Radafaxine is described as a
norepinephrine–dopamine reuptake inhibitor (NDRI). In contrast to bupropion, it appears to have a higher
potency on inhibition of
norepinephrine reuptake than on
dopamine reuptake. Radafaxine has about 70% of the efficacy of bupropion in blocking dopamine reuptake, and 392% of efficacy in blocking norepinephrine reuptake, making it fairly
selective for inhibiting the reuptake of norepinephrine over dopamine.[5][6] This, according to GlaxoSmithKline, may account for the increased effect of radafaxine on
pain and
fatigue.[7] At least one study suggests that radafaxine has a low
abuse potential similar to bupropion.[8]
Chemistry
Radafaxine is a potent
metabolite of
bupropion, the compound in GlaxoSmithKline's
Wellbutrin. More specifically, "
hydroxybupropion" is an analogue of bupropion, and radafaxine is an isolated isomer ((2S,3S)-) of hydroxybupropion.[9] Therefore, radafaxine builds on at least some of the properties of bupropion in humans.[3] Another analogue of bupropion,
manifaxine (GW-320,659), was derived from radafaxine and was also studied.[10]
^Carroll FI, Blough BE, Mascarella SW, Navarro HA, Lukas RJ, Damaj MI (2014). "Bupropion and Bupropion Analogs as Treatments for CNS Disorders". Emerging Targets & Therapeutics in the Treatment of Psychostimulant Abuse. Advances in Pharmacology. Vol. 69. pp. 177–216.
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10.1016/B978-0-12-420118-7.00005-6.
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PMID24484978.
^Xu H, Loboz KK, Gross AS, McLachlan AJ (March 2007). "Stereoselective analysis of hydroxybupropion and application to drug interaction studies". Chirality. 19 (3): 163–70.
doi:
10.1002/chir.20356.
PMID17167747.
^Bondarev ML, Bondareva TS, Young R, Glennon RA (August 2003). "Behavioral and biochemical investigations of bupropion metabolites". European Journal of Pharmacology. 474 (1): 85–93.
doi:
10.1016/S0014-2999(03)02010-7.
PMID12909199.
^Volkow ND, Wang GJ, Fowler JS, Learned-Coughlin S, Yang J, Logan J, et al. (March 2005). "The slow and long-lasting blockade of dopamine transporters in human brain induced by the new antidepressant drug radafaxine predict poor reinforcing effects". Biological Psychiatry. 57 (6): 640–6.
doi:
10.1016/j.biopsych.2004.12.007.
PMID15780851.
S2CID13313064.