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Oxycodone

Published: July 26, 2026Updated: August 24, 2026

Oxycodone is a potent opioid analgesic used to manage moderate to severe pain when other treatments are insufficient. It works by binding to opioid receptors in the brain and nervous system to reduce pain perception. This medication is typically prescribed for acute pain following surgery or injury, or for chronic pain conditions requiring around-the-clock opioid therapy.

Quick summary

Oxycodone is a strong prescription opioid pain medication used to treat moderate to severe pain.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 24, 2026Editorial policy
BOXED WARNING

This medication carries a boxed (black box) warning — the strongest type of FDA warning. Review the full prescribing information before use.

Key facts at a glance

ATC
N02AA05
RxNorm
7804
Generic
Oxycodone
Class
atc-n02
Brands
Primlev, Oxaydo, Xtampza, Roxybond, Nalocet, Endocet, Oxycontin, Roxicodone, Prolate, Percocet
Availability
rx
Lactation
unknown
Routes
oral
Forms
tablet, capsule, solution
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)tablet
Usual dose
500mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)tablet
Usual dose
250mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)tablet
Usual dose
400mg daily
Maximum
consult physician
Frequency
once daily
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Single dose that may cause serious toxicity in opioid-naive individuals
Chronic overdose: cumulative toxicity can occur with repeated supratherapeutic dosing
Immediate actions
airway management, administer naloxone, activated charcoal if within 1-2 hours of ingestion
Antidote
Naloxone(minutes to hours depending on formulation)
Poison Control: 1-800-222-1222

Special Populations

8 groups
✗

pregnancy

first trimester
unsafe
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use during pregnancy unless benefits outweigh risks

Monitor

regular fetal monitoring

Use of this medication in this population requires careful consideration of risks and benefits.

✗

pregnancy

second trimester
unsafe
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

avoid use unless benefits significantly outweigh risks

Monitor

regular fetal monitoring and growth assessment

Use of this medication in this population requires careful consideration of risks and benefits.

✗

pregnancy

third trimester
contraindicated
FDA Category
D
Dose Adjustment

avoid completely

Key Recommendations

do not use - risk of neonatal opioid withdrawal syndrome

Monitor

neonatal monitoring for withdrawal symptoms

Use of this medication in this population requires careful consideration of risks and benefits.

✗

lactation

breastfeeding
unsafe
FDA Category
C
Dose Adjustment

avoid

Key Recommendations

do not breastfeed during oxycodone treatment - passes into breast milk

Monitor

monitor infant for sedation and respiratory depression

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

geriatric

elderly
caution
FDA Category
N
Dose Adjustment

reduce dose by 25-50%

Key Recommendations

start at lowest effective dose, monitor closely for sedation and respiratory depression

Monitor

regular assessment of pain control and adverse effects

Use with caution and monitor for adverse effects.

✗

pediatric_age

children under 18
contraindicated
FDA Category
N
Dose Adjustment

not recommended

Key Recommendations

not approved for use in patients under 18 years of age

Monitor

not applicable

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

renal_impairment

severe
caution
FDA Category
N
Dose Adjustment

reduce dose by 50%

Key Recommendations

use with caution, extend dosing interval, monitor for accumulation

Monitor

regular renal function monitoring and drug level assessment if available

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

moderate to severe
caution
FDA Category
N
Dose Adjustment

reduce dose by 50%

Key Recommendations

use with extreme caution, monitor for increased opioid effect

Monitor

regular liver function tests and pain/sedation assessment

Use with caution and monitor for adverse effects.

Statistics and clinical data

prescribingFDA
2023

Commonly prescribed since

Value:1990s

General prescribing information

drug_classWHO
2023

Drug class

Value:Opioid analgesic

Drug class information

usageMedical guidelines
2023

Common uses

Value:Moderate to severe pain relief

Common therapeutic uses

legal_classificationDEA
2023

Controlled substance schedule

Value:Schedule II

Federal legal classification

Treatment of moderate to severe pain requiring opioid analgesia, including acute pain (post-surgical, trauma, fractures) and chronic pain conditions when other non-opioid therapies are inadequate or contraindicated. May also be used for cancer-related pain and severe pain unresponsive to other analgesics.

Oxycodone is a semi-synthetic opioid agonist that binds primarily to mu-opioid receptors in the brain, spinal cord, and peripheral tissues. This binding inhibits ascending pain pathways, altering the perception of and response to pain while producing effects such as sedation and respiratory depression.

High risk of dependence, tolerance, and addiction with prolonged use. Respiratory depression can occur and may be fatal in overdose. Must not be combined with alcohol, benzodiazepines, or other CNS depressants due to increased risk of severe adverse effects. Use during pregnancy may cause neonatal opioid withdrawal syndrome. Schedule II controlled substance with strict prescribing regulations.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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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 24, 2026. · Read our editorial policy