The neuropeptide oxytocin plays a role in reward, stress, social
affiliation, learning and memory processes. As such there is increasing interest
in oxytocin as a potential treatment for addictions. The oxytocin system is
itself altered by acute or chronic exposure to drugs of abuse. A large number of
preclinical studies in rodents have investigated the effect of oxytocin on
various drug-induced behaviors to determine whether oxytocin can reverse the
neuroadaptations occurring with repeated drug and alcohol use. In addition, the
mechanisms by which oxytocin acts to modify the behavioral response to drugs of
abuse are beginning to be understood. More recently, a few small clinical
studies have been conducted in cocaine, cannabis and alcohol dependence. This
review summarizes the preclinical as well as clinical literature to date on the
oxytocin system and its relevance to drug and alcohol addiction.