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Conclusions These observations are consistent with a model, where (i) the tricyclic ring is docked into the outer vestibule and the dimethyl-aminopropyl side chain points to the substrate binding site, (ii) binding of amphetamines creates a structural change in the inner and outer vestibule that precludes docking of the tricyclic ring, (iii) simultaneous binding of ibogaine (which binds to the inward-facing conformation) and of carbamazepine is indicative of a second binding site in the inner vestibule, consistent with the pseudo-symmetric fold of monoamine transporters.