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Oxycontin vs. Norco

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)

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Norco

(hydrocodone / acetaminophen)

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Summary for Oxycontin

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.

Indications for Oxycontin

Pros and Cons for Oxycontin

Pros

Cons

  • Only available as a tablet that must be swallowed whole
  • Not used to treat sudden pain
  • Must slowly lower the dose to stop the medication after long-term use to avoid withdrawal symptoms

Common Side Effects for Oxycontin

  • Constipation (23%)
  • Nausea (23%)
  • Sleepiness (23%)
  • Dizziness (13%)
  • Itching (13%)
  • Vomiting (12%)
  • Headache (7%)
  • Dry mouth (6%)
  • Weakness (6%)
  • Sweating (5%)

Warnings for Oxycontin

  • 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 Norco

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.

Indications for Norco

  • Pain that isn't relieved by non-opioid pain medications alone

Pros and Cons for Norco

Pros

  • Can provide pain relief within 30 minutes
  • Available as a lower-cost, generic medication

Cons

  • Can be habit-forming
  • Not recommended to take with other medications containing acetaminophen since it can raise the risk of liver damage
  • Is a controlled medication, so there are special requirements to get a prescription filled

Common Side Effects for Norco

  • Dizziness
  • Sleepiness
  • Nausea
  • Vomiting
  • Constipation
  • Itching

Warnings for Norco

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

Prices with our coupons for Oxycontin vs. Norco

Price Card Drug Icon
Oxycodone ER60 tablets / 10mg
$60.26$221.71
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Price Card Drug Icon
Hydrocodone/Acetaminophen12 tablets / 5mg/325mg
$8.37$23.16
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