Vasopressin
Neurohypophyseal HormoneAlso known as: AVP · ADH · Antidiuretic Hormone · Argipressin
The endogenous antidiuretic hormone controlling water reabsorption, blood pressure, & social memory. Used clinically for diabetes insipidus & septic shock.
Typical Dose
5–10 units (2.5–5 mcg) 2–3x daily (diabetes insipidus); IV infusion (shock)
Route
Subcutaneous, IM, or IV
Cycle
Ongoing for DI; short-term IV for shock
Half-life
~10–20 minutes
Storage
2–8°C.
Overview
Vasopressin (arginine vasopressin, AVP) is a cyclic nonapeptide produced by the hypothalamus that acts on V1 receptors (vasoconstriction) & V2 receptors (renal water reabsorption). Deficiency causes diabetes insipidus; excess causes SIADH (syndrome of inappropriate ADH secretion).
Research interest centers on the V1b (V3) receptor in the amygdala & hippocampus, which modulates stress response, aggression, & social memory — complementary but distinct from oxytocin's social effects. Clinical use is primarily for septic shock vasopressor support & diabetes insipidus.
Quick Start Guide
Clinical use primarily. 5–10 units IM/SubQ for diabetes insipidus. Septic shock: IV infusion under ICU monitoring.
Research Indications
Diabetes insipidus
Most EffectiveReplaces deficient AVP in central DI. Desmopressin (analog) is preferred for longer duration.
Septic shock vasopressor
Most EffectiveUsed alongside norepinephrine in septic shock management to restore vasomotor tone.
Side Effects & Safety
Common
- Pallor
- Abdominal cramping
- Headache
- Water retention
Uncommon
- Hyponatremia
- Angina (vasoconstriction)
- Hypertension
When to Stop
- Signs of myocardial ischemia
- Severe hyponatremia
How to Reconstitute
Commercial product for clinical use.
Dosing math: Clinical product only.
Quality Indicators
Good — use as normal
- Per manufacturer
Discard immediately
- Per manufacturer
What to Expect
Acute
Rapid onset vasoconstriction & antidiuresis within minutes of administration.
Community Insights
Self-reported. Reflects user experience, not clinical outcomes.
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