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Two medicines, side by side

Hydrocodone vs morphine

Hydrocodone and morphine are both labeled for pain. Drugs@FDA records approvals of hydrocodone since 2013 and of morphine since 1984. Pharmacies paid $7.95 per hydrocodone ER 15 mg capsule and $0.226 per morphine sulfate ir 15 mg tablet (NADAC, October 7, 2026). Hydrocodone's other strengths are brand-only: $13.31 per Hysingla ER 20 mg tablet. How each works, in its label's words: Hydrocodone, “Hydrocodone is a full opioid agonist with relative selectivity for the mu-opioid receptor, although it can interact with other opioid receptors at higher doses.”; Morphine, “Morphine is a full opioid agonist is relatively selective for the mu-opioid receptor, although it can bind to other opioid receptors at higher doses.”

Check it at the source: the hydrocodone FDA label on DailyMed (effective May 29, 2026); the morphine FDA label on DailyMed (effective July 13, 2026).

Highlights of the hydrocodone record

Hydrocodone (Hysingla) · label of May 29, 2026

Boxed warning

SERIOUS AND LIFE-THREATENING RISKS FROM USE OF HYSINGLA ER Addiction, Abuse, and Misuse Because the use of HYSINGLA ER exposes patients and other users to the risks of opioid addiction, abuse, and misuse, which can lead to overdose and death, assess each patient's risk prior to prescribing and reassess all patients regularly for the development of these behaviors and conditions [see Warnings and Precautions (5.1) ].

Used for

From the label: indications

HYSINGLA ER is indicated for the management of severe and persistent pain that requires an opioid analgesic and that cannot be adequately treated with alternative options, including immediate-release opioids. […]

On the market

Earliest approval on file
October 25, 2013
Generic labelers
1 labeler
Pharmacy cost
$7.95 per capsule

Supply and safety

Shortage
No current entry
Recalls
0

Highlights of the morphine record

Morphine (Duramorph) · label of July 13, 2026

Boxed warning

ADDICTION, ABUSE, AND MISUSE; RISK EVALUATION AND MITIGATION STRATEGY (REMS); LIFE-THREATENING RESPIRATORY DEPRESSION; ACCIDENTAL INGESTION; NEONATAL OPIOID WITHDRAWAL SYNDROME; and RISKS FROM CONCOMITANT USE WITH BENZODIAZEPINES OR OTHER CNS DEPRESSANTS Addiction, Abuse, and Misuse Morphine sulfate exposes patients and other users to the risks of opioid addiction, abuse, and misuse, which can lead to overdose and death.

Used for

From the label: indications

Morphine sulfate extended-release tablets are indicated for the management of pain severe enough to require daily, around-the-clock, long-term opioid treatment and for which alternative treatment options are inadequate. […]

On the market

Earliest approval on file
September 18, 1984
Generic labelers
22 labelers
Pharmacy cost
$0.226 per tablet

Supply and safety

Shortage
In shortage
Recalls
66

Source: FDA drug labels via openFDA (Hydrocodone label of May 29, 2026, Morphine label of July 13, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do hydrocodone and morphine differ on the record?

How each works, in its label's words: Hydrocodone, “Hydrocodone is a full opioid agonist with relative selectivity for the mu-opioid receptor, although it can interact with other opioid receptors at higher doses.”; Morphine, “Morphine is a full opioid agonist is relatively selective for the mu-opioid receptor, although it can bind to other opioid receptors at higher doses.”

Both are in FDA's class opioid agonists.

Half-life, in each label's words: Hydrocodone, “The mean terminal half-life (t 1/2 ) was similar for all HYSINGLA ER dose strengths ranging from 7 to 9 hours.”; Morphine, “Excretion The elimination of morphine occurs primarily as renal excretion of M3G and its effective half-life after …”

Both labels carry a boxed warning; the records quote them.

Generics: hydrocodone since 2020; morphine since 1986 (Drugs@FDA).

HydrocodoneMorphine
Labeled forPainPain
Pharmacologic classOpioid AgonistOpioid Agonist
How it works (label)Hydrocodone is a full opioid agonist with relative selectivity for the mu-opioid receptor, although it can interact with other opioid receptors at higher doses. The principal therapeutic action of hydrocodone is analgesia.Morphine is a full opioid agonist is relatively selective for the mu-opioid receptor, although it can bind to other opioid receptors at higher doses. The principal therapeutic action of morphine is analgesia.
Half-life (label)The mean terminal half-life (t 1/2 ) was similar for all HYSINGLA ER dose strengths ranging from 7 to 9 hours.Excretion The elimination of morphine occurs primarily as renal excretion of M3G and its effective half-life after intravenous administration is normally 2 to 4 hours.
Earliest approval on file (Drugs@FDA)October 25, 2013September 18, 1984
First generic approvedJanuary 21, 2020October 7, 1986
Generic labelers (NDC)1 labeler22 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$7.95 per capsule (Hydrocodone ER 15 mg capsule)$0.226 per tablet (Morphine sulfate ir 15 mg tablet)
12-month price change+34%-12%
Boxed warningYesYes
Shortage nowNo current entryIn shortage
Recalls recorded066
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)43,191120,591
DEA scheduleCIICII

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What do the labels say about using others of their kind?

Hydrocodone label, warnings and precautions

Use with Benzodiazepines or Other CNS Depressants Profound sedation, respiratory depression, coma, and death may result from the concomitant use of HYSINGLA ER with benzodiazepines and/or other CNS depressants, including alcohol (e.g., non-benzodiazepine sedatives/hypnotics, anxiolytics, tranquilizers, muscle relaxants, general anesthetics, antipsychotics, gabapentinoids [gabapentin or pregabalin], and other …

Source: FDA drug labels via openFDA

What next?

Alternatives to hydrocodone
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