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Oxycodone (Free) Mass Concentration in Serum/Plasma

Published: August 9, 2026Updated: August 16, 2026

This test measures the amount of free (unbound) oxycodone in your blood, a key indicator of its active concentration available to affect your body.

Quick summary

["Free oxycodone levels help assess drug exposure and potential side effects."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
12789-4
Short code
oxyCODONE Free SerPl-mCnc
Synonyms
oxyCODONE Free SerPl-mCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Is Done

Your healthcare provider may order this test if you’re taking oxycodone (a pain reliever) and want to monitor how much of the drug is actually circulating in your blood in its active, free form. This can be important for managing pain, preventing overdose, or adjusting your dose if you experience side effects like drowsiness or respiratory issues.

What to Expect Before the Test

No special preparation is typically needed. You may have a small needle inserted into a vein (venipuncture) in your arm to draw blood. If you’re concerned about needles, let your healthcare provider know. You can eat and drink normally unless instructed otherwise.

What the Test Results Mean

Free oxycodone levels help determine whether your dose is therapeutic (effective for pain relief) or too high (potentially dangerous). Unlike total oxycodone, which includes both free and bound forms, free levels focus on the active portion that interacts with your body’s receptors.

Common Reasons for Monitoring

This test is often used in patients who are: - Taking high doses of oxycodone for chronic pain, - At risk for opioid-related side effects, - Undergoing treatment for opioid use disorder, - Or experiencing unexplained symptoms like confusion or slowed breathing.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Free Oxycodone Level

Frequently asked questions

What does a high or low free oxycodone level indicate?
High levels may suggest overdose risk, drug interactions, or improper metabolism. Low levels could mean your dose isn’t working as intended, requiring a review by your provider.
How does this differ from total oxycodone testing?
Free oxycodone testing focuses only on the active, unbound portion of the drug, while total testing includes both free and protein-bound forms. Free levels are more directly linked to pain relief and side effects.
Can diet or other medications affect this test?
Yes, certain foods, liver enzymes, or other medications (like certain antibiotics or antifungals) can influence how oxycodone is processed in your body, potentially affecting free levels. Always discuss all medications and supplements with your provider.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy