Oxytocin (medication)
Oxytocin, sold under the brand name Pitocin among others, is a medication made from the peptide "oxytocin". As a medication, it is used to cause contraction of the uterus to start labor, increase the speed of labor, and to stop bleeding following delivery. For this purpose, it is given by injection either into a muscle or into a vein.
The use of oxytocin as a medication can result in excessive contraction of the uterus that can risk the health of the baby. Common side effects in the mother include nausea and a slow heart rate. Serious side effects include rupture of the uterus and with excessive dose, water intoxication. Allergic reactions including anaphylaxis may also occur.
Oxytocin was discovered in 1952. It is on the World Health Organization's List of Essential Medicines, the most effective and safe medicines needed in a health system. , the wholesale cost in the developing world is US$0.10 to 0.56 per dose.Oxytocin injection (synthetic) is contraindicated in any of these conditions:Oxytocin is relatively safe when used at recommended doses, and side effects are uncommon. These maternal events have been reported:Excessive dosage or long-term administration (over a period of 24 hours or longer) has been known to result in tetanic uterine contractions, uterine rupture, postpartum hemorrhage, and water intoxication, sometimes fatal.
Oxytocin
While the structure of oxytocin is highly conserved in placental mammals, a novel structure of oxytocin was recently reported in marmosets, tamarins, and other new world primates. Genomic sequencing of the gene for oxytocin revealed a single in-frame mutation (thymine for cytosine) which results in a single amino acid substitution at the 8-position (proline for leucine). Since this original Lee "et al." paper, two other laboratories have confirmed Pro8-OT and documented additional oxytocin structural variants in this primate taxon. Vargas-Pinilla "et al." sequenced the coding regions of the OXT gene in other genera in new world primates and identified the following variants in addition to Leu8- and Pro8-OT: Ala8-OT, Thr8-OT, and Val3/Pro8-OT. Ren "et al." identified a variant further, Phe2-OT in howler monkeys.