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Oxycodone vs. Methadone

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

Key takeaways

Oxycodone (Roxicodone, Oxycontin) and methadone (Methadose) are prescription opioids that treat severe pain that isn't relieved by non-opioid pain medications. Unlike oxycodone, methadone is also approved to treat opioid use disorder. Methadone is a long-acting medication, while oxycodone is available as a short-acting and long-acting product. All opioids are controlled substances and have side effects that include sleepiness, dizziness, and constipation. More seriously, both oxycodone and methadone can lead to potential misuse and overdose.

Oxycodone

 

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Methadone

 

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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

Summary for Methadone

Prescription only

Methadone is an opioid medication. It's used to treat adults with long-term pain that's not relieved by non-opioid pain medications. Methadone is also used with counseling and support programs for opioid use disorder (or opioid addiction). When it's used for opioid use disorder, it's first given at a methadone clinic under the supervision of a healthcare professional (HCP). Methadone is available as tablets, liquids, and dissolvable tablets that are taken by mouth. It's common to have side effects like lightheadedness, dizziness, and sleepiness.

Indications for Methadone

Pros and Cons for Methadone

Pros

  • Comes as a tablet and liquid that are taken by mouth
  • Available as a lower-cost generic version

Cons

  • Can cause life-threatening slow breathing, especially if it's mixed with alcohol
  • Has potential to be habit-forming

Common Side Effects for Methadone

  • Lightheadedness
  • Dizziness
  • Sleepiness
  • Nausea
  • Vomiting
  • Sweating

Warnings for Methadone

  • Potential for misuse and addiction
  • Dangerously slow breathing (respiratory depression)
  • Risk for opioid overdose
  • Difficulty concentrating and extreme sleepiness
  • Life-threatening heart rhythm problems (QT prolongation)
  • Drug interactions
  • Harm to newborn babies
  • Serotonin syndrome
  • Low blood pressure
  • Low adrenal hormone levels
  • Seizures
  • Low blood sugar (hypoglycemia)
  • Withdrawal symptoms

Prices with our coupons for Oxycodone vs. Methadone

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Oxycodone90 tablets / 5mg
$17.97$69.71
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Methadone90 tablets / 10mg
$17.45$55.97
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