The safest way to stop using OxyContin is through a medically supervised detox, which allows healthcare professionals to manage withdrawal symptoms and prevent complications. If an overdose is suspected, immediate administration of naloxone (Narcan) and emergency medical attention are critical. Misuse—such as crushing, snorting, or injecting OxyContin—heightens the risk of overdose. OxyContin functions by binding to opioid receptors in the brain and spinal cord, reducing pain signals and producing sedative and euphoric effects. This extended-release formulation is designed to provide prolonged pain relief over 12 hours, unlike immediate-release oxycodone, which requires more frequent dosing.
Talk to your care team if you may be pregnant. Contact your care team if the problem does not go away or is severe. If you do not have a bowel movement for 3 days, call your care team.
How Is Oxycodone Supplied (dosage Forms)?
In an individual physically dependent on opioids, administration of the recommended usual dosage of the antagonist will precipitate an acute withdrawal syndrome. Opioid antagonists, such as naloxone, are specific antidotes to respiratory depression resulting from opioid overdose. Because elderly patients are more likely to have decreased renal function, care should be taken in dose selection, and it may be useful to regularly evaluate renal function. Oxycodone is known to be substantially excreted by the kidney, and the risk of adverse reactions to this drug may be greater in patients with impaired renal function. The onset, duration, and severity of neonatal opioid withdrawal syndrome vary based on the specific opioid used, duration of use, timing and amount of last maternal use, and rate of elimination of the drug by the newborn. Use of opioid analgesics for an extended period of time during pregnancy for medical or nonmedical purposes can result in physical dependence in the neonate and neonatal opioid withdrawal syndrome shortly after birth.

Hour Cycle & Withdrawal Symptoms
The settlement has already been approved with voting completed. However, the settlement proceeds with formal court approval, closing a six-year bankruptcy case. Some said that only the victims, not the states and other government entities, should receive the funds in the settlement. Family members cannot profit from opioid sales anywhere globally under the agreement.
Settlement Terms Beyond Money
Cases of hyperalgesia and allodynia have been reported with opioid therapy of any duration see WARNINGS AND PRECAUTIONS. Cases of adrenal insufficiency have been reported with opioid use, more often following greater than one month of use. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure. Table 3 includes a summary of the incidence of treatment emergent adverse events reported in ≥5% of patients.

Is It Illegal To Abuse OxyContin ?
- In these cases, your doctor may want to change the dose, or other precautions may be necessary.
- In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do.
- You may be at higher risk if you have breathing problems from another condition or take other medicines that can slow your breathing.
- If your pain increases, do not take extra doses of oxycodone.
- This medication will cause constipation.
- It works by blocking pain signals in the brain.
“Is it just me, or does oxycontin not even last 8 hours,” another asked in 2008. Then I start going into withdrawal,” one patient wrote on an online message board in 2004. Company officials said in the same statement that “the people at Purdue have dedicated themselves to helping address our nation’s opioid epidemic.”
‘Is It Just Me Or Does Oxycontin Not Even Last 8 Hours’
Los Angeles Times journalists argue using interviews from opioid addiction experts that such high doses of OxyContin spaced 12 hours apart create a combination of agony during opiate withdrawal (lower lows) and a schedule of reinforcement that relieves this agony fostering addiction. After a dose of conventional (immediate-release) oral oxycodone, the onset of action is 10 to 30 minutes, and peak plasma levels of the drug are attained within roughly 30 to 60 minutes; in contrast, after a dose of OxyContin (an oral controlled-release formulation), peak plasma levels of oxycodone occur in about three hours. As with other opioids, chronic use of oxycodone (particularly with higher doses) can often cause concurrent hypogonadism (low sex hormone levels). People who regularly use oxycodone recreationally or at higher than prescribed doses are at even higher risk of severe withdrawal symptoms. A 2006 review found that controlled-release oxycodone is comparable to immediate-release oxycodone, morphine, and hydromorphone in management of moderate to severe cancer pain, with fewer side effects than morphine.
- The federal penalties were to be largely waived if a broader settlement could be reached.
- Contact local state professional licensing board or state-controlled substances authority for information on how to prevent and detect abuse or diversion of this product.
- Other metabolites (α- and ß-oxycodol, noroxycodol and oxymorphol) may be present at very low concentrations and demonstrate limited penetration into the brain as compared to oxycodone.
- For example, if you take oxycodone twice a day and have your first dose at 8am, take your second dose around 8pm.
Drug Interactions

OxyContin is a brand-name prescription opioid medication containing oxycodone, a potent narcotic used to manage moderate to severe pain. Naloxone is an emergency medication used for an opioid overdose. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Prescribed to help manage moderate to severe pain, oxycodone is an opioid analgesic drug. Naloxone is a medicine that temporarily reverses the effects of an overdose. Oxycodone can cause serious unwanted effects if taken by adults who are not used to strong opioid pain medicines, children, or pets.
Purdue Response To FDA

"That becomes a very powerful motivator for people to take more drugs." The Times suggested that this problem gives "new insight into why so many people have become addicted." This "non-malignant pain market" was a much larger market than that for cancer-related pain, making up 86% of the total opioid market in 1999. OxyContin was systematically marketed as if it had very limited potential for addiction or abuse.
This medication may be prescribed for other uses; ask your doctor or pharmacist for more information. If you have a feeding tube, the extended-release capsule contents can be poured into the tube. If you are taking the extended-release tablets, swallow the tablets one at a time with plenty of water.
A Four-part Series Investigation Into Legal Drugs And Their Deadly Outcomes
You may report side effects to the FDA at FDA-1088. This includes prescription or nonprescription (over-the-counter OTC) medicines and herbal or vitamin supplements. Do not take other medicines unless they have been discussed with your doctor.
Make sure to tell caregivers and close contacts where your naloxone is stored. This can happen even when used as directed by your care team. Long term use of this medication may cause your brain and body to depend on it. Do not take more medication than directed.
For example, in November 2023, while operating in an undercover capacity on Incognito Market, a law enforcement agent purchased and received several tablets purported to be oxycodone. Listings included offerings of prescription medication that was falsely advertised as being authentic. Attorney’s Office for the Southern District of New York of narcotics conspiracy, money laundering, and conspiracy to sell adulterated and misbranded medication for owning and operating Incognito Market, one of the largest narcotics marketplaces on the internet.