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Desmethyl­ sertraline

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.

FDA-approved for

NO BOXED WARNINGS

Principal riskLittle in its own right; see the parent drug

Classes and tags

Clinical profile

Direct muscarinic antagonism0 / 4

Mechanism of action: Desmethyl­ sertraline ballicule

Desmethyl sertraline ballicule: receptor binding, kinetics and half-life diagram

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