cinpax 3mg/40mg capsule - Cinitapride (3mg) + Pantoprazole (40mg) medicine

Cintodac Capsule: Complete Medicine Guide

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🏭 Manith Healthcare Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 24, 2026
⚠️ Hepatotoxicity Risk 🤰 Pregnancy Category Not established from the available information. Use only if clearly needed and prescribed by a doctor. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for functional dyspepsia; limited for other uses.
Reviewed by
SaathiMed Expert Panel | Oct 24, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Blood in vomit or black, tarry stools
  • Severe abdominal pain or cramping
  • Chest pain or difficulty breathing
  • Irregular heartbeat or palpitations
  • Sudden swelling of face, lips, or throat
  • Yellowing of skin or eyes
  • Decreased urine output
  • Severe, persistent diarrhea with fever

If experiencing severe symptoms, call emergency services immediately.

What is cinpax 3mg/40mg capsule used for?

This medicine is a combination of cinitapride and pantoprazole used to treat functional dyspepsia and related symptoms. It works by improving stomach motility and reducing acid production. It is taken once daily on an empty stomach, usually before breakfast.

  • Generic Name: Cinitapride + Pantoprazole
  • Manufacturer: Manith Healthcare Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 cinpax 3mg/40mg capsule के बारे में (Hindi Summary)

उपयोग: यह दवा सिनिटाप्राइड और पैंटोप्राजोल का संयोजन है, जिसका उपयोग पेट की समस्याओं जैसे अपच, पेट फूलना, जी मिचलाना, और सीने में जलन के इलाज के लिए किया जाता है। यह पेट की गति को सुधारती है और एसिड का उत्पादन कम करती है। इसे सुबह नाश्ते से पहले खाली पेट लेना चाहिए।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में सिरदर्द, दस्त, पेट दर्द, जी मिचलाना और गैस शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ समय में ठीक हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि आपको दिल की धड़कन अनियमित लगे, सांस लेने में कठिनाई हो, या गंभीर एलर्जी हो, तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसे निगलें, चबाएं नहीं। इसे खाली पेट, नाश्ते से 30-60 मिनट पहले लें। दवा लेते समय शराब न पिएं। यदि आपको चक्कर आते हैं तो वाहन न चलाएं। अपने डॉक्टर को अपनी सभी दवाओं और स्वास्थ्य समस्याओं के बारे में बताएं।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 cinpax 3mg/40mg capsule Uses & Benefits

[{"condition":"Functional dyspepsia","description":"Relieves symptoms such as postprandial fullness, early satiety, epigastric pain, and burning, by improving gastric emptying and reducing acid secretion.","evidence":"Well-established"},{"condition":"Gastroesophageal reflux disease (GERD) with motility symptoms","description":"Helps reduce acid reflux and associated heartburn while improving esophageal and gastric motility.","evidence":"Moderate"},{"condition":"Diabetic gastroparesis","description":"May improve gastric emptying and reduce symptoms of nausea, vomiting, and early satiety in diabetic patients.","evidence":"Limited"}]

Off-label uses: [{"condition":"Non-ulcer dyspepsia","description":"Sometimes prescribed for dyspeptic symptoms without an ulcer, though evidence is limited.","evidence":"Limited"},{"condition":"Functional vomiting","description":"May be used off-label to reduce functional vomiting episodes.","evidence":"Limited"}]

Primary treatment for: Functional dyspepsia

Also treats: Gastroesophageal reflux disease (GERD), Diabetic gastroparesis, Non-ulcer dyspepsia

📋 Drug Information

Generic Name(s)Cinitapride + Pantoprazole
Brand NameCintodac Capsule
ManufacturerManith Healthcare Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassGASTRO INTESTINAL
Action ClassProkinetic agent + Proton pump inhibitor
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine on an empty stomach, at least 30-60 minutes before breakfast, for optimal absorption.
2
Do not crush or chew the capsule; swallow it whole with water.
3
Avoid alcohol while taking this medicine to prevent stomach irritation.
4
If you experience persistent diarrhea or abdominal pain, consult your doctor.
5
Do not use this medicine for longer than prescribed without medical review.
6
Inform your doctor if you are taking blood thinners, antifungals, or HIV medications.
7
Report any signs of irregular heartbeat, severe allergic reactions, or unusual bleeding immediately.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Post-meal fullness
This medicine is commonly prescribed for this.
Likely Use
✅
Heartburn
This medicine reduces acid and may help.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary
❌
Headache
This medicine is not for headache relief.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionCinitapride is rapidly absorbed after oral administration, with peak plasma concentrations reached within 1-2 hours. Pantoprazole is also well absorbed, with peak levels occurring about 2-3 hours after dosing. Food may delay the absorption of pantoprazole but does not significantly affect the extent of absorption.
DistributionBoth cinitapride and pantoprazole are distributed widely in the body. Pantoprazole is highly protein-bound (about 98%), primarily to albumin. Cinitapride is moderately protein-bound. Volume of distribution data are not well established for cinitapride.
Protein BindingPantoprazole: approximately 98% bound to plasma proteins. Cinitapride: protein binding is not well established from available information.
MetabolismCinitapride is extensively metabolized in the liver, primarily by cytochrome P450 enzymes, though specific isoenzymes are not fully characterized. Pantoprazole is metabolized in the liver by CYP2C19 and to a lesser extent by CYP3A4.
Half-LifeThe elimination half-life of cinitapride is approximately 3-5 hours. Pantoprazole has a plasma elimination half-life of about 1 hour, but its acid-suppressive effect lasts longer due to irreversible binding to proton pumps.
ExcretionCinitapride is excreted mainly in urine and feces as metabolites. Pantoprazole metabolites are excreted primarily in urine (about 80%) and the remainder in feces.
BioavailabilityThe oral bioavailability of cinitapride is approximately 40-60%. Pantoprazole has an oral bioavailability of about 77%.
Onset of ActionCinitapride begins to improve motility within 30-60 minutes after oral intake. Pantoprazole's acid-suppressive effect starts within 1 hour, with maximum effect after several days of regular use.
Peak Plasma TimeCinitapride: 1-2 hours; Pantoprazole: 2-3 hours.
Duration of ActionCinitapride's prokinetic effect lasts about 4-6 hours. Pantoprazole's acid suppression lasts up to 24 hours, allowing once-daily dosing.

How It Works

This medicine combines two active ingredients with complementary actions. Cinitapride acts as a prokinetic agent by stimulating serotonin 5-HT4 receptors and antagonizing dopamine D2 receptors in the gastrointestinal tract, which enhances gastric emptying and intestinal transit. Pantoprazole is a proton pump inhibitor that irreversibly blocks the hydrogen-potassium ATPase enzyme in gastric parietal cells, thereby reducing both basal and stimulated gastric acid secretion. The combination addresses both motility and acid-related components of dyspepsia.

Mechanism Steps

1
Cinitapride stimulates 5-HT4 receptors: Cinitapride binds to and activates serotonin 5-HT4 receptors in the gastrointestinal tract, which enhances the release of acetylcholine from enteric neurons.
2
Cinitapride blocks D2 receptors: Cinitapride also antagonizes dopamine D2 receptors, which further promotes gastric motility and reduces nausea.
3
Pantoprazole inhibits proton pumps: Pantoprazole accumulates in the acidic environment of gastric parietal cells and irreversibly inhibits the H+/K+ ATPase enzyme, blocking the final step of acid secretion.
4
Combined effect: The combined action leads to improved gastric emptying and reduced acid exposure, alleviating dyspeptic symptoms.

💡 How to Take cinpax 3mg/40mg capsule

Strength: Capsule containing cinitapride 3 mg and pantoprazole 40 mg.

1Take the capsule whole with a glass of water.
2Do not crush, chew, or break the capsule.
3Take it on an empty stomach, at least 30-60 minutes before breakfast.
4If you forget to take it before breakfast, you may take it before your next meal, but do not take it with food.
5Follow your doctor's instructions exactly.

Dosage Information

Adult DosageThe usual adult dose is one capsule taken orally once daily on an empty stomach, preferably 30-60 minutes before breakfast. However, the dose and duration must be individualized by a qualified clinician based on the indication, age, weight, renal and hepatic function, and clinical response. Do not self-adjust the dose.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the effects of this medicine. Dose adjustment may be necessary based on renal and hepatic function. Consult a doctor for appropriate dosing.
Renal ImpairmentUse with caution in patients with renal impairment. Dose adjustment may be required. Consult a doctor for appropriate dosing.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Dose adjustment may be required. Consult a doctor for appropriate dosing.
Maximum Daily DoseThe maximum recommended daily dose is one capsule (cinitapride 3 mg + pantoprazole 40 mg). Do not exceed this dose unless directed by a doctor.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Avoid taking with food
Food may delay absorption of pantoprazole.
Grapefruit
Avoid
May increase drug levels.
Alcohol
Avoid
May worsen stomach irritation.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of cinpax 3mg/40mg capsule

✅ Common Side Effects

Headache (Common (5-10%))
Usually resolves on its own. Consult doctor if persistent or severe.
Diarrhea (Common (5-10%))
Stay hydrated. If diarrhea persists more than 2 days, consult your doctor.
Abdominal pain (Common (5-10%))
Take with food if advised. If pain is severe or persistent, contact your doctor.
Nausea (Common (5-10%))
Usually subsides with continued use. If it interferes with daily activities, consult your doctor.
Flatulence (Common (5-10%))
Avoid gas-producing foods. If bothersome, discuss with your doctor.

🚨 Serious Side Effects

Irregular heartbeat (arrhythmia) (Rare (<0.1%))
Seek immediate medical attention if you experience palpitations, dizziness, or fainting.
Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Call emergency services if you develop rash, swelling of face/lips/throat, or difficulty breathing.
Hypomagnesemia (low magnesium) (Uncommon with short-term use, more common with long-term use (>3 months))
Report muscle cramps, tremors, or seizures to your doctor. Periodic monitoring may be needed.
Clostridium difficile-associated diarrhea (Rare (<0.1%))
Seek medical attention if you have severe, persistent diarrhea, especially with fever or blood in stool.

⚠️ Rare Side Effects

Blood disorders (e.g., leukopenia, thrombocytopenia)
Report unusual bruising, bleeding, or signs of infection to your doctor promptly.
Liver enzyme elevation
Your doctor may monitor liver function. Report yellowing of skin or eyes, dark urine, or right upper abdominal pain.
Skin reactions (e.g., Stevens-Johnson syndrome)
Seek immediate medical care if you develop a severe rash with blistering or peeling skin.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Atazanavir Major
Ketoconazole Major
Methotrexate Major
Clopidogrel Moderate
Digoxin Moderate
Levothyroxine Moderate
Anticholinergics Moderate
Antacids Minor
Grapefruit juice Minor

🚨 Major Interactions

  • Warfarin
  • Atazanavir, nelfinavir
  • Ketoconazole, itraconazole
  • Methotrexate

⚡ Moderate Interactions

  • Clopidogrel
  • Digoxin
  • Levothyroxine
  • Anticholinergic drugs (e.g., atropine)

🍷 Alcohol Interaction

Alcohol may increase the risk of stomach irritation and worsen gastrointestinal symptoms. It is advisable to avoid alcohol while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to cinitapride, pantoprazole, or any component of the formulation","Gastrointestinal bleeding, mechanical obstruction, or perforation","Known malignancy of the gastrointestinal tract","Severe hepatic impairment","Severe renal impairment","Pregnancy and breastfeeding (unless clearly advised by a doctor)","Concomitant use with atazanavir or nelfinavir"]

⚠️ Warnings & Precautions

["Use with caution in patients with cardiovascular disease due to risk of arrhythmias.","May increase the risk of bone fractures with long-term use.","May cause hypomagnesemia with prolonged use; monitor magnesium levels.","May increase the risk of Clostridium difficile-associated diarrhea.","Use with caution in patients with hepatic or renal impairment.","Avoid concurrent use with other prokinetic agents.","Do not use for more than 12 weeks without medical review."]

🤱 Lactation Safety

Not established from the available information. It is not known whether cinitapride or pantoprazole are excreted in human breast milk. Consult your doctor before breastfeeding.

💊 Overdose Management

There is no specific antidote for overdose with this medicine. Treatment should be symptomatic and supportive. If overdose is suspected, contact a poison control center or emergency room immediately. Gastric lavage may be considered if the patient presents early. Monitor vital signs and provide supportive care.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not crush, chew, or break the capsule; swallow it whole. It is best taken on an empty stomach, at least 30-60 minutes before breakfast, unless your doctor advises otherwise. Avoid alcohol while taking this medicine as it may worsen stomach irritation. Do not drive or operate heavy machinery if you feel dizzy or drowsy. Inform your doctor if you have liver or kidney problems, or if you are taking other medications, especially blood thinners, antifungals, or HIV medicines. Do not stop taking this medicine abruptly without consulting your doctor. Keep out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more susceptible to side effects such as dizziness, confusion, and electrolyte imbalances. Dose adjustment may be needed based on renal and hepatic function. Regular monitoring is advised.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before taking this medicine. It is not recommended during pregnancy unless clearly needed.

🏥 Post-Surgery Considerations

After surgery, use this medicine only if prescribed by your doctor. It may affect gastric motility and acid secretion, which could impact recovery. Inform your surgeon about this medicine.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine, as it may affect bleeding risk or interact with medications used during dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Eat small, frequent meals instead of large ones.
🥗
Avoid spicy, fatty, and acidic foods.
😴
Maintain a healthy weight.
💧
Exercise regularly to improve digestion.
🧘
Avoid lying down immediately after meals.
🌞
Manage stress through relaxation techniques.

🏋️ Exercise Considerations

Moderate exercise is generally safe, but avoid strenuous activities immediately after meals. If you experience dizziness or palpitations, stop and consult your doctor.

🥗 Diet Recommendations

Include fiber-rich foods like fruits and vegetables.
Avoid caffeine and carbonated drinks.
Stay well hydrated.
Eat slowly and chew food thoroughly.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or drowsiness in some people. Avoid driving or operating heavy machinery until you know how it affects you. It should not significantly impact your ability to work if you follow precautions.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor. If you experience severe side effects or your symptoms worsen, contact your doctor immediately. Your doctor will advise you on when and how to stop safely.

📅 Long-Term Use Effects

Long-term use of this medicine may lead to hypomagnesemia, vitamin B12 deficiency, and an increased risk of bone fractures. It may also increase the risk of gastrointestinal infections. Regular monitoring of magnesium levels and renal function is advised. Do not use for more than 12 weeks without medical review.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Dietary modifications

Eating smaller, frequent meals and avoiding trigger foods can help manage dyspepsia.

Evidence: Well-established
Stress management

Yoga, meditation, and relaxation techniques can reduce stress-related dyspepsia.

Evidence: Moderate
Other prokinetic agents

Levosulpiride or domperidone may be alternatives, but require prescription.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific interactions with vaccines are known. However, consult your doctor before any vaccination while on this medicine.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

When traveling, carry this medicine in its original packaging with a copy of your prescription. Store it at room temperature, away from direct sunlight and moisture. If crossing time zones, continue taking it at your usual time, but consult your doctor if adjustments are needed. Keep it in your carry-on luggage to avoid loss. Check local customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 45-year-old office worker with chronic functional dyspepsia
Ravi, a 45-year-old office worker, had been suffering from post-meal bloating, early satiety, and heartburn for months. His doctor prescribed this medicine. He took it regularly before breakfast. Within two weeks, his symptoms improved significantly. He also reduced his intake of spicy and fatty foods.
💡 Lesson: Consistent use as prescribed, along with dietary modifications, can greatly improve symptoms of functional dyspepsia.
👤 A 60-year-old diabetic patient with gastroparesis
Mrs. Sharma, a 60-year-old with diabetes, experienced nausea, vomiting, and early fullness. Her doctor added this medicine to her regimen. She noticed gradual improvement in her symptoms over a month. She was advised to monitor her blood sugar levels closely.
💡 Lesson: This medicine can help diabetic gastroparesis, but blood sugar control remains essential.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may start feeling relief within a few days, but full effects may take 1-2 weeks.

Q: Can I take it with food?

A: It is best taken on an empty stomach, 30-60 minutes before breakfast.

Q: What if I miss a dose?

A: Take it as soon as you remember, but if it's almost time for the next dose, skip the missed dose. Do not double dose.

Q: Is it safe during pregnancy?

A: Consult your doctor. It is not recommended unless clearly needed.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for cinpax 3mg/40mg capsule

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can be taken with food.
    Fact: It should be taken on an empty stomach for best effect.
  • Myth: It is safe to take indefinitely.
    Fact: Long-term use should be monitored by a doctor.
  • Myth: It can be used for all types of stomach pain.
    Fact: It is specifically for functional dyspepsia and related conditions.

🔄 Alternative Options

Generic Alternatives

  • Cinitapride 3 mg + Pantoprazole 40 mg capsule (generic)

Brand Alternatives

  • Cintodac capsule

📊 Comparison with Similar Medicines

[{"medicine":"Cinitapride + Pantoprazole","composition":"Cinitapride 3 mg + Pantoprazole 40 mg","onset":"1-2 hours","duration":"24 hours","notes":"Combines prokinetic and acid-suppressive effects."},{"medicine":"Levosulpiride + Pantoprazole","composition":"Levosulpiride 25 mg + Pantoprazole 40 mg","onset":"1-2 hours","duration":"24 hours","notes":"Similar use but different prokinetic agent."},{"medicine":"Domperidone + Pantoprazole","composition":"Domperidone 10 mg + Pantoprazole 40 mg","onset":"1-2 hours","duration":"24 hours","notes":"Domperidone has different side effect profile."}]

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