Tesofensine
Inhibits reuptake of norepinephrine, dopamine, and serotonin to reduce appetite and increase metabolism.
Medically reviewed by Dr. Jonathan Snipes, MD. Last reviewed May 6, 2026.
What It Is
Tesofensine is a triple monoamine reuptake inhibitor originally developed for neurological conditions. It was found to have significant appetite-suppressing effects.
How It Works
By increasing levels of norepinephrine, dopamine, and serotonin in the brain, it naturally reduces hunger signals and can increase resting metabolic rate.
Who It's For
Adults who need additional appetite control support. Often prescribed when GLP-1 medications alone aren't sufficient or aren't suitable.
Who Should Avoid It
Not suitable for those with uncontrolled hypertension, cardiovascular disease, history of stroke, or anxiety disorders. Avoid with MAOIs.
Protocol & Pricing
OBP Pharmacy Price
$2.25/cap
You pay pharmacy price. No markup.
Starting Dose
500mcg/day
Form
Capsule (500mcg)
Dosing Protocol
1 capsule (500mcg) daily, taken in the morning. Do not exceed prescribed dose.
Beyond Use Date
180 Days from compounding (USP <795>)
Optimal Balance Pharmacy assigns this date and prints it on your vial label. Always follow the label. Once a multi-dose vial is punctured, the in-use date on the label is shorter than the compounding date shown here.
Stacking Guide
Stacks Well With
Do Not Combine With
Triple monoamine reuptake inhibitor (weight loss)
Read the Tesofensine protocol guide
Not a peptide despite frequent miscategorization. 9.2 percent Phase IIb weight loss. Real cardiovascular signal. Monitoring is not optional.
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From $35/10mlHow to get Tesofensine prescribed online
Tesofensine is available by prescription through a licensed telehealth visit and dispensed for human use by a named 503A pharmacy. That is what separates it from research-use-only vials sold without a prescription. There is no subscription and no membership, just a one-time visit fee.
- 1
Complete a $39 medical visit. Answer a short intake about your health history and your goals for Tesofensine. The $39 fee is the only charge RxPepsDirect collects, paid once, not a recurring subscription.
- 2
A licensed provider reviews it. A US-licensed nurse practitioner or physician reviews your intake and, if Tesofensine is appropriate for you, writes a patient-specific prescription. The starting dose is typically 500mcg/day.
- 3
The pharmacy compounds and ships it. Optimal Balance Pharmacy, a 503A pharmacy in Texas, compounds Tesofensine and ships it ready to use in its dispensed form by FedEx overnight. Your fill is Capsule (500mcg), and you pay the pharmacy $2.25/cap at wholesale, with no clinic markup, plus a $15 flat FedEx overnight shipping fee charged by the pharmacy.
RxPepsDirect prescribes Tesofensine in the 29 jurisdictions its medical team is licensed in. Start a $39 visit or browse the full Weight Loss & Metabolic range. Comparing services first? See how RxPepsDirect stacks up against seven other providers in our best telehealth for compounded peptides comparison.
Common questions about Tesofensine
- What is tesofensine?
- Tesofensine is a triple monoamine reuptake inhibitor (norepinephrine, dopamine, serotonin) originally developed as an anti-Parkinson's and anti-Alzheimer's drug, where it failed efficacy endpoints but produced significant weight loss as a side effect. It has been studied in obesity trials and is approved for weight loss in some jurisdictions outside the United States (notably Mexico and parts of Latin America). It is not FDA-approved in the U.S.
- Is tesofensine an FDA-approved drug?
- No. Tesofensine is not FDA-approved in the United States. It is approved in Mexico and is used off-label in U.S. compounding telemedicine for weight management. As an investigational compound it is dispensed under a 503A patient-specific prescription with informed-consent intake.
- How is tesofensine dosed at RxPepsDirect?
- Common protocols start at 0.25 mg per day orally and titrate to 0.5 to 1 mg per day over several weeks based on tolerance. Tesofensine is taken once daily in the morning. Optimal Balance Pharmacy compounds the formulation against RxPepsDirect prescriptions; your provider sets the protocol based on your medical history.
- What are the side effects of tesofensine?
- Common side effects include dry mouth, insomnia (dose-dependent), elevated heart rate, anxiety, and reduced appetite (the mechanism). Tesofensine raises blood pressure modestly; patients with uncontrolled hypertension should not use it. Avoid combining with other monoamine-active medications (SSRIs, SNRIs, MAOIs, stimulants) without provider review. Do not stack with GLP-1s without provider clearance.
- How is tesofensine supplied?
- Dispensed by Optimal Balance Pharmacy in capsule form against RxPepsDirect prescriptions. Each batch is tested for potency; the Certificate of Analysis is published on this product page. Capsules ship at room temperature.