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What's the Half-Life of Tesofensine?: Comparison to Other Weight Loss Compounds
This table shows how tesofensine's extended half-life compares to commonly used anti-obesity medications. And why that pharmacokinetic difference shapes dosing, side effect duration, and discontinuation protocols. Tesofensine ~8 days (190 hours) Once weekly 5–
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- This table shows how tesofensine's extended half-life compares to commonly used anti-obesity medications. And why that pharmacokinetic difference shapes dosing, side effect duration, and discontinuation protocols.
- Tesofensine
- ~8 days (190 hours)
- Once weekly
- 5–6 weeks
- 40 days
- Extended half-life enables weekly dosing but requires 6-week washout before surgery or other serotonergic drugs; side effects persist weeks after stopping
- Phentermine
- 19–24 hours
- Daily
- 4–5 days
- 5 days
- Short half-life requires daily dosing; abrupt discontinuation causes immediate rebound hunger but full clearance within one week
- Semaglutide (GLP-1)
- ~7 days (165 hours)
- 4–5 weeks
- 35 days
- Similar half-life to tesofensine but different mechanism (GLP-1 agonism vs monoamine reuptake inhibition); weekly dosing with extended washout
- Liraglutide (GLP-1)
- 13 hours
- 3 days
- 65 hours
- Shorter GLP-1 agonist requiring daily injection; side effects resolve within 48–72 hours of stopping
- Bupropion
- 21 hours
- Daily or twice daily
- Norepinephrine-dopamine reuptake inhibitor (overlapping mechanism with tesofensine) but shorter half-life; requires daily dosing, clears within one week