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Buprenex vs. Oxycodone

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Buprenex (buprenorphine) and Roxicodone (oxycodone) are both opioids used to treat severe pain, but they have some key differences. Buprenex is an injectable medication typically used in hospitals for people who can't use other pain treatments, while Roxicodone is an immediate-release oral medication taken by mouth. Buprenex is a partial opioid agonist, meaning it attaches to opioid receptors in the brain but less strongly than full agonists, which helps reduce the risk of a "high." In contrast, Roxicodone is a full opioid agonist that attaches strongly to mu-opioid receptors, providing quick pain relief within 10 to 30 minutes. Buprenex is a Schedule III controlled substance, indicating a lower potential for abuse compared to Roxicodone, which is a Schedule II controlled substance with a higher risk of misuse and dependence. Both medications can cause serious side effects like dangerously slow breathing and addiction, heart rhythm problems, and constipation, and both require careful management to avoid withdrawal symptoms.

Buprenorphine

(Buprenex)

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Oxycodone

 

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Summary for Buprenex

Prescription only

Buprenorphine (Buprenex) is an injectable medication that's typically given to people in the hospital for pain. It's usually reserved for people who can't use alternative treatment options, or when other pain medications aren't working.

Indications for Buprenex

  • Severe pain for which non-opioid pain medications aren't recommended

Pros and Cons for Buprenex

Pros

Cons

Warnings for Buprenex

  • Addiction, abuse, and misuse
  • Dangerously slow breathing (respiratory depression)
  • Harm to newborns
  • Low adrenal hormone levels
  • Severely low blood pressure
  • Life-threatening heart rhythm problems (QT prolongation)
  • Serious allergic reaction
  • Stomach and intestine problems
  • Risk of seizures

Summary for Oxycodone

Prescription only

Immediate-release oxycodone, also known by its brand names Roxicodone and Oxaydo, is an opioid. It's used to treat pain that isn't relieved by non-opioid pain medications. Immediate-release oxycodone is available as tablets, capsules, and a liquid that are taken by mouth. Your prescriber will work with you to find the dosage for your individual needs, but it's typically taken every 4 to 6 hours as needed for your pain. Common side effects include making you constipated, sleepy, and dizzy. Oxycodone is a controlled substance because it has a high risk of misuse and dependence.

Indications for Oxycodone

Pros and Cons for Oxycodone

Pros

  • Immediate-release oxycodone can start to relieve pain within 30 minutes
  • Available as a lower-cost generic (except Oxaydo)

Cons

  • High risk of misuse, dependence, and addiction
  • Must slowly lower the dose to stop the medication after long-term use to avoid withdrawal symptoms
  • Have special requirements to fill a prescription for it because it's a controlled substance

Common Side Effects for Oxycodone

Warnings for Oxycodone

  • Potential for addiction and misuse
  • Dangerously slow breathing (respiratory depression)
  • Risk for opioid overdose
  • Difficulty concentrating and extreme sleepiness
  • Drug interactions
  • Harm to newborn babies
  • Physical dependence and withdrawal
  • Low blood pressure
  • Low adrenal hormone levels
  • Seizures

Prices with our coupons for Buprenex vs. Oxycodone

Price Card Drug Icon
Buprenorphine3 vials / 1ml of 0.3mg/ml
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Oxycodone90 tablets / 5mg
$17.97$36.83
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