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Hydrocodone vs Oxycodone, Unveiling The Differences

Doctors still recommend narcotic painkillers, even though opioid abuse is less common than it was a decade or two ago because of changes to the law and more awareness about it. Even though they can be abused, narcotics are still necessary for people with cancer, chronic pain, or who have recently had major surgery because they often relieve pain better than other medicines.

But it’s important not to forget the big chance of having substance abuse problems. If your doctor recommends hydrocodone or oxycodone for you or a family member, we can help you understand how they are different and how they are the same.

If you or someone you know is suffering from Hydrocodone vs Oxycodone substance abuse or withdrawals, the We Level Up Treatment Centers can help. Speak with our hotline specialists and discover the support and professional-accredited addiction treatment programs we offer.


What is Hydrocodone?

It is a frequently prescribed pain relief medication falling under the opioid category. It binds to brain and spinal cord receptors, thereby reducing pain sensations.

To increase its effectiveness, hydrocodone is often combined with acetaminophen. Although primarily available in tablet or capsule form for oral consumption, pure hydrocodone is typically restricted to hospital settings and may sometimes be administered via injection for a quicker response.

While remarkably efficient in alleviating pain, hydrocodone is categorized as a Schedule II controlled substance in the United States due to its high potential for abuse and addiction. Therefore, it’s crucial to use this medication strictly as directed by a healthcare professional and store it securely to prevent misuse.

What Is Oxycodone?

Oxycodone is a powerful pain medication categorized as a Schedule II opioid.

Much like Hydrocodone, it interacts with specific pain receptors in the central nervous system to alleviate pain sensations in individuals. Although often used under proper medical guidance, it holds a high risk for abuse and addiction, especially among those who misuse it for non-medical reasons.

Usually found in tablet or capsule form, oxycodone may also come in a liquid solution for injection either intravenously or intramuscularly. Both hydrocodone and oxycodone are available in various formulations and strengths.

How Are Hydrocodone and Oxycodone Similar?

Hydrocodone and oxycodone, both Schedule II semi-synthetic opioids, share several similarities. Prescribed for alleviating moderate to severe pain, they possess similar chemical structures. Their action involves binding to opioid receptors in the brain, disrupting pain signals, and affecting breathing and digestion. Both drugs carry a high risk of addiction and should only be used as directed by a healthcare provider.

Apart from potential positive effects such as pain relief and inducing a sense of euphoria, these medications may have adverse side effects, including:

  • Irregular heartbeat.
  • Hives.
  • Dry mouth.
  • Nausea.
  • Vomiting.
  • Swelling in the face, including lips and tongue.
  • Difficulty breathing.

How Are Hydrocodone and Oxycodone Different?

The contrast between hydrocodone and oxycodone lies in their predominant side effects. Hydrocodone commonly induces tiredness, while oxycodone tends to cause constipation.

Both drugs exhibit remarkable similarities regarding their efficacy in pain relief or in producing feelings of euphoria and pleasure. The individual’s history of substance use, weight, the specific formulation (instant-release or time-release), and dosage are more influential in determining the drug’s effects than a distinct variance between the two. However, individuals who misuse opioids often favor oxycodone formulations such as Oxycontin, Roxicet, and Percocet.

For someone recovering from surgery and experiencing acute pain, opting for hydrocodone over oxycodone might be a marginally less risky choice.

DifferencesHydrocodoneOxycodone
Common Side EffectsTirednessConstipation
Efficacy & PleasureSimilar in pain relief & euphoriaSimilar in pain relief & euphoria
Preference in MisuseLess MisusedOften Misused
Consideration for Acute PainPotentially less risky choiceEqually considered
This table presents a simplified overview of some differences between hydrocodone and oxycodone based on their common side effects, effects on pain relief and pleasure, preferences in misuse, and considerations for acute pain.

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What’s The Difference Between Hydrocodone and Oxycodone?

Oxycodone

Who it’s for:
Oxycodone is specifically intended to manage moderate to severe pain. Patients typically use this medication around the clock under a doctor’s guidance, not for sporadic use as with over-the-counter pain relief.

Drug Class & Action:
Previously categorized differently, both hydrocodone and oxycodone now fall under Schedule II drugs as of fall 2014. This classification signifies a high potential for misuse but acknowledges their accepted medical application. Due to this, close monitoring by a healthcare professional is essential.

Forms and Dosage:
Oxycodone is available in its pure form as OxyContin tablets. These tablets are taken orally and come in various strengths. The dosage depends on the intensity of the individual’s pain.

Hydrocodone

Who it’s for:
Hydrocodone serves the purpose of addressing moderate to severe pain resulting from chronic ailments, injuries, or post-surgical conditions. Its usage is strictly according to a doctor’s prescription due to the risk of addiction.

Drug Class & Action:
Similar to oxycodone, hydrocodone shifted to Schedule II drugs in 2014. This classification reflects a high potential for misuse but recognizes its legitimate medical usage. Consequently, careful supervision by a healthcare professional is advised.

Forms and Dosage:
Pure hydrocodone is available in an extended-release form known as Zohydro ER. Administered orally, these capsules release the medication slowly over an extended period. The dosage regimen typically involves taking a capsule every 12 hours and is often utilized for long-term pain management.

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Norco is a pain medication that contains opioid hydrocodone and non-opioid pain reliever acetaminophen.
Norco is a pain medication that contains opioid hydrocodone and non-opioid pain reliever acetaminophen.

Explaining The Highly Addictive Nature of Oxycodone and Hydrocodone

Oxycodone and hydrocodone, extensively prescribed painkillers in the United States, possess a notably high risk of fostering dependency. Classified as opioids, these medications interact with the brain’s reward system, triggering sensations of euphoria. By obstructing or altering the brain’s opioid receptors and pain signals, they induce pleasurable feelings.

The addictive nature of these drugs manifests swiftly, often leading to dependency. Moreover, prolonged use can result in tolerance, compelling individuals to escalate their doses to attain the same pain relief.

This cycle of escalating dosage establishes both physical and psychological reliance on the drug, making discontinuation a formidable challenge.

Disturbingly, statistics from the United States Department of Justice indicate that a staggering 13 million Americans, some as young as 12 years old, abuse oxycodone. The 2016 National Survey on Drug Use and Health (NSDUH) also highlights that 6.9 million individuals aged 12 and above in the U.S. misuse hydrocodone. These figures underscore the severity of the issue.

As opioid abuse escalates across the nation, it becomes imperative to comprehend the associated risks and exercise caution when utilizing these drugs. Vigilance in recognizing signs of addiction or overdose is crucial to intervene before the situation spirals out of control.

Cautions and Interactions for Oxycodone and Hydrocodone

Consultation Prerequisite:
Before initiating the use of these potent pain medications, it is imperative to consult your doctor regarding your medical history and any existing health conditions.

Precautions for Specific Conditions:
Individuals with asthma or breathing issues may need to avoid these medications entirely. Similarly, due to the heightened risk of increased constipation, those with blockages or constipation difficulties should consider avoiding oxycodone or hydrocodone.

Guidelines for Taking Oxycodone and Hydrocodone

Oxycodone Usage:

  • Take oxycodone every 4 to 6 hours, as required, to manage pain. If it includes additional medications like acetaminophen, aspirin, or ibuprofen, follow the same frequency.
  • Extended-release versions necessitate administration once or twice a day for sustained relief.
  • Consult your doctor regarding whether to take these medications with or without food. Ensure sufficient water intake when swallowing extended-release capsules or tablets.
  • Avoid discontinuing these medications abruptly without consulting your doctor. Abrupt cessation, especially after regular usage, can lead to withdrawal symptoms like headaches and irritability.

Hydrocodone Usage:

  • Extended-release capsules are typically taken every 12 hours, while the extended-release tablet is usually consumed once daily.
  • Similar to oxycodone, seek guidance from your doctor concerning the consumption of these medications with or without food. Adequate water intake is recommended when ingesting extended-release capsules or tablets.

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Effectiveness of Oxycodone and Hydrocodone

Pain Relief Efficacy:
Both oxycodone and hydrocodone stand as potent pain relievers, highly effective in managing pain.

Comparative Study:
A study conducted in 2005 comparing the efficacy of both drugs revealed their equal effectiveness in treating pain induced by fractures. Participants reported equivalent pain relief 30 and 60 minutes post-medication intake. Notably, individuals using hydrocodone experienced constipation more frequently than those using oxycodone.

Potency Comparison:
In a 2009 study, the combination of oxycodone and acetaminophen proved to be 1.5 times more potent than hydrocodone combined with acetaminophen when administered at equal doses.

Cost Considerations of Oxycodone and Hydrocodone

Brand and Generic Availability:
Both medications are available in brand-name and generic forms, with generics typically being more cost-effective. Considering the cost-saving potential, opting for generic alternatives might be preferred.

Consultation Before Switch:
Before transitioning to generics, consulting your healthcare provider is crucial. Generic versions might contain differing ratios of active and inactive components.

FDA Standards for Generics:
Generic medications approved by the Food and Drug Administration (FDA) maintain the same strength of active ingredients but might deviate in inactive components.

Cost-Reduction Measures:
In instances where brand-name drugs are necessary but cost-prohibitive, exploring prescription drug insurance and available coupons could significantly alleviate expenses. Your pharmacist can provide insights into potential savings and eligible offers.

The addictive nature of these drugs manifests swiftly, often leading to dependency. Moreover, prolonged use can result in tolerance, compelling individuals to escalate their doses to attain the same pain relief.
The addictive nature of these drugs manifests swiftly, often leading to dependency. Moreover, prolonged use can result in tolerance, compelling individuals to escalate their doses to attain the same pain relief.

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Despite declining prescription rates, opioid overdose deaths remain a significant public health concern. Many opioid-related deaths are attributed to the misuse of prescription opioids or illicit opioids, such as heroin and fentanyl. Unfortunately, Norco hydrocodone is included in the problem.

There is a need for increased access to evidence-based treatments for opioid use disorder, such as medication-assisted treatment (MAT) and behavioral therapies, to address the addiction crisis effectively.


1.6 Million

An estimated 1.6 million people in the US were reported to have opioid use disorder in 2019, indicating a diagnosed addiction to opioids.

Source: NCBI

70%

In 2020, over 69,000 drug overdose deaths in the US, and approximately 70% involved opioids.

Source: CDC

18%

In 2019, only about 18% of people with opioid use disorder received specialty treatment for their addiction.

Source: NSDUH


Oxycodone and Hydrocodone Addiction Treatment

Helping the over 2.5 million Americans who are dependent on opioids requires a treatment program that is well-versed in painkillers and knows how to alleviate withdrawal symptoms. Programs range in duration and intensity, so it’s crucial to do homework to discover the right fit.

Listed below are a few of the most popular treatment choices.

Upon completing detox, individuals may undergo various therapies and treatments as part of an extensive treatment plan. Rehab after detox is crucial for addressing underlying addiction causes. Rehab occurs in different settings:

  1. Residential or Inpatient Rehab: This involves residing onsite throughout treatment, receiving constant care, and participating in diverse therapies. Suited for severe addiction cases or those lacking supportive home environments.
  2. Outpatient Rehab: Requires traveling to the facility for treatment and returning home afterward. Suitable for individuals with supportive environments and reliable transportation.

Ongoing medication maintenance is integral for maintaining sobriety and averting relapse. Medications like methadone, buprenorphine, or naltrexone may be part of this maintenance. Naltrexone, functioning as an opioid antagonist, blocks opioid effects, preventing highs if opioids are used again.

Treatment for opioid use disorder encompasses diverse therapies and supports:

  • Counseling: Addresses addiction-related issues.
  • Behavioral Therapies: Cognitive-behavioral therapy (CBT), contingency management (CM), or motivational interviewing foster positive behavioral changes.
  • Family Therapy: Repairs relationships affected by addiction.
  • Vocational Training: Assists in employment post-rehab.
  • Case Management: Aids with social services such as securing basic needs and legal aid, allowing individuals to focus on recovery.

Aftercare is essential for ongoing recovery. Post-treatment, participating in individual counseling, mindfulness-based relapse prevention (MBRP), attending support groups like Narcotics Anonymous (NA), utilizing recovery apps, or engaging in recovery management checkups with treatment providers are beneficial.

Comprehensive treatment should address substance use and associated medical, psychological, social, vocational, and legal issues tailored to individual needs.

Why Choose Level Up Treatment Center?

At Level Up Treatment Center, our dedicated team of professionals is committed to guiding you through every step of your recovery journey. We prioritize your well-being and provide a nurturing environment conducive to healing and growth.

Take the first step towards recovery today. Contact us to begin your journey to a drug-free life. You don’t have to face addiction alone—we are here to help you reclaim control and achieve lasting sobriety.

Start a New Life

Begin with a free call to an addiction & behavioral health treatment advisor. Learn more about our dual-diagnosis programs. The We Level Up treatment center network delivers recovery programs that vary by each treatment facility. Call to learn more.

  • Personalized Care
  • Caring Accountable Staff
  • World-class Amenities
  • Licensed & Accredited
  • Renowned w/ 100s 5-Star Reviews

We’ll Call You


How Long Do Opiates Stay in Your System?

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