Description and Brand Names

Drug information provided by: Merative, Micromedex®

US Brand Name

  1. Endodan
  2. Percodan

Descriptions


Oxycodone and aspirin combination is used to relieve pain severe enough to require opioid treatment and when other pain medicines did not work well enough or cannot be tolerated. Oxycodone belongs to the group of medicines called narcotic analgesics (pain medicines). It acts on the central nervous system (CNS) to relieve pain.

Aspirin is used to relieve pain and reduce fever in patients. Aspirin belongs to the group of medicines known as salicylates and acts on the immune system to reduce inflammation. It is also known as an antiinflammatory analgesic.

When oxycodone is used for a long time, it may become habit-forming, causing mental or physical dependence. However, people who have continuing pain should not let the fear of dependence keep them from using narcotics to relieve their pain. Mental dependence (addiction) is not likely to occur when narcotics are used for this purpose. Physical dependence may lead to withdrawal side effects if treatment is stopped suddenly. However, severe withdrawal side effects can usually be prevented by gradually reducing the dose over a period of time before treatment is stopped completely.

This medicine is available only under a restricted distribution program called the Opioid Analgesic REMS (Risk Evaluation and Mitigation Strategy) program.

Before Using

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Appropriate studies have not been performed on the relationship of age to the effects of oxycodone and aspirin combination in the pediatric population. Because of aspirin's toxicity, use in children is not recommended. Do not give aspirin to a child who has chickenpox or flu symptoms, unless approved by a doctor. Aspirin can cause a life-threatening reaction called Reye syndrome.

Geriatric

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of oxycodone and aspirin combination in the elderly. However, elderly patients are more likely to have age-related liver, kidney, heart, or lung problems, which may require caution and an adjustment in the dose for patients receiving oxycodone and aspirin combination.

Breastfeeding

There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Drug Interactions

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.

  • Abrocitinib
  • Defibrotide
  • Dichlorphenamide
  • Influenza Virus Vaccine, Live
  • Ketorolac
  • Levoketoconazole
  • Nalmefene
  • Naltrexone
  • Safinamide
  • Samidorphan

Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Abiraterone Acetate
  • Acarbose
  • Aceclofenac
  • Acemetacin
  • Acenocoumarol
  • Acepromazine
  • Acetazolamide
  • Aclidinium
  • Adagrasib
  • Alclometasone
  • Aldosterone
  • Alfentanil
  • Alipogene Tiparvovec
  • Almotriptan
  • Alosetron
  • Alprazolam
  • Alteplase, Recombinant
  • Alvimopan
  • Amantadine
  • Amcinonide
  • Amifampridine
  • Amikacin
  • Amiloride
  • Amineptine
  • Amiodarone
  • Amitriptyline
  • Amitriptylinoxide
  • Amobarbital
  • Amoxapine
  • Amphetamine
  • Amphotericin B
  • Amprenavir
  • Amtolmetin Guacil
  • Anagrelide
  • Anileridine
  • Anisindione
  • Apalutamide
  • Apixaban
  • Aprepitant
  • Ardeparin
  • Argatroban
  • Aripiprazole
  • Aripiprazole Lauroxil
  • Armodafinil
  • Asciminib
  • Asenapine
  • Atazanavir
  • Atropine
  • Avacopan
  • Bacitracin
  • Baclofen
  • Beclomethasone
  • Belladonna
  • Bemetizide
  • Bemiparin
  • Benazepril
  • Bendroflumethiazide
  • Benperidol
  • Bentazepam
  • Benzhydrocodone
  • Benzphetamine
  • Benzthiazide
  • Benztropine
  • Berotralstat
  • Betamethasone
  • Betrixaban
  • Biperiden
  • Bivalirudin
  • Boceprevir
  • Bosentan
  • Brinzolamide
  • Bromazepam
  • Bromfenac
  • Bromopride
  • Brompheniramine
  • Budesonide
  • Bufexamac
  • Bumetanide
  • Buprenorphine
  • Bupropion
  • Buspirone
  • Butabarbital
  • Butorphanol
  • Calcium Oxybate
  • Cannabidiol
  • Cannabis
  • Caplacizumab-yhdp
  • Capreomycin
  • Captopril
  • Carbamazepine
  • Carbinoxamine
  • Carisoprodol
  • Carphenazine
  • Celecoxib
  • Cenobamate
  • Ceritinib
  • Certoparin
  • Cetirizine
  • Chloral Hydrate
  • Chlordiazepoxide
  • Chlorothiazide
  • Chlorpheniramine
  • Chlorpromazine
  • Chlorpropamide
  • Chlorthalidone
  • Chlorzoxazone
  • Choline Salicylate
  • Ciclesonide
  • Cilostazol
  • Cimetidine
  • Cinacalcet
  • Ciprofloxacin
  • Cisplatin
  • Citalopram
  • Clarithromycin
  • Clemastine
  • Clidinium
  • Clobazam
  • Clobetasol
  • Clobetasone
  • Clocortolone
  • Clomipramine
  • Clonazepam
  • Clonixin
  • Clopamide
  • Clopidogrel
  • Clorazepate
  • Cloxazolam
  • Clozapine
  • Cobicistat
  • Cocaine
  • Codeine
  • Conivaptan
  • Cortisone
  • Crizotinib
  • Curcumin
  • Cyclobenzaprine
  • Cyclopenthiazide
  • Cyclopentolate
  • Cyclosporine
  • Cyclothiazide
  • Cyproheptadine
  • Dabigatran Etexilate
  • Dabrafenib
  • Dalteparin
  • Danaparoid
  • Dantrolene
  • Daridorexant
  • Darifenacin
  • Darunavir
  • Deflazacort
  • Delavirdine
  • Delorazepam
  • Desipramine
  • Desirudin
  • Desmopressin
  • Desonide
  • Desoximetasone
  • Desvenlafaxine
  • Dexamethasone
  • Dexibuprofen
  • Dexketoprofen
  • Dexmedetomidine
  • Dextroamphetamine
  • Dextromethorphan
  • Dezocine
  • Diacetylmorphine
  • Diazepam
  • Diazoxide
  • Dibenzepin
  • Dichloralphenazone
  • Diclofenac
  • Dicumarol
  • Dicyclomine
  • Difenoxin
  • Diflorasone
  • Diflucortolone
  • Diflunisal
  • Difluprednate
  • Digoxin
  • Dihydrocodeine
  • Diltiazem
  • Dimenhydrinate
  • Diphenhydramine
  • Diphenoxylate
  • Dipyrone
  • Dolasetron
  • Donepezil
  • Dorzolamide
  • Dothiepin
  • Doxepin
  • Doxylamine
  • Dronedarone
  • Droperidol
  • Droxicam
  • Duloxetine
  • Edoxaban
  • Efavirenz
  • Elagolix
  • Eletriptan
  • Emtricitabine
  • Enalapril
  • Enalaprilat
  • Enasidenib
  • Enflurane
  • Enoxaparin
  • Enzalutamide
  • Eplerenone
  • Eptifibatide
  • Erythromycin
  • Escitalopram
  • Esketamine
  • Eslicarbazepine Acetate
  • Estazolam
  • Eszopiclone
  • Ethacrynic Acid
  • Ethchlorvynol
  • Ethopropazine
  • Ethylmorphine
  • Etodolac
  • Etofenamate
  • Etoricoxib
  • Etozolin
  • Etravirine
  • Fedratinib
  • Felbinac
  • Fenfluramine
  • Fenoprofen
  • Fentanyl
  • Fepradinol
  • Feprazone
  • Fesoterodine
  • Feverfew
  • Fexinidazole
  • Flavoxate
  • Flibanserin
  • Floctafenine
  • Flucloronide
  • Fluconazole
  • Fludrocortisone
  • Flufenamic Acid
  • Flumethasone
  • Flunisolide
  • Flunitrazepam
  • Fluocinolone
  • Fluocinonide
  • Fluocortin
  • Fluocortolone
  • Fluorometholone
  • Fluoxetine
  • Fluphenazine
  • Flurandrenolide
  • Flurazepam
  • Flurbiprofen
  • Fluspirilene
  • Fluticasone
  • Fluvoxamine
  • Fondaparinux
  • Fosamprenavir
  • Fosaprepitant
  • Foscarnet
  • Fosinopril
  • Fosnetupitant
  • Fosphenytoin
  • Fospropofol
  • Frovatriptan
  • Furazolidone
  • Furosemide
  • Gabapentin
  • Gabapentin Enacarbil
  • Gentamicin
  • Gepirone
  • Ginkgo
  • Glimepiride
  • Glipizide
  • Glyburide
  • Glycopyrrolate
  • Glycopyrronium Tosylate
  • Gossypol
  • Granisetron
  • Halazepam
  • Halcinonide
  • Halobetasol
  • Haloperidol
  • Halothane
  • Heparin
  • Hexobarbital
  • Homatropine
  • Hydrochlorothiazide
  • Hydrocodone
  • Hydrocortisone
  • Hydroflumethiazide
  • Hydromorphone
  • Hydroxyamphetamine
  • Hydroxytryptophan
  • Hydroxyzine
  • Hyoscyamine
  • Ibrutinib
  • Ibuprofen
  • Idelalisib
  • Imatinib
  • Imipramine
  • Indapamide
  • Indinavir
  • Indomethacin
  • Inotersen
  • Ipratropium
  • Iproniazid
  • Isocarboxazid
  • Isoflurane
  • Itraconazole
  • Ivacaftor
  • Kanamycin
  • Ketamine
  • Ketazolam
  • Ketobemidone
  • Ketoconazole
  • Ketoprofen
  • Lacosamide
  • Lanreotide
  • Larotrectinib
  • Lasmiditan
  • Lefamulin
  • Lemborexant
  • Lenacapavir
  • Lepirudin
  • Letermovir
  • Levocetirizine
  • Levomilnacipran
  • Levorphanol
  • Linezolid
  • Lisdexamfetamine
  • Lisinopril
  • Lithium
  • Lofepramine
  • Lofexidine
  • Lomitapide
  • Lopinavir
  • Loprazolam
  • Lorazepam
  • Lorcaserin
  • Lorlatinib
  • Lormetazepam
  • Lornoxicam
  • Loteprednol
  • Loxapine
  • Loxoprofen
  • Lumacaftor
  • Lumiracoxib
  • Macimorelin
  • Magnesium Oxybate
  • Mavacamten
  • Meclizine
  • Meclofenamate
  • Medazepam
  • Medrysone
  • Mefenamic Acid
  • Melitracen
  • Meloxicam
  • Melperone
  • Melphalan
  • Mepenzolate
  • Meperidine
  • Mephobarbital
  • Meprobamate
  • Meptazinol
  • Mesoridazine
  • Metaclazepam
  • Metaxalone
  • Metformin
  • Methadone
  • Methamphetamine
  • Methazolamide
  • Methdilazine
  • Methocarbamol
  • Methohexital
  • Methotrexate
  • Methotrimeprazine
  • Methyclothiazide
  • Methylene Blue
  • Methylnaltrexone
  • Methylprednisolone
  • Metoclopramide
  • Metolazone
  • Mibefradil
  • Midazolam
  • Mifepristone
  • Milnacipran
  • Mirabegron
  • Mirtazapine
  • Mitotane
  • Mobocertinib
  • Moclobemide
  • Modafinil
  • Moexipril
  • Molindone
  • Mometasone
  • Moricizine
  • Morniflumate
  • Morphine
  • Morphine Sulfate Liposome
  • Nabumetone
  • Nadroparin
  • Nafcillin
  • Nalbuphine
  • Nalorphine
  • Naloxone
  • Naproxen
  • Naratriptan
  • Nateglinide
  • Nefazodone
  • Nelfinavir
  • Neomycin
  • Nepafenac
  • Netilmicin
  • Netupitant
  • Nevirapine
  • Nialamide
  • Nicomorphine
  • Nicorandil
  • Niflumic Acid
  • Nilotinib
  • Nimesulide
  • Nimesulide Beta Cyclodextrin
  • Nirogacestat
  • Nitrazepam
  • Nitrous Oxide
  • Nordazepam
  • Nortriptyline
  • Octreotide
  • Olanzapine
  • Oliceridine
  • Omaveloxolone
  • Ondansetron
  • Opipramol
  • Opium
  • Opium Alkaloids
  • Orphenadrine
  • Oxaprozin
  • Oxazepam
  • Oxcarbazepine
  • Oxitropium Bromide
  • Oxybutynin
  • Oxymorphone
  • Oxyphenbutazone
  • Ozanimod
  • Palbociclib
  • Palonosetron
  • Papaveretum
  • Paramethasone
  • Parecoxib
  • Paregoric
  • Parnaparin
  • Paromomycin
  • Paroxetine
  • Pemetrexed
  • Pentazocine
  • Pentobarbital
  • Pentosan Polysulfate Sodium
  • Pentoxifylline
  • Perampanel
  • Perazine
  • Periciazine
  • Perindopril
  • Perphenazine
  • Phenelzine
  • Phenindione
  • Phenobarbital
  • Phenprocoumon
  • Phenylbutazone
  • Phenytoin
  • Piketoprofen
  • Pimozide
  • Pinazepam
  • Pipenzolate Bromide
  • Piperacetazine
  • Pipotiazine
  • Piracetam
  • Pirenzepine
  • Piretanide
  • Piritramide
  • Piroxicam
  • Pirtobrutinib
  • Plazomicin
  • Polythiazide
  • Posaconazole
  • Potassium Citrate
  • Potassium Oxybate
  • Pranoprofen
  • Prasugrel
  • Prazepam
  • Prednicarbate
  • Prednisolone
  • Prednisone
  • Pregabalin
  • Primidone
  • Procarbazine
  • Prochlorperazine
  • Procyclidine
  • Proglumetacin
  • Promazine
  • Promethazine
  • Propantheline
  • Propiverine
  • Propofol
  • Propyphenazone
  • Proquazone
  • Protein C
  • Protriptyline
  • Quazepam
  • Quetiapine
  • Quinapril
  • Quinethazone
  • Quinidine
  • Quinine
  • Ramelteon
  • Ramipril
  • Ranitidine
  • Ranolazine
  • Rasagiline
  • Remifentanil
  • Remimazolam
  • Remoxipride
  • Repaglinide
  • Repotrectinib
  • Reteplase, Recombinant
  • Reviparin
  • Ribociclib
  • Rifabutin
  • Rifampin
  • Rifapentine
  • Rimexolone
  • Ritlecitinib
  • Ritonavir
  • Rivaroxaban
  • Rizatriptan
  • Rofecoxib
  • Rolapitant
  • Ropeginterferon Alfa-2b-njft
  • Salicylic Acid
  • Salsalate
  • Saquinavir
  • Scopolamine
  • Secobarbital
  • Selegiline
  • Selpercatinib
  • Selumetinib
  • Sertindole
  • Sertraline
  • Sibutramine
  • Sodium Oxybate
  • Sodium Salicylate
  • Solifenacin
  • Sotorasib
  • Spectinomycin
  • Spirapril
  • Spironolactone
  • Stramonium
  • Streptomycin
  • Sufentanil
  • Sulindac
  • Sulodexide
  • Sulpiride
  • Sumatriptan
  • Suvorexant
  • Tacrolimus
  • Tapentadol
  • Taurursodiol
  • Telaprevir
  • Telithromycin
  • Temazepam
  • Tenofovir Alafenamide
  • Tenofovir Disoproxil Fumarate
  • Tenoxicam
  • Terbinafine
  • Terodiline
  • Tetrazepam
  • Thiethylperazine
  • Thiopental
  • Thiopropazate
  • Thioridazine
  • Thiothixene
  • Tianeptine
  • Tiaprofenic Acid
  • Ticagrelor
  • Ticlopidine
  • Tilidine
  • Tinzaparin
  • Tiotropium
  • Tirofiban
  • Tizanidine
  • Tobramycin
  • Tocilizumab
  • Tolazamide
  • Tolbutamide
  • Tolfenamic Acid
  • Tolmetin
  • Tolonium Chloride
  • Tolterodine
  • Topiramate
  • Torsemide
  • Tramadol
  • Trandolapril
  • Tranylcypromine
  • Trazodone
  • Treprostinil
  • Triamcinolone
  • Triamterene
  • Triazolam
  • Trichlormethiazide
  • Trifluoperazine
  • Trifluperidol
  • Triflupromazine
  • Trihexyphenidyl
  • Trimeprazine
  • Trimipramine
  • Trofinetide
  • Tropicamide
  • Trospium
  • Tryptophan
  • Tucatinib
  • Turmeric
  • Umeclidinium
  • Valdecoxib
  • Valproic Acid
  • Vancomycin
  • Varicella Virus Vaccine, Live
  • Venlafaxine
  • Verapamil
  • Vilazodone
  • Vonoprazan
  • Voriconazole
  • Vortioxetine
  • Voxelotor
  • Warfarin
  • Xipamide
  • Zaleplon
  • Ziprasidone
  • Zolmitriptan
  • Zolpidem
  • Zopiclone
  • Zotepine
  • Zuranolone

Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Acebutolol
  • Atenolol
  • Betaxolol
  • Bisoprolol
  • Carteolol
  • Carvedilol
  • Celiprolol
  • Delapril
  • Esmolol
  • Imidapril
  • Labetalol
  • Levobunolol
  • Metipranolol
  • Metoprolol
  • Nadolol
  • Nebivolol
  • Nitroglycerin
  • Oxprenolol
  • Penbutolol
  • Pindolol
  • Probenecid
  • Propranolol
  • Sotalol
  • St John's Wort
  • Streptokinase
  • Tamarind
  • Temocapril
  • Tenecteplase
  • Timolol

Other Interactions

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using this medicine with any of the following is usually not recommended, but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.

  • Ethanol
  • Grapefruit Juice

Using this medicine with any of the following may cause an increased risk of certain side effects but may be unavoidable in some cases. If used together, your doctor may change the dose or how often you use this medicine, or give you special instructions about the use of food, alcohol, or tobacco.

  • Ethanol

Other Medical Problems

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

  • Addison disease (adrenal gland problem) or
  • Alcohol abuse, or history of or
  • Bleeding problems or
  • Brain tumor, history of or
  • Breathing or lung problems (eg, COPD, sleep apnea) or
  • Cor pulmonale (serious heart condition) or
  • Drug dependence, especially with narcotics, or history of or
  • Gallbladder disease or gallstones or
  • Head injury, history of or
  • Hypothyroidism (an underactive thyroid) or
  • Hypovolemia (low blood volume) or
  • Kyphoscoliosis (curvature of the spine with breathing problems) or
  • Peptic ulcer disease, active or history of or
  • Problems with passing urine or
  • Prostatic hypertrophy (enlarged prostate, BPH) or
  • Vitamin K deficiency—Use with caution. May increase risk for more serious side effects.
  • Hemophilia (bleeding problem) or
  • Kidney disease, severe or
  • Liver disease, severe or
  • Lung or breathing problems (eg, asthma, respiratory depression), severe or
  • Reye's syndrome or
  • Stomach or bowel blockage (eg, paralytic ileus) or
  • Viral infection—Should not be used in patients with these conditions.
  • Hypotension (low blood pressure) or
  • Pancreatitis (swelling of the pancreas) or
  • Seizures, history of—Use with caution. May make these conditions worse.
  • Kidney disease, mild to moderate or
  • Liver disease, mild to moderate—Use with caution. The effects may be increased because of slower removal of the medicine from the body.

Proper Use

Take this medicine only as directed by your doctor. Do not take more of it, do not take it more often, and do not take it for a longer time than your doctor ordered. This is especially important for elderly patients, who may be more sensitive to the effects of pain medicines. If too much of this medicine is taken for a long time, it may become habit-forming (causing mental or physical dependence).

It is very important that you understand the rules of the Opioid Analgesic REMS program to prevent addiction, abuse, and misuse of oxycodone and aspirin combination. This medicine should come with a Medication Guide. Read and follow the instructions carefully. Read and follow these instructions carefully. Read it again each time you refill your prescription in case there is new information. Ask your doctor if you have any questions.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

  • For oral dosage form (tablets):
    • For moderate to moderately severe pain:
      • Adults—At first, 1 tablet every 6 hours as needed. Your doctor may adjust your dose as needed. However, the dose is usually not more than 12 tablets per day.
      • Children—Use and dose must be determined by your doctor.

Missed Dose

If you miss a dose of this medicine, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

Ask your healthcare professional how you should dispose of any medicine you do not use.

Store the medicine in a safe and secure place. Drop off any unused narcotic medicine at a drug take-back location right away. If you do not have a drug take-back location near you, flush any unused narcotic medicine down the toilet. Check your local drug store and clinics for take-back locations. You can also check the DEA web site for locations. Here is the link to the FDA safe disposal of medicines website: www.fda.gov/drugs/resourcesforyou/consumers/buyingusingmedicinesafely/ensuringsafeuseofmedicine/safedisposalofmedicines/ucm186187.htm

Precautions

It is very important that your doctor check your progress while you are using this medicine, especially within the first 24 to 72 hours of treatment. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to take it. Blood and urine tests may be needed to check for unwanted effects.

Do not use this medicine if you are using or have used an MAO inhibitor (MAOI) including isocarboxazid [Marplan®], linezolid [Zyvox®], phenelzine [Nardil®], selegiline [Eldepryl®], tranylcypromine [Parnate®]) within the past 14 days.

Using this medicine while you are pregnant, especially during the later part of pregnancy may cause serious unwanted effects, including neonatal withdrawal syndrome in your newborn baby. Tell your doctor right away if you think you are pregnant or if you plan to become pregnant while using this medicine.

Check with your doctor before using Percodan® with alcohol or other medicines that affect the central nervous system (CNS). The use of alcohol or other medicines that affect the CNS with Percodan® may worsen the side effects of this medicine, such as dizziness, poor concentration, drowsiness, unusual dreams, and trouble sleeping. Some examples of medicines that affect the CNS are antihistamines or medicine for allergies or colds, sedatives, tranquilizers, or sleeping medicines, medicine for depression, medicine for anxiety, prescription pain medicine or narcotics, medicine for attention deficit and hyperactivity disorder, medicine for seizures or barbiturates, muscle relaxants, or anesthetics, including some dental anesthetics.

If you think you or someone else may have taken an overdose of this medicine, get emergency help at once. Your doctor may also give naloxone to treat an overdose. Signs of an overdose include: extreme dizziness or weakness, slow heartbeat or breathing, seizures, trouble breathing, and cold, clammy skin. Call your doctor right away if you notice these symptoms.

This medicine may cause sleep-related breathing problems (eg, sleep apnea, sleep-related hypoxemia). Your doctor may decrease your dose if you have sleep apnea (stop breathing for short periods during sleep) while using this medicine.

Do not change your dose or suddenly stop taking this medicine without first checking with your doctor. Your doctor may want you to gradually reduce the amount you are using before stopping completely. This will decrease your chance of having withdrawal symptoms, including restlessness, chills, muscle pain, runny nose, sweating, tearing of the eyes, or yawning.

Make sure any doctor or dentist who treats you knows that you are using this medicine. You may need to stop using this medicine several days before you have surgery or medical tests.

This medicine may be habit-forming. If you feel that the medicine is not working as well, do not use more than your prescribed dose. Call your doctor for instructions.

Dizziness, lightheadedness, or fainting may occur when you get up suddenly from a lying or sitting position. Getting up slowly may help lessen this problem. Also, lying down for a while may relieve the dizziness or lightheadedness. If this problem continues or gets worse, check with your doctor right away.

This medicine may make you dizzy, drowsy, or lightheaded. Do not drive or do anything else that could be dangerous until you know how this medicine affects you.

This medicine may cause bleeding in your stomach or bowels. This problem can happen without warning signs. This is more likely if you have had a stomach ulcer in the past, if you drink alcohol regularly, if you are over 60 years of age, are in poor health, or are using certain other medicines (eg, NSAIDs).

Call your doctor right away if you have worsening of pain, increased sensitivity to pain, or new pain after taking this medicine. These may be symptoms of opioid-induced hyperalgesia and allodynia.

This medicine may cause adrenal gland problems. Check with your doctor right away if you have darkening of the skin, diarrhea, dizziness, fainting, loss of appetite, mental depression, nausea, skin rash, unusual tiredness or weakness, or vomiting.

This medicine may cause bleeding in your stomach or bowels. Check with your doctor right away if you have bloody or black, tarry stools, heartburn, nausea, vomiting, stomach pain, or vomiting of blood or material that looks like coffee grounds.

This medicine may cause a serious allergic reaction called anaphylaxis, which can be life-threatening and requires immediate medical attention. Call your doctor right away if you have a rash, itching, hoarseness, trouble breathing, trouble swallowing, or any swelling of your hands, face, or mouth while you are using this medicine.

Check with your doctor right away if you have black, tarry stools, chest pain, chills, cough, fever, painful or difficult urination, sore throat, sores, ulcers, or white spots on the lips or in the mouth, swollen glands, trouble breathing, unusual bleeding or bruising, or unusual tiredness or weakness. These may be symptoms of serious skin reaction including drug reaction with eosinophilia and systemic symptoms (DRESS).

For nursing mothers:

  • Talk to your doctor if you have any questions about taking oxycodone or about how this medicine may affect your baby.
  • Call your doctor if you become extremely tired and have difficulty caring for your baby.
  • Your baby should generally nurse every 2 to 3 hours and should not sleep for more than 4 hours at a time.
  • Check with your doctor or hospital emergency room immediately if your baby shows signs of increased sleepiness (more than usual), difficulty breastfeeding, difficulty breathing, or limpness. These may be symptoms of an overdose and need immediate medical attention.

Check with your doctor right away if you have anxiety, restlessness, a fast heartbeat, fever, sweating, muscle spasms, twitching, nausea, vomiting, diarrhea, or see or hear things that are not there. These may be symptoms of a serious condition called serotonin syndrome. Your risk may be higher if you also take certain other medicines that affect serotonin levels in your body.

Using too much of this medicine may cause infertility (unable to have children). Talk with your doctor before using this medicine if you plan to have children.

Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

Side Effects

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Incidence not known

  1. Agitation
  2. bleeding gums
  3. bloating
  4. blood in the urine or stools
  5. bloody, black, or tarry stools
  6. blue lips, fingernails, or skin
  7. blurred vision
  8. burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
  9. change in consciousness or confusion
  10. chest pain, tightness, or discomfort
  11. chills
  12. clay-colored stools
  13. confusion
  14. cough
  15. coughing or vomiting blood
  16. dark urine
  17. darkening of the skin
  18. decrease in urine volume or frequency
  19. decreased appetite
  20. depression
  21. difficult, fast, noisy breathing
  22. difficulty in passing urine (dribbling)
  23. difficulty having a bowel movement (stool)
  24. difficulty with swallowing
  25. dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
  26. drowsiness
  27. dry mouth
  28. fainting
  29. fast, slow, irregular, pounding, or racing heartbeat or pulse
  30. feeling of hostility or irritability
  31. feeling of warmth
  32. feeling that something terrible will happen
  33. fever
  34. headache, sudden, severe
  35. heartburn
  36. hives, itching, or skin rash
  37. increased menstrual flow or vaginal bleeding
  38. increased sensitivity to pain
  39. increased sweating
  40. indigestion
  41. irregular, fast, slow, or shallow breathing
  42. large, flat, blue or purplish patches on the skin
  43. large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or genitals
  44. loss of consciousness
  45. muscle cramps, pain, stiffness, weakness, or tremors
  46. nausea
  47. nosebleeds
  48. numbness or tingling in the hands, feet, or lips
  49. overactive reflexes
  50. painful or difficult urination
  51. pains in the stomach, side, or abdomen, possibly radiating to the back
  52. pale skin
  53. pinpoint red or purple spots on the skin
  54. poor coordination
  55. prolonged bleeding from cuts
  56. puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
  57. red or black, tarry stools or dark urine
  58. restlessness
  59. seizures
  60. shivering
  61. sleepiness
  62. sunken eyes
  63. sweating
  64. swelling of the face, ankles, hands, feet, or lower legs
  65. stomach pain, cramping, or tenderness
  66. talking or acting with excitement you cannot control
  67. thirst
  68. trembling or shaking
  69. twitching
  70. unusual bleeding or bruising
  71. unusual tiredness or weakness
  72. vomiting
  73. vomiting of material that looks like coffee grounds, severe and continuing
  74. weak or feeble pulse
  75. weakness or heaviness of the legs
  76. weight gain
  77. worsening of pain
  78. wrinkled skin
  79. yellow eyes or skin

Get emergency help immediately if any of the following symptoms of overdose occur:

Symptoms of overdose

  1. Blue lips and fingernails
  2. blurred vision
  3. change in consciousness
  4. chest pain
  5. cold, clammy skin
  6. confusion
  7. continuing ringing or buzzing or other unexplained noise in the ears
  8. coughing that sometimes produces a pink frothy sputum
  9. decreased awareness or responsiveness
  10. diarrhea
  11. dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
  12. drowsiness
  13. enlarged pupils
  14. extremely high fever or body temperature
  15. fast, weak heartbeat
  16. hearing loss
  17. increase in heart rate
  18. increased sweating
  19. loss of consciousness
  20. pale skin
  21. restlessness
  22. severe sleepiness
  23. swelling in legs and ankles
  24. unusual tiredness or weakness

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

  1. Relaxed and calm feeling
  2. sleepiness

Incidence not known

  1. Belching
  2. bloated, full feeling
  3. blurred or loss of vision
  4. change in color perception
  5. cold sweats
  6. constricted, pinpoint, or small pupils (black part of the eye)
  7. cool, pale skin
  8. double vision
  9. excess air or gas in the stomach
  10. false or unusual sense of well-being
  11. flushed, dry skin
  12. fruit-like breath odor
  13. halos around lights
  14. increased hunger or thirst
  15. increased urination
  16. lack or loss of strength
  17. night blindness
  18. nightmares
  19. overbright appearance of lights
  20. red eyes
  21. redness of the skin
  22. seeing, hearing, or feeling things that are not there
  23. shakiness
  24. slurred speech
  25. trouble sleeping
  26. tunnel vision
  27. unusual drowsiness, dullness, tiredness, weakness, or feeling of sluggishness
  28. weight loss

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.