Tesofensine is a triple monoamine reuptake inhibitor that enhances neurotransmission of norepinephrine, serotonin, and dopamine by blocking their reuptake transporters, primarily affecting the SERT (serotonin transporter), NET (norepinephrine transporter), and DAT (dopamine transporter). This action leads to increased levels of these monoamines in the synaptic cleft, which modulates appetite regulation and may influence neuroplasticity through pathways such as the BDNF signaling pathway and the activation of the Arc gene, promoting neurogenesis in the hippocampus. While its effects on appetite and weight loss are noted, the complete mechanism of action remains not fully understood.