Carbetocin |
![]() Last updated: 12/09/2025 |
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(Also known as: duratocin; depotocin) |
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A synthetic analogue of the posterior pituitary lobe hormone oxytocin | |
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Used to facilitate partutition in a range of animals | |
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Pigs; Cattle; Sheep; Goats |
Approval status |
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Approved - usually available as a prescription only medicine to be authorised by a veterinarian (POM-V) | |
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Approved |
Chemical structure |
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Carbetocin exhibits stereoisomerism, primarily due to its complex peptide structure containing multiple chiral centres. As an analogue of oxytocin, carbetocin includes eight amino acid residues arranged in a specific sequence, and the spatial configuration of these residues is critical for its biological activity. During synthesis, process-related isomers, such as imp-8 and imp-9, can form as impurities, resulting from variations in stereochemistry or side-chain modifications. | |
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C₄₅H₆₉N₁₁O₁₂S | |
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CCC(C)C1C(=O)NC(C(=O)NC(C(=O)NC(CSCCCC(=O)NC(C(=O)N1)CC2=CC=C(C=C2)OC)C(=O)N3CCCC3C(=O)NC(CC(C)C)C(=O)NCC(=O)N)CC(=O)N)CCC(=O)N | |
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CC[C@H](C)[C@H]1C(=O)N[C@H](C(=O)N[C@H](C(=O)N[C@@H](CSCCCC(=O)N[C@H](C(=O)N1)CC2=CC=C(C=C2)OC)C(=O)N3CCC[C@H]3C(=O)N[C@@H](CC(C)C)C(=O)NCC(=O)N)CC(=O)N)CCC(=O)N | |
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NSTRIRCPWQHTIA-DTRKZRJBSA-N | |
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InChI=1S/C45H69N11O12S/c1-6-25(4)38-44(67)50-28(15-16-34(46)58)40(63)51-30(21-35(47)59)41(64)53-31(23-69-18-8-10-37(61)55(5)33(43(66)54-38)20-26-11-13-27(57)14-12-26)45(68)56-17-7-9-32(56)42(65)52-29(19-24(2)3)39(62)49-22-36(48)60/h11-14,24-25,28-33,38,57H,6-10,15-23H2,1-5H3,(H2,46,58)(H2,47,59)(H2,48,60)(H,49,62)(H,50,67)(H,51,63)(H,52,65)(H,53,64)(H,54,66)/t25-,28-,29-,30-,31-,32-,33-,38-/m0/s1 | |
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Yes |
General status |
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Uterine stimulant, Antihemorrhagic, Synthetic hormone, Oxytocic | |
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Unclassified substance | |
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Possible isomer impurities | |
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Synthetic | |
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Binds to oxytocin receptors and stimulates activity | |
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[Oxytocin receptor, Agonist] | |
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37025-55-1 | |
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253-312-6 | |
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16681432 | |
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Systemic hormone preparations excluding sex hormones & insulins: Systemic hormonal preparations, excl. sex hormones | |
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QH01BB03 | |
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No | |
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Allowed substance (Table 1: All mammalian food producing species) | |
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988.16 | |
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(2S)-N-[(2S)-1-[(2-amino-2-oxoethyl)amino]-4-methyl-1-oxopentan-2-yl]-1-[(3R,6S,9S,12S,15S)-6-(2-amino-2-oxoethyl)-9-(3-amino-3-oxopropyl)-12-[(2S)-butan-2-yl]-15-[(4-methoxyphenyl)methyl]-5,8,11,14,17-pentaoxo-1-thia-4,7,10,13,16-pentazacycloicosane-3-carbonyl]pyrrolidine-2-carboxamide | |
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1-butanoic acid-2-(O-methyl-L-tyrosine)-1-carbaoxytocin | |
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Solid |
Commercial |
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Current | |||
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1964, developed | |||
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Formulated as a solution for injection | |||
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The production of carbetocin involves a sophisticated solid-phase peptide synthesis (SPPS) process, typically using Fmoc-protected amino acids and a resin such as Rink Amide MBHA as the solid support. The synthesis begins with the sequential coupling of amino acids to build the linear octapeptide chain, followed by cleavage from the resin using a cutting reagent and precipitation with methyl tert-butyl ether to isolate the crude peptide. This linear precursor is then subjected to liquid-phase cyclisation, where the peptide undergoes intramolecular condensation in an alkaline solution containing a reducing agent, forming the cyclic structure essential for biological activity. | |||
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Published GHG data is not available for most pharmaceuticals. However, according to industry, global averages suggest producing 1 kg of a typical active pharmaceutical ingredient can range from 10 to 100 kg CO₂e for small molecule drugs and potentially up to 1000 kg CO₂e for complex biologicals such as vaccines, depending on the drug type, its formulation, complexity of synthesis, solvent recovery, and energy sources used. |
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Literature quotes DT₅₀ 9.7-26.9 days | ||||||||||
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As this parameter is not normally measured directly, a surrogate measure is used: ‘Photochemical oxidative DT₅₀’. Where data is available, this can be found in the Fate Indices section below. | ||||||||||
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Soil adsorption and mobility |
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Mobile | |||||||
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43.7 | ||||||||||
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Literature Koc values range 38-56 mL g⁻¹ | ||||||||||
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Fate indices |
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Known metabolites |
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Terrestrial ecotoxicology |
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> 10.0 | Q3 Q = Miscellaneous data from online sources Rat3 = Unverified data of known source |
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> 39.1 | F4 F = U.S. EPA ECOTOX database / U.S. EPA pesticide fate database / Miscellaneous WHO documents / FAO data, IPCS INCHEM data (US EPA Databases Related to Pesticide Risk Assessment ) Raphidocelis subcapitata4 = Verified data |
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General |
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High (class III) | - | - | ||||||||
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> 10.0 | Q3 Q = Miscellaneous data from online sources Rat3 = Unverified data of known source |
High | ||||||||
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Undergoes a biphasic elimination, with a terminal elimination half-life of about 40 minutes. Less than 1% of a dose is excreted unchanged by the kidney. Carbetocin is distributed into breast milk. | Q3 Q = Miscellaneous data from online sources 3 = Unverified data of known source |
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Health issues |
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May cause abdominal pain, anemia, hypotension or tachycardia Causes a range of physiological symptoms |
Handling issues |
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No information available | |||
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Not listed (Not listed) | |||
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carbetocin | ||
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carbetocine | ||
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carbetocino | ||
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Record last updated: | 12/09/2025 |
Contact: | aeru@herts.ac.uk |
Please cite as: | Lewis, K.A., Tzilivakis, J., Warner, D. and Green, A. (2016) An international database for pesticide risk assessments and management. Human and Ecological Risk Assessment: An International Journal, 22(4), 1050-1064. DOI: 10.1080/10807039.2015.1133242 |