Atosiban

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A drug used to prevent premature labour in women who are 24–33 weeks pregnant. It works by blocking the action of oxytocin, which causes contractions of the uterus. Atosiban is given by intravenous injection and infusion and is available on prescription only.

Side effects:
include headache, dizziness, nausea, vomiting, low blood pressure, and an increased heart rate.

Precautions:
atosiban should be used with caution in women with liver or kidney disease.

Proprietary preparation:
Tractocile.

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Atosiban
Systematic (IUPAC) name
1-(3-mercaptopropanoic acid)-
2-(O-ethyl-D-tyrosine)-4-L-threonine-
8-L-ornithine-oxytocin
Clinical data
Trade names Tractocile, Antocin
AHFS/Drugs.com International Drug Names
Pregnancy cat.  ?
Legal status  ?
Routes intravenous
Identifiers
CAS number 90779-69-4 N
ATC code G02CX01
PubChem CID 5311010
ChemSpider 4470550 YesY
UNII 081D12SI0Z YesY
KEGG D03008 YesY
ChEMBL CHEMBL378642 N
Chemical data
Formula C43H67N11O12S2 
Mol. mass 994.199
SMILES eMolecules & PubChem
 N (what is this?)  (verify)

Atosiban (trade names Tractocile, Antocin) is an inhibitor of the hormones oxytocin and vasopressin. It is used as an intravenous medication as a labour repressant (tocolytic) to halt premature labor. Although initial studies suggested it could be used as a nasal spray and hence would not require hospital admission, it is not used in that form. It was developed by Ferring Pharmaceuticals in Sweden and first reported in the literature in 1985.[1]

Chemically, it is a modified form of oxytocin that inhibits the action of this hormone on the uterus, leading to a cessation of contractions.

A 2005 systematic review by the Cochrane Collaboration showed that while atosiban had fewer side-effects than alternative drugs (such as ritodrine), it was no better than placebo in the major outcomes, and in one study showed worse neonatal outcomes. The reviewers suggest nifedipine may be more promising.[2]

See also

References

  1. ^ Akerlund M, Carlsson AM, Melin P, Trojnar J (1985). "The effect on the human uterus of two newly developed competitive inhibitors of oxytocin and vasopressin". Acta Obstet Gynecol Scand. 64 (6): 499–504. doi:10.3109/00016348509156728. PMID 4061066. 
  2. ^ Papatsonis D, Flenady V, Cole S, Liley H (2005). Papatsonis, Dimitri. ed. "Oxytocin receptor antagonists for inhibiting preterm labour". Cochrane database of systematic reviews (Online) (3): CD004452. doi:10.1002/14651858.CD004452.pub2. PMID 16034931. 




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