Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
OxyContin (oxycodone) and Norco (hydrocodone/acetaminophen) are both opioids used to manage pain when non-opioid medications haven't provided enough relief. However, they differ in several ways. OxyContin is an extended-release form of oxycodone taken every 12 hours for long-term pain relief, while Norco combines hydrocodone with acetaminophen and is taken every 4 to 6 hours as needed for pain. OxyContin is available as both a brand and a generic, whereas Norco is only available as a generic. Both medications can cause side effects like constipation, nausea, and sleepiness, but Norco also carries a risk of liver damage because it contains acetaminophen. OxyContin and Norco both have a high risk of misuse and addiction and interact with many other medications, so it's important to take them exactly as prescribed. Norco should be avoided with other acetaminophen-containing medications, including over-the-counter acetaminophen-containing products.
Oxycodone (OxyContin)
Norco (hydrocodone / acetaminophen)
Oxycodone (OxyContin)
Norco (hydrocodone / acetaminophen)
Summary of Oxycontin vs. Norco
Summary for Opioid
Prescription only
OxyContin is an extended-release (long-acting) form of oxycodone. It's an opioid that's used to treat long-term pain when non-opioid pain medications alone don't provide enough relief. OxyContin is approved for adults and certain children aged 11 years and older, and it's also available as a lower-cost generic. The tablets are taken by mouth every 12 hours. Common side effects include constipation, nausea, and sleepiness. Oxycodone (OxyContin) is a controlled substance because it has a warning for misuse and dependence.
Summary for Opioid / Analgesic
Prescription only
Norco is a combination medication that contains hydrocodone (an opioid) and acetaminophen (an analgesic). It's used to manage pain for people who've tried non-opioid medications but haven't gotten enough relief. Norco (hydrocodone / acetaminophen) is a tablet that's taken by mouth. It takes about 30 minutes to start working. Side effects include constipation, nausea, and sleepiness. It's also a controlled substance because it has a high risk of misuse and dependency.
Please note: The brand name Norco is no longer available in the United States, but there are generic hydrocodone/acetaminophen tablets on the market.