Medical Advice

Oxycodone Vs OxyContin: Key Differences Between Two Opioids

For treating moderate to severe pain, opioids are proven trustworthy pain killers to relieve pain immediately. Oxycodone and OxyContin are among the opioids for treating pain. Both of them have the same role in pain management. But according to their formulations, let’s see what the difference is between Oxycodone Vs OxyContin? In this article, we will discuss their similarities, differences, and common risk factors of using them that may help you recognize the perfect suit pill for you.

Is OxyContin The Same As Oxycodone?

Both medicine contains semi-synthetic opioid as an active ingredient for pain relief. Oxycodone and OxyContin have the same mechanism of action. It binds the opioid receptors in the brain and spinal cord to alter pain perception, so that the patient can relieve pain quickly. Both Oxycodone and OxyContin are controlled substances under Schedule II, having high potency for addiction and misuse. Having these similarities, we can’t say they are the same. We can say they are similar to each other, but we can’t use one as an alternative to the other. Because, regarding various properties, they differ from each other. Let’s know about this below.

Difference Between Oxycodone and OxyContin

Having the above similarities, Oxycodone and OxyContin differ in their usage and properties. The difference between them allows you to use them in separate cases, considering their effectiveness. The main difference between Oxycodone and OxyContin is

  • Oxycodone is the immediate-release (IR) version, and OxyContin is the brand name for an extended-release (ER) version of oxycodone.
  • Oxycodone starts working immediately within 15-30 minutes, and its effect lasts up to 4 to 6 hours. But OxyContin delays its onset of action and relief up to 12 hours.
  • It is designed for short-term pain management, while OxyContin is prescribed for long-term chronic pain management.
  • Oxycodone can be taken multiple times in a day due to its immediate release property, but OxyContin can’t be taken more than twice in 24 hours.

Now, you have a clear and vast knowledge about Oxycodone and OxyContin, so let’s discuss how to use them optimally.

How are Oxycodone VS OxyContin used?

These are the opioid pills generally prescribed for pain management. But using both of them can’t be interchangeable. Although they contain the same active ingredient, they are used for different types of pain. 

Use of Oxycodone

The brain and spinal cord have their opioid receptors, which a protein that regulates mood and pain signals. Oxycodone affects these receptors, which help to block the pain signals. As a result, you feel less pain. 

Oxycodone is generally used when other opioids are not strong enough. Such as Post-surgical pain, Injury-related pain (fractures, sprains, trauma), Severe dental pain, Breakthrough pain in people already on other pain medications, etc. 

Use of OxyContin

It also affects the brain and spinal cord to bind to the opioid receptor, like Oxycodone. Then bind the receptors to block pain signals like oxycodone. But it only differs in its working duration. OxyContin slowly works and provides relief for 12 hours. It provides consistent pain relief with fewer doses per day and helps to avoid the “ups and downs” of short-acting opioids. 

It is generally used for Chronic pain that lasts weeks, months, or even years, Cancer-related pain, Severe arthritis, lower back pain, or nerve pain, Post-surgical pain in some long-term recovery cases, or long-term opioid treatment.

How Do You Switch From Oxycodone to OxyContin?

If you are taking Oxycodone and it is not working for your long-term pain relief, then your doctor may prescribe you to take OxyContin. Because OxyContin is an extended-release version of Oxycodone designed to last for 12 hours.

In this case, tell your doctor about your medical history and make a proper schedule to switch the pill. If you’re taking 10 mg of oxycodone IR every 6 hours, then it will be 10 mg × 4 doses = 40 mg total per day. So, 40 mg/day = 20 mg of OxyContin you can take every 12 hours. The doctor may reduce the dose during the switch to minimize the side effects. Once you start OxyContin, you should stop using the Oxycodone IR. Don’t do the switching on your own. This process should be under the guidance of a doctor.

Side Effects and Precautions

Like all opioids, these two medicines have a risk of side effects. That may cause mild effects or a serious medical emergency. Proper precautions are necessary to use them safely and effectively. Some side effects that may occur:

  • Drowsiness or sedation
  • Nausea or vomiting
  • Constipation
  • Dizziness 
  • Sweating
  • Itching or rash
  • Slow or shallow breathing
  • Fainting or confusion
  • Chest pain or irregular heartbeat
  • Addiction

To avoid these side effects, some precautions should be taken, such as:

  • Do not take the high-dose pill for long-term on a daily basis.
  • Take the prescribed dose by the doctor, do not exceed the limit in a day.
  • Avoid alcohol during the period of these opioids, which can intensify sedation or breathing problems.
  • Do not drive or operate heavy machinery until you know how the medication affects you.
  • Store medication securely to prevent misuse or any accident.

Frequently Asked Questions(FAQs)

Can I take OxyContin and oxycodone together?

It is not recommended to take these two medicines together, but you can take them after consulting your doctor. Doctors sometimes prescribe oxycodone for breakthrough pain with OxyContin for long-term pain management. So you can take a pill according to your doctor’s advice.

How to do an Oxycodone to OxyContin conversion?

Determine how much oxycodone IR the patient is taking in a 24-hour period.

For Example: 10 mg of oxycodone taken every 6 hours, i.e., 10 mg × 4 doses per day = 40 mg per day total. Then determine the Equivalent OxyContin Dose, such as 40 mg/day total → 20 mg OxyContin every 12 hours. That means you can take 2 pills of oxycodone twice per day, if you are taking 4 tablets every 6 hours.

Oxycodone Vs. OxyContin: Which Is Right For You?

Both oxycodone and OxyContin can be highly effective pain relievers, but they’re meant for different types of pain and situations. One of them works quickly and lasts for a short time; the other works slowly and lasts longer. So, the right choice depends on your level of pain, Duration of pain, Medical history, and Doctor’s recommendation. Always talk openly with your healthcare provider about your symptoms, goals, and concerns. For safe and successful pain management.

Is Oxycodone or OxyContin more addictive?

Both are highly addictive when not taken as prescribed. Oxycodone IR tends to be misused more frequently because of its immediate effect. OxyContin can be more dangerous when abused due to the large amount of oxycodone in each tablet. The risk of addiction depends more on how the medication is used than on the name.

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