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Withdrawn from the market (safety)

Lorcaserin

BELVIQ

What it isSelective 5-HT2C agonist; obesity. Withdrawn.

Why this oneIts 5-HT2C selectivity was designed to avoid the 5-HT2B valvulopathy of fenfluramine, and it did.

What limits itIt was withdrawn for a cancer signal in long-term follow-up — a different harm from the one it was engineered to avoid.

FDA-approved for

NO BOXED WARNINGS

Principal riskWithdrawn for a cancer signal

Classes and tags

Clinical profile

Direct muscarinic antagonism0 / 4

Mechanism of action: Lorcaserin ballicule

Lorcaserin ballicule: receptor binding, kinetics and half-life diagram

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