Oxycodone Facts
Opioid;
Dose and durationby route · individual sensitivity varies
Oral(mg)
Threshold< 2.5 mgLight2.5 – 10 mgCommon10 – 30 mgStrong30 – 60 mgHeavy60+ mg
Starts in 15 – 30 minLasts 4 – 6 hoursAfter-effects 2 – 4 hours
Also recorded: Smoked · Insufflated · Intravenous. See full page: psychedex.org/substances/oxycodone
Body and dependence
- Acute toxicity
- Critical
- Chronic toxicity
- High
- Physical dependence
- High
- Psychological dependence
- High
- Withdrawal
- Severe · medical supervision
- Compulsive redosing
- High
Tolerance
- Builds
- Rapid
- Fully resets after
- 10 days
- Carries over to
- morphine;
heroin; hydromorphone; hydrocodone; fentanyl; methadone; codeine; tramadol
Effectslikely at a common dose
- Perception
- none likely · 2 possible
- Body
- Pain suppression;
Constipation; Pupil constriction; Sedation; Bodily heaviness; Body high; Tactile euphoria; +13 possible, including Respiratory depression, Nausea, Motor control impairment - Thinking
- none likely · 8 possible, including Cognitive impairment, Compulsive redosing urge, Decision impairment
- Feeling
- Euphoria;
+4 possible, including Depression - Self
- none likely · 5 possible, including Craving, Communication suppression
- Time
- none likely · 2 possible, including Temporal disorientation
Who shouldn't take it
Absolute
Pre-existing respiratory depression; Acute bronchospasm; Paralytic ileus or gastrointestinal obstruction; Known hypersensitivity to oxycodone
Relative
Concurrent MAOI use; Substance use disorder history; Hepatic impairment; Renal impairment; Concurrent CYP3A4 inhibitor use; Pregnancy; Elderly
Combinations62 recorded
Lethal (6)
Benzodiazepines, Barbiturates; GHB, Baclofen; GHB, GBL; Ketamine; Local anesthetics; Tramadol
Dangerous (39)
Antihistamines; Benzodiazepines; Buprenorphine, Kratom; Cannabis, THC; Gabapentin, Pregabalin; MDMA, Amphetamines; Naltrexone; NRIs; Stimulants; THC; 5-HTP, Tryptophan; Alpha-2 adrenergic receptor antagonist; Amphetamines; Anticholinergics; Antipsychotics; Atypical antipsychotics; Buspirone; Caffeine; Cannabis; CBD; Dopamine agonists; DXM; Ephedrine, Pseudoephedrine; Glutamate modulator; and 15 more, see full page
Caution (12)
See full page: psychedex.org/substances/oxycodone
Not graded (5)
Not listed never means safe.
Seek help immediately if
- Unresponsive / can't be woken, even to a firm sternal rub
- Slow, shallow, or stopped breathing
- Pinpoint pupils
- Blue/grey lips, fingertips, or skin (cyanosis)
- Limp body; pale, clammy skin
- Choking or gurgling sounds ("death rattle")
- Slow, erratic, or absent pulse
What to do
- Try to wake them — shout their name, firm sternal rub
- Call emergency services immediately
- Administer naloxone if available
- Give rescue breaths (or CPR if there is no pulse)
- Place them in the recovery position
- Stay with them; re-dose naloxone every 2–3 minutes if there is no response
- Reversal agent
- Naloxone (Narcan) — opioid antagonist. May require repeated doses; its effect can wear off before the opioid does.
With prompt naloxone and rescue breathing, reversal is usually rapid. Because naloxone can wear off before the opioid — especially with long-acting opioids (methadone) or high-potency ones (fentanyl) — a period of monitoring is needed even after the person revives.
988 Suicide & Crisis LifelineFireside Project: 62-FIRESIDE
psychedex.org/substances/oxycodone · Version r1 · Not medical adviceValues as of