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All peptides
ReproductiveInvestigational

Atosiban

Intravenous
Written by Peptide Association Editorial TeamMedically reviewed by Ian Justl Ellis, MD, CPTLast reviewed Editorial policy

Overview

A competitive oxytocin/vasopressin V1a receptor antagonist used as a tocolytic agent to delay preterm labor. Atosiban blocks oxytocin-mediated myometrial contractions without the cardiovascular side effects associated with beta-adrenergic tocolytics.

Mechanism of Action

The peptide is administered as an initial bolus followed by a step-down infusion protocol over up to 48 hours.

Research Summary & Key Findings

Approved in Europe and many countries worldwide (not FDA-approved in the US). Clinical trials demonstrated efficacy in delaying delivery by 48 hours to allow corticosteroid administration for fetal lung maturity. Superior safety profile compared to beta-agonist tocolytics, with significantly fewer maternal cardiovascular side effects (Flenady et al., Cochrane Review, 2014).

Clinical Status

Investigational

Atosiban is in the investigational stage. While preclinical and early-phase data exist, it has not received regulatory approval for clinical use in the United States.

Administration Routes

Intravenous

References

Primary literature

Study-level citations for this compound are being verified against the primary sources before publication. The database queries above return the current indexed literature in the meantime.

Related Peptides in Reproductive

No lawful pathway today

Atosiban is not FDA-approved and does not currently have a lawful prescription or compounding pathway in the United States, so there is nothing for us to sell you here and no consultation to book. That can change: eight peptides moved back to a lawful pathway in February 2026.

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One email, only if this compound's regulatory standing actually moves. Not a newsletter, not a sales sequence.

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Disclaimer: This information is provided for educational and research purposes only. It is not intended as medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before starting any peptide therapy. The Peptide Association does not endorse or recommend any specific treatment protocol. See our editorial policy for how this content is produced and reviewed.