sertraline metabolite
What it isThe N-desmethyl metabolite of sertraline, far weaker at SERT but with a much longer half-life.
Why it mattersIts weak activity is why sertraline has little accumulation effect despite a metabolite that persists three times longer.
What it changesIt contributes little clinically, which is part of why sertraline is predictable across patients.
NO BOXED WARNINGS
Principal riskLittle in its own right; see the parent drug
