Beruflich Dokumente
Kultur Dokumente
Preparation
•Also available in synthretic form
•Syntocinon- synthetic oxytocin --Octapeptide used as synthetic preparation to cause
uterine constriction
•Prepared as syntocinon
•Available in 5 u/ml or 10 u/ml
chemical compound
• syntheticly prepared oxytocin
synthesis
• identical to ---natural hormone ---secreted from posterior pituitary
• not secreted from posterior pituitary
Formula structure
combination of compound
• synthetic oxytocin---can be combine with ergot
• ergot---alkaloid from fungus
• combination of oxytocin and ergot---known as syntocinon
Mechanism of action
drug target
•smooth muscle cell receptor
Clinical use
Augmentation of labour
•Used in obstetric to cause uterine constriction
•Uterine constriction ---as induction of labour
Post-partum
•Uterine contraction post-delivery
•Also to prevent PPH
Lactation
•To induce lactation
Pharmacokinetic
Absorbtion
•Poor oral bioavailibility
•Reason; inactivation by chymotripsin as a first pass effect
•Has to be administered parentally
•Also can be given, intranasal
Pharmacodynamic
CVS
HR
•Tachycardia ---then hypotension ---non-specific ST changes
SVR
•Causes vasodilation ---manifestated as flushing
•Vasodilation ---decrease SVR---hypotension
BP
•Hypotension ----initiate baroceptor reflex
•Baroreceptor reflex ---reflex tachycardia---net increase in cardiac output
•Anesthetic implication ---further aggravate hypotension produced by concurrent
anesthetic agent
Other
•Has very little antiduretic action
•But may cause water intoxication after prolonged infusion particularly if given with 50%
dextrose
Drugs interaction
Suxamethonium
•Antagozed effect of sux
Blood transfusion
•Inactivated with blood transfusion
Contraindication
Adverse effect
Placental blood flow
Foetal well being
HEMABATE
Why do you use oxytocin but not ergometrine for induction of labour
Where does ergot come from? Fungus