".... Merital (nomifensine) showed great promise as a pleasantly stimulating dopaminergic that also potently inhibits the reuptake of noradrenaline and - to a much lesser extent - serotonin. Motivation is typically enhanced. The product was marketed by its manufacturers Hoechst with the slogan "vive la difference!" Merital was withdrawn worldwide by its manufacturer from licensed use in 1986 after the discovery of its rare side-effect of precipitating a serious blood-disorder. For retarded melancholics, however, it was typically a very effective and well-tolerated mood-brightener with minimal side-effects. It is also a potentially valuable non-opioid analgesic. The risk/reward ratio of its carefully-monitored use may have been misjudged....."From
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