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Cinitapride is a gastroprokinetic and antiemetic agent of the benzamide class. It is primarily used to treat gastrointestinal motility disorders such as gastroesophageal reflux disease (GERD), non-ulcer dyspepsia, delayed gastric emptying (gastroparesis), and functional dyspepsia. Cinitapride acts as an agonist at serotonin 5-HT1 and 5-HT4 receptors and as an antagonist at the serotonin 5-HT2 receptor. Additionally, it has some antagonistic activity at dopamine D2 receptors. Its mechanism enhances gastrointestinal motility by increasing acetylcholine release in the enteric nervous system, thereby improving gastric emptying and reducing symptoms like nausea and vomiting. The drug was developed by Almirall and is marketed in countries including Spain, Mexico, India, Pakistan, and others[1][3][4][7].
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