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Treatment Name: Oxycodone (Roxicodone®, Percocet®, OxyContin®, Oxaydo®, Xtampza®)

Oxycodone (Roxicodone®, Percocet®, OxyContin®, Oxaydo®, Xtampza®) is a Supportive Care Therapy for Pain

How does oxycodone work?

Oxycodone is designed to bind to and activate receptors in the brain called mu (pronounced mew) receptors. When bound to mu receptors, oxycodone helps to stop the pain signals that are going to the brain, which provides pain relief.

Goals of therapy:

Oxycodone is taken to relieve moderate to severe pain. The goal of oxycodone therapy is not to completely relieve pain, but to lessen it to a manageable level. It is commonly taken on an as needed basis for acute pain but may be taken on a scheduled basis for chronic pain such as pain caused by cancer.

Schedule

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How is oxycodone therapy given?

Doses of oxycodone can vary greatly depending on the amount of pain that you are experiencing and whether or not you are already taking oxycodone or other opioid medications regularly.

Typical starting doses for short acting oxycodone (Roxicodone®, Percocet®)

  • 5 to 10 mg oral tablet by mouth every 4 to 8 hours as needed for pain

Typical starting doses for long acting oxycodone (OxyContin®, Oxaydo®, Xtampza®):

  • 10 mg oral tablet or 9 mg oral capsule by mouth two times daily

Oxycodone can be taken during periods of acute pain while in the hospital or it can be taken at home. In cases of acute pain, typical duration of therapy is usually 3 to 7 days. For patients with chronic pain, duration of therapy can be significantly longer and is determined by your doctor.

Store oxycodone at room temperature (77°F).

Side Effects

What are the most common side effects from oxycodone?

In the prescribing label information (oxycodone package insert), the most commonly reported side effects from oxycodone are shown here:

Note: The exact percentages of patients that will experience oxycodone side effects is unknown because it has been used under widely varying patient populations in a variety of clinical trials.

The use of oxycodone during pregnancy can cause opioid withdrawal syndrome in newborn babies. Oxycodone should only be used in pregnant women and women who are breastfeeding if your doctor determines that the potential benefits to the mother outweigh the potential risks to the baby.

Watch videos on common oxycodone therapy side effects below

Side effect videos Side Effect Videos
ConstipationConstipationFatigue Fatigue Nausea and VomitingNausea and Vomiting

Monitoring

How often is monitoring needed?

Labs (blood tests) are not routinely done with oxycodone therapy, but may be checked periodically. Labs may include: Comprehensive Metabolic Panel (CMP) plus any others your doctor may order.

How often is imaging needed?

Imaging is not routinely needed during oxycodone therapy.

How might blood test results/imaging affect treatment?

Depending upon the results, your doctor may advise to continue oxycodone as planned, change your dose, or switch to an alternative therapy.

ChemoExperts Tips

What are some of the most important things to know about oxycodone while receiving therapy?

  • Oxycodone may be combined with acetaminophen (Tylenol®) in medications such as Percocet® or Endocet®. Taking both acetaminophen and oxycodone/acetaminophen may result in serious liver injury. Do not take more than a TOTAL of 3 grams of acetaminophen per day
  • In the event of an overdose, naloxone (Narcan®) may be used to reverse the effects of oxycodone. Patients who require naloxone may have rebound pain due to the reversal of the pain relieving effect of oxycodone
  • Oxycodone slows down the movement of the intestines and may cause constipation as a common side effect. If you are not having at least one bowel movement every other day, over-the-counter laxatives such as Senna-S® or MiraLAX® may help to keep your bowels regular
  • Oxycodone is a FDA Schedule II medication and cannot be prescribed with refills. Before you run out of your medication, be sure to contact your doctor to get another prescription ahead of time. Abruptly stopping oxycodone may cause withdrawal symptoms and increased pain
  • DO NOT crush, chew, or break long acting tablets or capsules. If you have trouble swallowing, Xtampza® capsules may be opened and sprinkled on soft foods such as applesauce or pudding and eaten without chewing
  • Taking other depressant medications such as benzodiazepines (lorazepam, alprazolam, midazolam, etc.) or drinking alcohol can increase side effects and can slow your breathing and can be life threatening. Try to limit taking these types of medications together when possible
  • Be sure to store oxycodone in a very safe place away from children and pets
  • A pharmacist should ALWAYS review your medication list to ensure that drug interactions are prevented or managed appropriately

Patient Assistance & Co-payment Coverage

Patients under the age of 65 years, or those with private insurance plans:
If you have insurance and are looking for patient assistance or copay assistance for Oxycodone (Roxicodone®, Percocet®, OxyContin®, Oxaydo®, Xtampza®), we have provided links that may help.

Visit our Patient Assistance page and click the links to various patient assistance programs for help paying for Oxycodone (Roxicodone®, Percocet®, OxyContin®, Oxaydo®, Xtampza®). Depending upon your income, they may be able to help cover the cost of:

  • Oxycodone (Roxicodone®, Percocet®, OxyContin®, Oxaydo®, Xtampza®)

For Branded medications (may be available for generic medications too), check with the manufacturer to determine if a co-pay card is offered and if it could reduce your monthly copay.

  • If you are uninsured, check with the manufacturer to determine if you are eligible to receive medication at no cost.

Medicare and Medicaid patients (Patients 65 years or older):
The clinic providing treatment will likely pre-authorize medications and immune therapies such as Oxycodone (Roxicodone®, Percocet®, OxyContin®, Oxaydo®, Xtampza®) and are the best source to help you understand drug cost.

  • Ask to speak with a patient assistance technician or financial counselor at the clinic or hospital administering this therapy.

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Created: March 27, 2020 Updated: March 27, 2020

What is Pain?

Many treatment options for pain exist. Watch our video to learn more about pain and available treatments.

What is an opioid medication?

​Opioids are a class of medications that are similar in structure to opium and are commonly used to treat pain. These medications are very effective at treating pain symptoms, but should be used at the lowest dose necessary as directed by your doctor to relieve pain as these medications can lead to misuse, abuse, and addiction. 

What is a CMP?

A Comprehensive Metabolic Panel (CMP) is a frequently ordered blood test that tells clinicians the status of your: 1) Electrolytes & Acid/Base status2) Kidney function, 3) Liver function, 4) Blood sugar, and 5) Calcium at the time the test was taken. It is commonly used to monitor liver and kidney function when beginning new medications such as chemotherapy. A total of 14 tests are run simultaneously and are shown below.

Electrolytes & Acid/Base status:
1) Sodium, 2) Potassium, 3) Carbon dioxide, 4) Chloride

Kidney Function:
5) BUN (blood urea nitrogen), 6) Serum creatinine (Scr)

Liver Function:
7) AST, 8) ALT, 9) Total bilirubin, 10) Alk Phos, 11) Albumin, 12) Total protein

Blood sugar:
13) Serum glucose

Calcium:
14) Serum calcium

What is a Schedule II medication?

Schedule II medications, as designated by the FDA, are medications that are considered to have a high abuse potential and have an increased risk of misuse or diversion. These medications can only be prescribed with a written prescription and have limitations on how many days supply can be dispensed at once. Schedule II medications cannot be refilled as well and must have a new prescription for every single fill.