Oxycodone is a prescription opioid pain reliever available in both immediate-release and extended-release versions. People unable to take a tablet or capsule can take oxycodone oral solution. Doses are typically taken three or four times daily as needed for pain, but extended-release oxycodone is taken twice a day for severe persistent pain. Like all opioids, oxycodone is a potentially hazardous drug that can cause breathing problems, dependence, abuse, withdrawal, and life-threatening overdose.
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OxyContin (extended-release), Roxicodone, Roxybond, Xtampza ER (extended-release)
Oxycodone HCl
Treats moderate to severe pain.
Analgesic, Opioid
Tablet, oral solution, long-acting tablet, long-acting capsule
By mouth
Oxycodone treats moderate to severe pain that cannot be adequately managed by non-opioid pain medications.
Oxycodone is a powerful pain medicine that is prescribed for severe or persistent pain when other medications do not work. It should only be taken under the supervision of a trained and licensed healthcare provider.
Take oxycodone only as prescribed. Taking the medication at a higher dose or more often than prescribed can lead to serious or life-threatening side effects.
Oxycodone is a controlled substance. That means it has a high potential for addiction, misuse, and abuse. Prescriptions and refills are tracked by state monitoring systems.
Don’t take oxycodone with other pain medications or sedatives unless directed by your healthcare provider.
Store this medication securely to prevent it from being taken accidentally or inappropriately by others.
Intermediate-release tablet
5 mg
10 mg
15 mg
20 mg
30 mg
Intermediate-release capsule
5 mg
Oral solution
5 mg/5 mL (1 mg/mL)
Extended-release tablet (OxyContin)
10 mg
15 mg
20 mg
30 mg
40 mg
60 mg
80 mg
Extended-release capsule (Xtampza XR)
9 mg
13.5 mg
18 mg
27 mg
36 mg
For moderate to severe pain: Starting dose: 5–15 mg immediate-release oxycodone given by mouth every four to six hours as needed for pain. Standard dose: lowest effective dose for the shortest period possible.
For severe and persistent pain: Starting dose: 10 mg extended-release oxycodone given by mouth every 12 hours. Standard dose: lowest effective dose for the shortest period possible.
For children and teens: If oxycodone is prescribed for severe or persistent pain in children or teens, a dose and schedule will be determined by a healthcare provider.
Find more detailed information about oxycodone dosage, forms, and strengths here.
oxyCODONE HCl
15ml of 5mg/5ml bottle
oxyCODONE HCl
30ml of 100mg/5ml bottle
oxyCODONE HCl
473ml of 5mg/5ml bottle
oxyCODONE HCl
500ml of 5mg/5ml bottle
oxyCODONE HCl
5mg capsule
oxyCODONE HCl
5ml of 5mg/5ml cup
oxyCODONE HCl
10mg tablet
oxyCODONE HCl
15mg tablet
oxyCODONE HCl
20mg tablet
oxyCODONE HCl
30mg tablet
oxyCODONE HCl
5mg tablet
oxyCODONE HCl
10mg tablet abuse-deterrent
oxyCODONE HCl
15mg tablet abuse-deterrent
oxyCODONE HCl
30mg tablet abuse-deterrent
oxyCODONE HCl
5mg tablet abuse-deterrent
Take this pain medication as instructed.
An overdose can be dangerous. Follow directions carefully to avoid taking too much oxycodone.
Please read the Medication Guide that comes with this medicine.
Swallow immediate-release oxycodone tablets with a glass of water.
Swallow an OxyContin tablet whole with a drink of water. Do not crush, chew, break, or open.
Do not wet the tablet before taking it.
Take only one tablet at a time.
Swallow the Xtampza ER capsule whole with a drink of water. Do not open it.
Measure oxycodone oral liquid medicine only with the calibrated medicine cup provided with the medicine. Do not use kitchen measuring devices to measure out a dose.
Store oxycodone tablets, capsules, and oral solution at room temperature in a tightly closed, light-resistant container.
Ask the prescriber what to do in case of a missed dose.
Never take extra oxycodone to make up for a missed dose.
This medicine is not right for everyone.
Oxycodone should not be taken by people who have:
Known allergies to oxycodone
Severe lung or breathing problems
Stomach or bowel blockage (including paralytic ileus).
Tell any doctor or healthcare provider who treats you that you are taking oxycodone.
The prescriber will need regular visits to monitor the treatment’s effectiveness and side effects. Keep all appointments.
Do not stop taking oxycodone until talking to the prescriber. The dose may need to be slowly decreased before it’s stopped.
Call the doctor if you think your medicine is not working.
Before starting oxycodone therapy, tell the prescriber if you are pregnant, planning to become pregnant, breastfeeding, or have:
Breathing or lung problems such as asthma, COPD, or sleep apnea
Kidney problems
Liver problems
Urination problems
Thyroid problems
Stomach or bowel problems
Pancreas or gallbladder problems
Low blood pressure
Slow heart rate
A history of seizures, head injury, or brain tumor
Mental health issues such as depression
A history of alcohol or drug abuse
Like other opioids, oxycodone can cause serious problems including:
Slow breathing (respiratory depression) or stopped breathing (respiratory arrest)
Breathing problems while sleeping
Low blood pressure
Increased pressure inside the head
Adrenal gland dysfunction
Suicidal thoughts or behaviors
Drug abuse
Dependence
Overdose
Coma
Death
Opioids can impair your judgment and cause significant drowsiness, lightheadedness, and dizziness. Do not drive or engage in any other risky activity until you know how this medicine affects you.
Constipation is a common side effect of opioids. Ask the prescriber about using laxatives to prevent or treat constipation.
Opioids can cause infertility, so people trying to have a baby should consult with the prescriber.
This medicine can be habit-forming. Do not use more than your prescribed dose. If the medicine doesn’t seem to be working, talk to the prescriber.
Keep this medicine locked up in a secure location out of the reach of children or visitors. Oxycodone can injure or kill children or other people if they inadvertently get access to it.
Oxycodone is a federally controlled substance. Giving or selling this drug to anyone else is hazardous and against the law.
Tell the prescriber about all prescription drugs, over-the-counter medications, and supplements being taken, particularly:
Other opioids including diarrhea treatments
Medicines that treat depression, anxiety, or other mental health conditions
Migraine drugs called triptans
Drugs that make you pee (diuretics)
Drugs that make you sleepy such as sleeping pills, benzodiazepines, barbiturates, muscle relaxants, seizure medications, allergy medications, CBD, alcohol
Macrolide antibiotics such as clarithromycin
Azole antifungal drugs such as ketoconazole
Metaxalone, mirtazapine, Paxlovid, quinidine, rifampin, ritonavir
Do not use this medicine if you are using or have used an MAO inhibitor within the past 14 days.
Do not drink alcohol when taking oxycodone.
Find more information about oxycodone interactions to avoid here.
Serious side effects
Talk to a doctor if you notice any signs or symptoms of a possible serious side effect, including:
Trouble breathing or slow breathing
Blue lips, fingernails, or skin
Severe constipation, stomach pain, or vomiting
Extreme dizziness, extreme weakness, slow or irregular heartbeat, shallow breathing, sweating, cold or clammy skin
Severe confusion, feeling faint, dizziness, or fainting
Seizures
Vision changes
Anxiety, restlessness, rapid heartbeat, fever, muscle spasms, twitching, sweating, nausea, vomiting, diarrhea, seeing or hearing things that are not there
Allergic reaction: Itchy skin, hives, swelling in your face or hands, swelling or tingling in your mouth or throat, throat tightness, chest tightness, trouble breathing
Less serious side effects
Nausea
Drowsiness
Constipation
Vomiting
Itchy skin
Insomnia
Weakness
Oxycodone hydrochloride solution prescribing information, DailyMed (NIH National Library of Medicine)
Oxycodone hydrochloride tablet prescribing information, DailyMed (NIH National Library of Medicine)
Oxycontin drug summary, Prescriber’s Digital Reference (PDR)
Oxycontin oxycodone hydrochloride extended-release tablet prescribing information, DailyMed (NIH National Library of Medicine)
Xtampza ER oxycodone hydrochloride extended-release capsule prescribing information, DailyMed (NIH National Library of Medicine)
Anne Jacobson, MD, MPH, is a board-certified family physician, writer, editor, teacher, and consultant. She is a graduate of University of Wisconsin School of Medicine and Public Health, and trained at West Suburban Family Medicine in Oak Park, Illinois. She later completed a fellowship in community medicine at PCC Community Wellness and a master's in Public Health at the University of Illinois-Chicago. She lives with her family near Chicago.
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