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Oxytocin

Endogenous nonapeptide hormone · uterine smooth-muscle contraction, milk let-down

EVIDENCE GRADE
S
Standard of care
INN
oxytocinum
TYPE
Hormonal
EU
AUTHORISED Syntocinon · sinds 1956
US
AUTHORISED Pitocin · sinds 1950
MOLECULAR INFORMATION

Molecular information

Weight
1,007.2 Da
Length
10 amino acids
Type
Endogenous nonapeptide hormone · uterine smooth-muscle contraction, milk let-down
Formula
C₄₃H₆₆N₁₂O₁₂S₂
Amino acid sequence
Cys-Tyr-Ile-Gln-Asn-Cys-Pro-Leu-Gly-NH₂ (disulfide bridge)

Oxytocin is an endogenous nonapeptide hormone with a long-established authorised use in obstetrics — labour induction, postpartum haemorrhage control — under brands including Pitocin (US) and Syntocinon (EU). Listed in the peptidepedia registry because of secondary off-label and research uses (autism research, intranasal social-cognition trials) that attract grey-market interest.

Authorised uses

  • Induction or augmentation of labour
  • Postpartum haemorrhage prevention and management
  • Lactation promotion (specific formulations)

Why we grade it S

Authorised by the EMA, FDA, MHRA and Swissmedic for the obstetric indications since the 1950s. Standard of care for labour induction across the EU. The research / off-label social-cognition use is investigational and would warrant a separate grade if and when a distinct indication is sought.

Regulatory authorisations

US 1950 as Pitocin
EU 1956 as Syntocinon

Frequently asked questions

What is Oxytocin used for?
A standard-of-care obstetric drug for labour induction or augmentation, prevention and management of postpartum haemorrhage, and (in specific formulations) lactation promotion. Authorised since the 1950s in all major markets.
Is Oxytocin sold over the counter?
No — it's a prescription-only medicine, administered by clinicians in obstetric settings. Intranasal "oxytocin nasal spray" sold online for autism / social-cognition claims is unauthorised and not the obstetric medication.
Who makes Oxytocin?
The molecule is off-patent and produced by many manufacturers. Pitocin (US) is owned by Endo / Par; Syntocinon (EU) is owned by Novartis / Sigma-Tau. Generics are widely available.
Can Oxytocin be used for autism or social cognition?
This is investigational — intranasal oxytocin has been studied in autism, social anxiety, and PTSD research for two decades, but no formulation has been authorised for any psychiatric indication. The obstetric authorisation is unrelated.
How is Oxytocin dosed for labour induction?
Continuous intravenous infusion starting at 1–2 milliunits per minute, titrated upward based on uterine contraction response. Strict monitoring is required to avoid hyperstimulation.
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