What is Oxycodone: Uses, Warnings & Interactions

Medically reviewed by Anne JacobsonMD, MPH
Board-Certified Family Physician
Updated May 14, 2025  •  Published Dec 30, 2020
Fact Checked

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. 

Oxycodone overview

BRAND NAMES:

  •  OxyContin (extended-release), Roxicodone, Roxybond, Xtampza ER (extended-release)

Generic Names:

  • Oxycodone HCl

Uses:

  • Treats moderate to severe pain.

Therapeutic Classes:

  • Analgesic, Opioid

Forms:

  • Tablet, oral solution, long-acting tablet, long-acting capsule

How it’s taken:

  • By mouth

What is Oxycodone used for?

Oxycodone treats moderate to severe pain that cannot be adequately managed by non-opioid pain medications.

Key takeaways

  • 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.

What form(s) does Oxycodone come in

  • 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

What are common Oxycodone doses?

  • 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.

Common Oxycodone prescriptions

  • 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

How to take Oxycodone

  • 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.

What to do if you miss a dose of Oxycodone

  • Ask the prescriber what to do in case of a missed dose.

  • Never take extra oxycodone to make up for a missed dose.

Oxycodone contraindications

  • 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).

Oxycodone warnings

  • 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

    • Serotonin syndrome

    • 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.

Oxycodone interactions

  • 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)

  • Anticholinergic drugs

  • 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.

Oxycodone side effects

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

Sources:

Medically reviewed by Anne JacobsonMD, MPH
Board-Certified Family Physician

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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