Oxycodone/paracetamol
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| Combination of | |
|---|---|
| Oxycodone | Opioid analgesic |
| Paracetamol | Anilide analgesic |
| Clinical data | |
| Trade names | Percocet |
| AHFS/Drugs.com | entry |
| Licence data | US FDA:link |
| Pregnancy category |
|
| Legal status |
|
| Routes of administration |
Oral |
| Identifiers | |
| CAS Number | 330988-72-2  |
| ChemSpider | 4881971 |
| (verify) | |
The combination oxycodone/paracetamol (Paracetamol is called "acetaminophen" in the United States and well known by the trademarked name, "Tylenol") (North American trade name Percocet, generic endocet and ratio-oxycocet in Canada) is a narcotic pain reliever used to treat moderate to severe acute (short-term) pain, marketed by Endo Pharmaceuticals.[1]
History
The U.S. Food and Drug Administration first approved Percocet in 1976, under application ANDA 085106.[2]
Formulation
As of March 2006, Endo Pharmaceuticals produces Percocet in following dosages.[3] Percocet tablets are available in six combinations of oxycodone hydrochloride and Paracetamol / acetaminophen, with different appearances and maximum daily doses:[3]
| Oxycodone Hydrochloride (mg) | Paracetamol (Acetaminophen) (mg) | Tablet Color | Tablet Shape | Maximum Daily Dose |
|---|---|---|---|---|
| 2.5 | 325 | pink | oval | 12 tablets |
| 5 | 325 | white | round | 12 tablets |
| 7.5 | 325 | peach | oval | 8 tablets |
| 7.5 | 500 | peach | capsule-shaped | 8 tablets |
| 10.0 | 325 | white | oblong | 8 tablets |
| 10.0 | 650 | yellow | oval | 6 tablets |
For the 2.5 mg Oxycodone HCl tablet, the usual dose is 1–2 tablets every six hours as needed for pain; for the other tablets, the usual dose is 1-2 tablets every four to six hours as needed for pain.
Implicated in deaths
On June 30, 2009, an FDA advisory panel recommended that Percocet, Vicodin, and every other combination of acetaminophen with narcotic analgesics[4] be limited in their sales because of their contributions to an alleged 400 acetaminophen related deaths in the United States each year, that were attributed to acetaminophen overdose and associated liver damage.[5]
In December 2009, the Canadian Medical Association Journal reported a study finding a fivefold increase in oxycodone-related deaths in Ontario (mostly accidental) between 1991 and 2007 that led to a doubling of all opioid-related Ontario deaths over the same period.[6][7][8]
See also
- Hydrocodone/paracetamol
- Hydrocodone/ibuprofen
- Oxycodone/aspirin
- Oxycodone/naloxone
- Morphine/naltrexone
- Fentanyl/fluanisone
References
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- ↑ Irfan A. Dhalla, Muhammad M. Mamdani, Marco L.A. Sivilotti, Alex Kopp, Omar Qureshi, David N. Juurlink. Prescribing of opioid analgesics and related mortality before and after the introduction of long-acting oxycodone. Canadian Medical Association Journal, 2009; 181 (12): 891 DOI: 10.1503/cmaj.090784
- ↑ Benedikt Fischer, Jürgen Rehm. Deaths related to the use of prescription opioids. Canadian Medical Association Journal, 2009; Lua error in package.lua at line 80: module 'strict' not found.
- ↑ Lua error in package.lua at line 80: module 'strict' not found.
