Cisapride
ALIMENTARY TRACT AND METABOLISM
Also known as: acenalin, alimix, cipril, cisapride monohydrate, coordinax, prepulsid, propulsid, R 51619, R-51619, R51619, risamal
Data last refreshed: (DrugCentral release 2024-11-01)
Key facts
Cisapride is an ofm drug catalogued in DrugCentral. It was first approved by the FDA in 1993. DrugCentral lists 35 molecular targets, including HTR2A, Htr2c|Htr2a|Htr2b and KCNH2. Recorded indications include Gastroesophageal reflux disease.
- Approval status: ofm (first approved 1993 by the FDA).
- Molecular targets: HTR2A, Htr2c|Htr2a|Htr2b, KCNH2 and HTR2A (35 listed in DrugCentral).
- Indications: Gastroesophageal reflux disease.
- ATC code: A03FA02 (Propulsives).
- Molecular formula: C23H29ClFN3O4; molecular weight 465.95 g/mol.
Indications & contraindications
Drug–disease relationships curated by DrugCentral (OMOP / SNOMED concepts).
Indications (1)
- Gastroesophageal reflux disease
Off-label uses (1)
- Gastroparesis
Contraindications (19)
- Angina pectoris
- Bradycardia
- Chronic heart failure
- Congenital long QT syndrome
- Disease of liver
- Disorder of electrolytes
- Epilepsy
- Gastrointestinal hemorrhage
- Hypocalcemia
- Hypokalemia
- Hypomagnesemia
- Hypophosphatemia
- Kidney disease
- Mechanical ileus
- Myocardial ischemia
- Prolonged QT interval
- Respiratory insufficiency
- Severe dehydration
- Ventricular arrhythmia
Mechanism & targets
Molecular targets (35)
| Target | Gene | Action | Activity |
|---|---|---|---|
| 5-hydroxytryptamine receptor 2A | HTR2A | unknown | Ki 8.96 |
| Serotonin 2 (5-HT2) receptor | Htr2c|Htr2a|Htr2b | unknown | Ki 8.21 |
| Potassium voltage-gated channel subfamily H member 2 | KCNH2 | unknown | IC50 8.19 |
| 5-hydroxytryptamine receptor 2A | HTR2A | unknown | Ki 8.14 |
| Alpha-1B adrenergic receptor | Adra1b | unknown | Ki 8.06 |
| 5-hydroxytryptamine receptor 4 | Htr4 | agonist | Ki 8.00 |
| 5-hydroxytryptamine receptor 4 | HTR4 | unknown | Ki 7.84 |
| 5-hydroxytryptamine receptor 4 | HTR4 | agonist | Ki 7.54 |
| Alpha-1A adrenergic receptor | Adra1a | unknown | Ki 7.52 |
| Alpha-2A adrenergic receptor | Adra2a | unknown | Ki 7.52 |
| 5-hydroxytryptamine receptor 4 | Htr4 | agonist | Ki 7.50 |
| Alpha-1D adrenergic receptor | ADRA1D | unknown | Ki 7.31 |
| D(3) dopamine receptor | DRD3 | unknown | Ki 7.31 |
| Cytochrome P450 2D6 | CYP2D6 | unknown | IC50 7.16 |
| 5-hydroxytryptamine receptor 2B | HTR2B | unknown | Ki 7.15 |
| Serotonin 3 (5-HT3) receptor | Htr3a|Htr3b | unknown | Ki 7.02 |
| Membrane-associated progesterone receptor component 1 | Pgrmc1 | unknown | Ki 6.96 |
| Alpha-2C adrenergic receptor | ADRA2C | unknown | Ki 6.95 |
| Serotonin 3 (5-HT3) receptor | HTR3E|HTR3B|HTR3A|HTR3D|HTR3C | unknown | Ki 6.82 |
| Sodium-dependent serotonin transporter | SLC6A4 | unknown | Ki 6.69 |
Regulatory approvals (1)
| Date | Agency | Marketed as | Applicant | Orphan |
|---|---|---|---|---|
| 1993-07-29 | FDA | — | — |
ATC classification
| ATC code | Therapeutic hierarchy |
|---|---|
A03FA02 | ALIMENTARY TRACT AND METABOLISM › DRUGS FOR FUNCTIONAL GASTROINTESTINAL DISORDERS › PROPULSIVES › Propulsives |
Reported adverse-event signals
Strongest FDA FAERS disproportionality signals (log-likelihood ratio). A signal is a statistical association in spontaneous reports, not proof that the drug causes the event.
| MedDRA term | LLR |
|---|---|
| Electrocardiogram QT prolonged | 1097.6 |
| Hypoventilation | 84.7 |
Chemical structure
| Molecular formula | C23H29ClFN3O4 |
|---|---|
| Molecular weight | 465.95 g/mol |
| CAS number | 81098-60-4 |
| InChIKey | DCSUBABJRXZOMT-UHFFFAOYSA-N |
| PubChem CID | 6917698 |
Frequently asked questions
Answers are generated from the structured data on this page, not written by hand.
What is Cisapride used for?
DrugCentral lists the following indications for Cisapride: Gastroesophageal reflux disease.
How does Cisapride work?
Its molecular targets in DrugCentral include HTR2A, Htr2c|Htr2a|Htr2b, KCNH2 and HTR2A.
When was Cisapride first approved?
Cisapride was first approved by the FDA in 1993.
What is the chemical formula of Cisapride?
Cisapride has the molecular formula C23H29ClFN3O4 and a molecular weight of 465.95 g/mol.
Browse: all drugs starting with C · drug guides by category · protein targets A–Z.
Sources
- DrugCentral drug card 660 — structure, indications, targets, approvals, pharmacologic classes (CC BY-SA 4.0)
- ChEMBL CHEMBL1200788 — compound record and bioactivity
- PubChem CID 6917698 — chemical identifiers
- DrugBank DB00604 — drug record
- FDA UNII UVL329170W — substance identity
- DailyMed: FDA labels for Cisapride — current prescribing information (label search)
- UniProt P28223 (HTR2A) — target protein
- UniProt Q12809 (KCNH2) — target protein
- UniProt Q13639 (HTR4) — target protein
- UniProt P25100 (ADRA1D) — target protein
- UniProt P35462 (DRD3) — target protein
- UniProt P10635 (CYP2D6) — target protein
- FDA Adverse Event Reporting System (openFDA FAERS) — adverse-event signals, as aggregated by DrugCentral
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