Oxytocin (Pitocin)

OBGYN (Uterotonic)

Dosing & Administration

Adult Dose

PPH: 10-40 units in 1000 mL IV fluid infused rapidly, or 10 units IM.

Pediatric Dose

Not applicable.

Renal Adjustment

No adjustment necessary.

Hepatic Adjustment

No adjustment necessary.

Safety & Special Populations

Pregnancy Category

X (for non-obstetric indications, obviously used during delivery).

Lactation Safety

Compatible (promotes milk let-down).

Contraindications & Adverse Effects

Contraindications

  • Fetal distress
  • Cephalopelvic disproportion
  • Placenta previa

Common Adverse Effects

  • Uterine tachysystole
  • Water intoxication (has ADH-like effect)
  • Hypotension (if pushed rapidly IV)