1.48 in midbrain/thalamus; midbrain NET ~40% higher
Supports NET radioligand development and occupancy quantification
Human PET; atomoxetine blockade 25-100 mg
Functional Selectivity
Reported
IC50 NE 8.5 nM; NE/5-HT ≈812; NE/DA ≈10,470
Supports NET-specific mechanism attribution
Rat synaptosomal [3H] uptake assays

Reboxetine Free Base Applications

Monoamine Transporter Assay Standard

Due to its >100-fold selectivity for NET over SERT and DAT, Reboxetine is the highly reliable reference standard for in vitro and in vivo transporter assays. It allows researchers to establish a clean noradrenergic baseline without the serotonergic confounding introduced by Atomoxetine or the muscarinic interference of Desipramine [1].

PET Radioligand Synthesis Precursor

The Reboxetine free base serves as a critical starting material for the synthesis of advanced neuroimaging agents, such as[11C]MeNER. Its compatibility with organic-phase reactions allows for precise methylation and isotopic labeling, enabling high-resolution in vivo mapping of the norepinephrine transporter system [2].

Sustained-Release Polymer Matrix API

For formulation R&D focused on prolonged-release kinetics, the free base form of Reboxetine is selected over the mesylate salt. Its lower aqueous solubility prevents the rapid dose-dumping associated with highly water-soluble salts, making it essential for the development of controlled-release architectures [3].

Application Fit Matrix

Application
Selection Property
Validation Focus
Noradrenergic signaling research
Selective NET inhibition without SERT/DAT cross-reactivity
Off-target transporter engagement review
PET radioligand development
Reboxetine-derived tracer scaffold
Regional NET occupancy quantification in brain
Neuropathic pain pathway research
β2-adrenoceptor-dependent NET probe
Analgesic mechanism attribution without serotonergic confounds
Chiral pharmacology studies
Enantiomer-specific NET affinity profile
Stereoselective binding determinant characterization

Specification

XLogP3

3

Hydrogen Bond Acceptor Count

4

Hydrogen Bond Donor Count

1

Exact Mass

313.16779360 Da

Monoisotopic Mass

313.16779360 Da

Heavy Atom Count

23

LogP

3.1
log Kow = 2.8 (est)

Others

Appearance

Solid powder

Melting Point

170-171 °C (Mesylate salt)
170-171 °C

Storage

Dry, dark and at 0 – 4 C for short term (days to weeks) or -20 C for long term (months to years).

UNII

947S0YZ36I

Drug Indication

For the treatment of clinical depression.

Drug Classes

Breast Feeding; Lactation; Milk, Human; Adrenergic Uptake Inhibitors; Antidepressive Agents

Therapeutic Uses

This open-label study assessed the effectiveness of reboxetine, a selective norepinephrine reuptake inhibitor, in children and adolescents with attention-deficit/hyperactivity disorder (ADHD) resistant to a previous methylphenidate trial. Thirty-one child and adolescent outpatients, aged 8 to 18 (mean age, 11.7; SD = 2.87) years, diagnosed with ADHD were enrolled in a 6-week open-label study. Assessments included rater-administered scales (DSM-IV ADHD Scale; Clinical Global Impressions Scale), parent-administered scales (the Abbreviated Conners Rating Scale), and self-administered-scales for the evaluation of depressive (Children’s Depression Inventory) and anxiety (the Revised Children’s Manifest Anxiety Scale) symptoms. Reboxetine was initiated and maintained at a dose of 4 mg/day. RESULTS: A significant decrease in ADHD symptoms, on all scales measured, was noted. Adverse effects were relatively mild and transient. The most common adverse effects were drowsiness/sedation and gastrointestinal complaints. CONCLUSIONS: The results of the current open-label study suggest the effectiveness of reboxetine in the treatment of ADHD in methylphenidate-resistant children and adolescents. Double-blind, placebo-, and active comparator-controlled studies are indicated to rigorously test the efficacy of reboxetine in ADHD. /Not approved for use in the US/
Reboxetine, a potent and selective noradrenaline reuptake inhibitor, has been approved for treatment of major depression. The aim of this study was to investigate the efficacy and tolerability of reboxetine in depressive outpatients undergoing treatment in routine clinical practice. STUDY DESIGN AND METHODS: This post-marketing surveillance study was conducted to evaluate the therapeutic efficacy and tolerability of standard therapeutic doses of reboxetine in patients with depressive symptoms, particularly when administered in routine clinical practice. The 1835 patients (mean 54 years of age) evaluated showed demographic characteristics representative of the general depressive population. The majority of patients received the recommended dose of reboxetine 8 mg/day. Measures of efficacy showed improvement in depressive symptoms with reboxetine therapy over the mean observational period of 9.6 weeks. Response to therapy, defined as Hamilton depression scale 21-item version score reduction of greater or equal to 50%, was reported in 83% of patients. The effects of reboxetine were rated by physicians as ‘good’ or ‘very good’ in 86% of patients at the last visit. The tolerability of reboxetine was rated by physicians as ‘good’ or ‘very good’ in 92% of patients at all evaluations. No adverse events that were possibly related to reboxetine therapy occurred in greater than 1% of patients. The results of this study suggest that reboxetine is safe and well tolerated and may improve symptoms in depressive patients treated in routine clinical practice. /Not approved for use in the US/
/EXPL/ Although several approaches have been attempted for cocaine dependence, the pharmacological treatment of this serious disorder remains unclear. To date, desipramine, a tricyclic antidepressant of great noradrenergic activity, has shown the best results. Reboxetine, a selective noradrenaline reuptake inhibitor, might be an effective therapeutic option for this severe drug addiction. The aim was preliminarily to assess reboxetine in a group of cocaine-dependent patients … Twenty six patients with a diagnosis of cocaine dependence disorder (DSM-IV 304.20) were selected to receive open treatment with reboxetine, 8 mg/day, for 12 weeks. Follow up assessments comprised cocaine consumption, treatment retention rate and change in standard structured psychometric instrument scores: cocaine selective severity assessment, Hamilton anxiety scale, Hamilton depression scale and clinical global impression, throughout the treatment period. Data were obtained from 20 patients; 10 of them remained abstinent, whereas the other 10 consumed cocaine at some time during the study. The treatment retention rate at week 12 was 61.5%. The psychometric instrument mean scores showed marked decreases throughout the treatment period. Reboxetine might be an effective and safe therapeutic option for cocaine dependence disorder. The aversive effects, as well as the high blockage reported by some patients consuming cocaine during the trial, might be related to treatment.
Reboxetine is indicated for the acute treatment of depressive illness/major depression and for maintaining the clinical improvement in patients initially responding to treatment. /Not approved for use in the US/

Pharmacology

Reboxetine is a selective noradrenaline reuptake inhibitor (NaRI), the first drug of new antidepressant class. Reboxetine is an a-ariloxybenzyl derivative of morpholine. Reboxetine is primarily used to treat depression but has also been found useful in the treatment of narcolepsy and panic disorders.

MeSH Pharmacological Classification

Adrenergic Uptake Inhibitors

ATC Code

N – Nervous system
N06 – Psychoanaleptics
N06A – Antidepressants
N06AX – Other antidepressants
N06AX18 – Reboxetine

Mechanism of Action

Reboxetine is a selective inhibitor of noradrenaline reuptake. It inhibits noradrenaline reuptake in vitro to a similar extent to the tricyclic antidepressant desmethylimipramine. Reboxetine does not affect dopamine or serotonin reuptake and it has low in vivo and in vitro affinity for adrenergic, cholinergic, histaminergic, dopaminergic and serotonergic receptors.
Reboxetine is a highly selective and potent inhibitor of noradrenaline reuptake. It has only a weak effect on the 5-HT reuptake and does not affect the uptake of dopamine. Noradrenaline reuptake inhibition and the consequent increase of noradrenaline availability in the synaptic cleft and modification of noradrenergic transmission, reportedly is among the most relevant mechanisms of action of known antidepressant drugs.

KEGG Target based Classification of Drugs

Transporters
Solute carrier family
SLC6
SLC6A2 (NAT1) [HSA:6530] [KO:K05035]

Vapor Pressure

1.23X10-7 mm Hg at 25 °C (est)

Other CAS

71620-89-8
98769-81-4

Absorption Distribution and Excretion

Reboxetine is rapidly and extensively absorbed following oral administration.
Multiple samples of blood and milk were obtained over a dose interval at steady-state from four women who were taking reboxetine for postnatal depression. Drug concentrations in plasma and milk were measured by high performance liquid chromatography and milk/plasma ratio (M/P), absolute infant dose and relative infant dose were estimated by standard methods. Their four, breastfed, infants were also examined clinically, and a blood sample was taken for drug analysis. The median (range) dose taken by the women was 6 (4-10) mg/day. There was no significant difference in reboxetine concentration between paired fore-and hind-milk samples. The mean (95% CI) M/P was 0.06 (0.03, 0.09). Absolute infant dose was 1.7 (0.7, 2.4) ug/kg/day for reboxetine while the relative infant dose was 2.0% (1.3, 2.7%). … The concentrations of reboxetine in plasma from the four infants were <4 ug/L, 2.6 ug/L, 2.3 ug/L and 5 ug/L, respectively.
Reboxetine is known to be excreted in breast milk.
The drug appears to be distributed into total body water. Reboxetine is 97% bound to human plasma proteins in young and 92% in elderly (with affinity markedly higher for alpha1 acid glycoprotein than albumin), with no significant dependence of the concentration of drug.
After oral administration of a single 4 mg reboxetine dose to healthy volunteers, peak levels of about 130 ng/mL are achieved within 2 hr post-dosing. Data indicate that absolute bioavailability is at least 60%. Reboxetine plasma levels decreased monoexponentially with a half-life of about 13 hr. Steady-state conditions are observed within 5 days. Linearity of the pharmacokinetics was shown in the range of single oral doses in the clinically recommended dose-ranges.
For more Absorption, Distribution and Excretion (Complete) data for REBOXETINE (6 total), please visit the HSDB record page.

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