Oxycodone Hydrochloride
Oxycodone Hydrochloride is a potent opioid analgesic medication synthesized from thebaine, an opioid alkaloid found in the Persian poppy, and one of the many alkaloids found in the opium poppy. It is a moderately potent opioid pain medication (orally roughly 1.5 times more potent than morphine) used for the relief of moderate to severe pain. Oxycodone is available as a single-ingredient medication in immediate release and controlled release formulations. When combined with other analgesics such as acetaminophen or ibuprofen, it can provide additional pain relief.
Medical Uses[edit | edit source]
Oxycodone Hydrochloride is prescribed for the management of pain severe enough to require daily, around-the-clock, long-term opioid treatment and for which alternative treatment options are inadequate. It is used in a variety of clinical settings, ranging from post-surgical pain management to chronic pain conditions such as cancer pain.
Pharmacology[edit | edit source]
Oxycodone acts primarily on the mu-opioid receptor, but it also has some affinity for the kappa and delta opioid receptors. Its analgesic properties stem from its action on the central nervous system to inhibit the transmission of pain signals. Oxycodone's effect on the mu-opioid receptors also causes the common opioid side effects of euphoria, constipation, respiratory depression, and physical dependence.
Side Effects[edit | edit source]
The side effects of Oxycodone Hydrochloride can range from mild to severe and include drowsiness, constipation, nausea, vomiting, dizziness, itching, dry mouth, and sweating. More serious side effects may include respiratory depression, addiction, and overdose, particularly when used improperly or without a prescription.
Addiction and Dependence[edit | edit source]
Oxycodone Hydrochloride has a high potential for abuse and addiction, which can lead to overdose and death. Its misuse is a significant public health issue, contributing to the opioid epidemic. Strategies to mitigate the risk include prescription monitoring programs, patient education, and the use of abuse-deterrent formulations.
Regulation[edit | edit source]
Due to its potential for abuse and addiction, Oxycodone Hydrochloride is classified as a Schedule II controlled substance in the United States under the Controlled Substances Act. This classification indicates that it has a high potential for abuse, with use potentially leading to severe psychological or physical dependence.
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Contributors: Prab R. Tumpati, MD