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oxycodone

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Brand names: OxyContin, Roxicodone

Opioid Analgesic Rx

Oxycodone is a strong pain medicine. It is used to treat severe pain that is not helped by other treatments.

Drug Shortage Alert

oxycodone is currently listed as to be discontinued by the FDA. Affected manufacturer: Hikma Pharmaceuticals USA, Inc..

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Drug Pricing (NADAC)

Brand Price

$4.99/unit

Generic Price

$0.14/unit

Generic Savings

97%

Generic Available

Yes (43 manufacturers)

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

What it does

Oxycodone is used to manage severe pain.

Common side effects

Feeling sick to your stomach, Constipation, Throwing up

Key warnings

Oxycodone can cause serious, life-threatening risks: * Addiction, abuse, and misuse can lead to overdose and death.

How It Works

Oxycodone works by changing how your brain and nervous system respond to pain. It attaches to certain receptors in the brain. This helps to block pain signals and reduce pain.

How to Take It

Take oxycodone exactly as your doctor tells you. The usual dose is 5 to 15 mg every 4 to 6 hours as needed for pain. Your doctor may change your dose to best control your pain. You can take it with or without food.

Pregnancy & Breastfeeding

Using oxycodone for a long time during pregnancy can cause withdrawal symptoms in the baby after birth. Talk to your doctor about the risks if you are pregnant or plan to become pregnant. Oxycodone is not recommended during labor, as it can cause breathing problems in the newborn.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and take your next dose at the regular time.

Storage

Store oxycodone at room temperature, away from moisture and light. Keep it in a safe place where others cannot access it.

Side Effects (from patient reports)

Based on 168,814 FDA adverse event reports.

Addiction to the drug
27,480
Pain
26,410
Death
19,598
Taking too much of the drug
19,081
Harmful effects from different substances
16,254
Emotional suffering
15,630
Feeling tired
11,870
The drug is not working
11,411
Feeling sick to your stomach
10,629
Symptoms when stopping the drug
10,451

FDA Adverse Event Report Analysis

Detailed analysis of 180,422 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2002–2025.

Total Reports

180,422

Death-Related Reports

51,490

Hospitalization Reports

49,832

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 77,782 (54%)
Male 66,996 (46%)

Age Distribution

0–17 2,226
18–44 22,101
45–64 36,952
65–74 17,737
75+ 10,600

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 DRUG DEPENDENCE 27,480
2 PAIN 26,409
3 DEATH 19,598
4 OVERDOSE 19,081
5 TOXICITY TO VARIOUS AGENTS 16,253
6 EMOTIONAL DISTRESS 15,630
7 FATIGUE 11,870
8 DRUG INEFFECTIVE 11,411
9 NAUSEA 10,630
10 DRUG WITHDRAWAL SYNDROME 10,451
11 DIARRHOEA 8,216
12 OFF LABEL USE 8,110
13 DYSPNOEA 7,699
14 VOMITING 7,490
15 RASH 7,264

Reactions in Death Reports

DEATH 19,545
TOXICITY TO VARIOUS AGENTS 13,662
OVERDOSE 8,264
DRUG ABUSE 5,138
COMPLETED SUICIDE 3,586
OFF LABEL USE 2,585
PAIN 2,220
FATIGUE 2,158
DRUG DEPENDENCE 2,137
VOMITING 1,984

Reactions in Hospitalization Reports

PAIN 5,123
FATIGUE 4,805
NAUSEA 4,647
VOMITING 4,119
DIARRHOEA 4,074
DYSPNOEA 4,068
PNEUMONIA 3,998
OFF LABEL USE 3,975
PYREXIA 3,631
DRUG INEFFECTIVE 3,437

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

Oxycodone can cause serious, life-threatening risks: * Addiction, abuse, and misuse can lead to overdose and death. Your doctor will check your risk before prescribing and during treatment. * It can cause very slow or stopped breathing, especially when you start taking it or after a dose increase. * If a child accidentally takes even one dose, it can cause a fatal overdose. * Taking it with benzodiazepines (like Xanax) or other depressants (like alcohol) can cause sleepiness, slowed breathing, coma, and death. * Using oxycodone for a long time during pregnancy can cause withdrawal symptoms in the newborn. * Taking oxycodone with certain other medicines can cause dangerous side effects.

Known Drug Interactions

Examples: Rifampin, carbamazepine, phenytoin Benzodiazepines and Other Central Nervous System (CNS) Depressants Clinical Impact: Due to additive pharmacologic effect, the concomitant use of benzodiazepines or other CNS depressants, including alcohol, can increase the risk of hypotension, respiratory depression, profound sedation, coma, and death [see Warnings and Precautions (5.3)] .

Mechanism: Both of these medications can slow down your brain and body functions. When used together, they can cause dangerously low blood pressure, extreme sleepiness, or breathing problems.

What to do: Use these drugs together only if necessary and watch closely for signs of severe drowsiness or slow breathing.

moderate rifampin

Examples: Rifampin, carbamazepine, phenytoin Benzodiazepines and Other Central Nervous System (CNS) Depressants Clinical Impact: Due to additive pharmacologic effect, the concomitant use of benzodiazepines or other CNS depressants, including alcohol, can increase the risk of hypotension, respiratory depression, profound sedation, coma, and death [see Warnings and Precautions (5.3)] .

Mechanism: Combining these drugs can cause their effects to stack up, which may lead to a dangerous drop in blood pressure or breathing rate. This additive effect can result in severe sedation or even a coma.

What to do: Talk to your healthcare provider about the risks and monitor for any signs of extreme tiredness or difficulty breathing.

Intervention: Avoid concomitant use Examples: Butorphanol, nalbuphine, pentazocine, buprenorphine Muscle Relaxants Clinical Impact: Oxycodone may enhance the neuromuscular blocking action of skeletal muscle relaxants and produce an increased degree of respiratory depression.

Mechanism: Oxycodone can make the muscle-weakening effects of other drugs stronger and can cause your breathing to slow down significantly. This combination can be very dangerous for your lungs and muscles.

What to do: You should avoid using these two medications together to prevent serious breathing or muscle problems.

moderate butorphanol

Intervention: Avoid concomitant use Examples: Butorphanol, nalbuphine, pentazocine, buprenorphine Muscle Relaxants Clinical Impact: Oxycodone may enhance the neuromuscular blocking action of skeletal muscle relaxants and produce an increased degree of respiratory depression.

Mechanism: These drugs both slow down your breathing and can make your muscles very weak when taken together.

What to do: You should avoid using these two medications at the same time.

moderate nalbuphine

Intervention: Avoid concomitant use Examples: Butorphanol, nalbuphine, pentazocine, buprenorphine Muscle Relaxants Clinical Impact: Oxycodone may enhance the neuromuscular blocking action of skeletal muscle relaxants and produce an increased degree of respiratory depression.

Mechanism: Combining these medications can lead to a dangerous increase in breathing problems and muscle weakness.

What to do: Do not take these drugs together as it can be unsafe.

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Common Questions

Can I drive while taking oxycodone?
Oxycodone can cause drowsiness and dizziness. Do not drive or operate heavy machinery until you know how it affects you.
Can I drink alcohol while taking oxycodone?
No, drinking alcohol while taking oxycodone can cause dangerous side effects, including slowed breathing, coma, and death.
What should I do if I think I'm having a side effect?
Tell your doctor right away about any side effects you have while taking oxycodone.
Can I stop taking oxycodone suddenly?
No, do not stop taking oxycodone suddenly. This can cause withdrawal symptoms. Talk to your doctor about how to slowly stop taking it.
Is oxycodone addictive?
Yes, oxycodone is an opioid and can be addictive. Take it exactly as prescribed by your doctor.
What should I do if someone takes too much oxycodone?
Get emergency medical help right away. An overdose of oxycodone can be fatal.
Can I take other medicines with oxycodone?
Talk to your doctor or pharmacist before taking any other medicines with oxycodone. Some medicines can interact with oxycodone and cause dangerous side effects.
How long does oxycodone stay in my system?
Oxycodone stays in your system for several hours. Talk to your doctor if you have concerns.
What is a REMS program?
REMS stands for Risk Evaluation and Mitigation Strategy. It is a program to help make sure that opioids are used safely.
Can I share my oxycodone with someone else?
No, never share your oxycodone with anyone else. It is illegal and can cause serious harm or death.
What are the common side effects of oxycodone?
The most commonly reported side effects of oxycodone include Feeling sick to your stomach, Constipation, Throwing up, Headache, Itching. Based on 168,814 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
Does oxycodone interact with other medications?
Yes, oxycodone has 28 known drug interactions. Notable interactions include carbamazepine, rifampin, buprenorphine. Always inform your doctor about all medications you are taking.
What drug class is oxycodone?
oxycodone belongs to the Opioid Analgesic drug class. It requires a prescription (Rx). Oxycodone is used to manage severe pain.
Is there a generic version of oxycodone?
Yes, generic oxycodone is available from 43 manufacturers. The generic costs $0.14 per unit compared to $4.99 for the brand version, saving approximately 97%. Pricing is based on NADAC (National Average Drug Acquisition Cost) data from CMS.
Is oxycodone safe during pregnancy?
Using oxycodone for a long time during pregnancy can cause withdrawal symptoms in the baby after birth. Talk to your doctor about the risks if you are pregnant or plan to become pregnant. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.
Has oxycodone been recalled?
There is 1 recall associated with oxycodone products. Failed Tablet/Capsule Specification: There is a potential for the imprint to be missing on tablets. Check the recalls section below for full details and affected products.
Is oxycodone currently in shortage?
Yes, oxycodone is currently listed as to be discontinued by the FDA. Affected manufacturer: Hikma Pharmaceuticals USA, Inc.. Visit the FDA Drug Shortages database for the latest updates.

Active Recalls

Class II December 16, 2025

Failed Tablet/Capsule Specification: There is a potential for the imprint to be missing on tablets.

SpecGx, LLC

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What the FDA Data Shows for oxycodone

The FDA label for oxycodone (sold under brand names such as OxyContin, Roxicodone) classifies it as a prescription-only medication in the Opioid Analgesic class. Oxycodone is used to manage severe pain. Official labeling lists 9 commonly reported side effects, including Feeling sick to your stomach, Constipation, Throwing up.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 168,814 voluntary reports. The database also lists 28 documented drug interactions derived from FDA labeling, with the top-flagged interaction rated moderate severity. NADAC pricing from CMS shows a generic unit cost of $0.14 versus $4.99 for the brand — a 97% generic savings.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history (currently 1 recall record on file), and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC). Shortage status: FDA Drug Shortages Database.

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: January 14, 2026

All federal data sources used on this page