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Two medicines, side by side

Oxycodone vs acetaminophen

Oxycodone and acetaminophen are both labeled for pain. Drugs@FDA records approvals of oxycodone since 1998 and of acetaminophen since 1968. Pharmacies paid $0.0884 per oxycodone HCl (ir) 5 mg tablet and $0.0339 per unit (Acetaminophen 500 mg caplet) (NADAC, October 7, 2026); the strengths differ, so the two prices are not like for like.

Check it at the source: the oxycodone FDA label on DailyMed (effective May 6, 2026); the acetaminophen FDA label on DailyMed (effective November 13, 2024).

Highlights of the oxycodone record

Oxycodone (Oxycontin) · label of May 6, 2026

Boxed warning

SERIOUS AND LIFE-THREATENING RISKS FROM USE OF OXYCODONE HYDROCHLORIDE TABLETS WARNING: SERIOUS AND LIFE-THREATENING RISKS FROM USE OF OXYCODONE HYDROCHLORIDE TABLETS See full prescribing information for complete boxed warning. Oxycodone hydrochloride tablets expose users to risks of addiction, abuse, and misuse, which can lead to overdose and death. Assess patient's risk before prescribing and reassess regularly for these behaviors and conditions.

Used for

From the label: indications

Oxycodone Hydrochloride Tablets, USP are indicated for the management of pain severe enough to require an opioid analgesic and for which alternative treatments are inadequate. Oxycodone hydrochloride tablets are an opioid agonist indicated for the management of pain severe enough to require an opioid analgesic and for which alternative treatments are inadequate. […]

On the market

Earliest approval on file
October 26, 1998
Generic labelers
32 labelers
Pharmacy cost
$0.0884 per tablet

Supply and safety

Shortage
No current entry
Recalls
11

Highlights of the acetaminophen record

Acetaminophen (Tylenol) · label of November 13, 2024

Used for

From the label: indications

temporarily relieves minor aches and pains due to: minor pain of arthritis muscular aches backache premenstrual and menstrual cramps the common cold headache toothache temporarily reduces fever

On the market

Earliest approval on file
November 7, 1968
Generic labelers
89 labelers
Pharmacy cost
$0.0339 per unit

Supply and safety

Shortage
No current entry
Recalls
19

Source: FDA drug labels via openFDA (Oxycodone label of May 6, 2026, Acetaminophen label of November 13, 2024); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do oxycodone and acetaminophen differ on the record?

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

Generics: oxycodone since 2004; acetaminophen since 1986 (Drugs@FDA).

DEA schedule: oxycodone CII; acetaminophen none.

OxycodoneAcetaminophen
Labeled forPainFever, Cough and cold, Pain
Pharmacologic classOpioid Agonistn/a
How it works (label)Oxycodone is a full opioid agonist and is relatively selective for the mu-opioid receptor, although it can bind to other opioid receptors at higher doses. The principal therapeutic action of oxycodone is analgesia.n/a
Half-life (label)Apparent elimination half-life of oxycodone following the administration of oxycodone hydrochloride tablets was 3.5 to 4 hours.n/a
Earliest approval on file (Drugs@FDA)October 26, 1998November 7, 1968
First generic approvedFebruary 6, 2004December 1, 1986
Generic labelers (NDC)32 labelers89 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.0884 per tablet (Oxycodone HCl (ir) 5 mg tablet)$0.0339 per unit (Acetaminophen 500 mg caplet)
12-month price change-6%+5%
Boxed warningYesYes
Shortage nowNo current entryNo current entry
Recalls recorded1119
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)311,625445,075
DEA scheduleCIInone

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?

Oxycodone label, warnings and precautions

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

Source: FDA drug labels via openFDA

What next?

Alternatives to oxycodone
every medicine labeled for the same conditions