section name header

Pronunciation

ox-i-KOE-done audio

Indications

High Alert

Action

Therapeutic Effects:

Pharmacokinetics

Absorption: Well absorbed from the GI tract.

Distribution: Widely distributed. Crosses the placenta; enters breast milk.

Protein Binding: 38–45%.

Metabolism/Excretion: Mostly metabolized by the liver by the CYP3A4 isoenzyme; also metabolized by the CYP2D6 to a minor extent.

Half-life: 2–3 hr.

Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

CV: orthostatic hypotension.

Derm: flushing, sweating.

EENT: blurred vision, diplopia, miosis.

Endo: adrenal insufficiency.

GI: constipation, dry mouth, choking, GI obstruction, nausea, vomiting.

GU: urinary retention.

Neuro: confusion, sedation, dizziness, dysphoria, euphoria, floating feeling, hallucinations, headache, unusual dreams.

Resp: RESPIRATORY DEPRESSION (INCLUDING CENTRAL SLEEP APNEA AND SLEEP-RELATED HYPOXEMIA).

Misc: physical dependence, psychological dependence, tolerance.

Interactions

Drug-Drug:

Route/Dosage

Larger doses may be required during chronic therapy. ER capsules are NOT bioequivalent to ER tablets.

Hepatic Impairment

Implementation

US Brand Names

Oxaydo, OxyCONTIN, Roxicodone, Xtampza ER

Canadian Brand Names

Oxy IR, OxyNEO, Supeudol

Contr. Subst. Schedule

Schedule II (C-II)

Classifications

Therapeutic Classification: opioid analgesics

Pharmacologic Classification: opioid agonists, opioid agonists nonopioid analgesic combinations

Availability

(Generic available)

Time/Action Profile

(analgesic effects)

ROUTEONSETPEAKDURATION
PO10–15 min60–90 min3–6 hr
PO-ER10–15 min3 hr12 hr

†Extended-release.

Assessment

Lab Test Considerations: Toxicity and Overdose:

Patient/Family Teaching

Evaluation/Desired Outcomes

Code

NDC Code*