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Oxymorphone

Oxymorphone Side Effects

Robert Chad Hakim, PharmD, BCCCPAllison Gourley, PharmD
Reviewed by Robert Chad Hakim, PharmD, BCCCP, Allison Gourley, PharmD
Last reviewed on October 15, 2024

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

Immediate-release tablet

  • Nausea (19%)
  • Fever (14%)
  • Sleepiness (9%)
  • Vomiting (9%)
  • Itching (8%)
  • Headache (7%)
  • Dizziness (7%)

Extended-release tablet

  • Nausea (33%)
  • Constipation (28%)
  • Dizziness (18%)
  • Sleepiness (17%)
  • Vomiting (16%)
  • Itching (15%)
  • Headache (12%)
  • Sweating (9%)
  • Dry mouth (6%)

Less Common Side Effects

Immediate-release tablet

  • Constipation
  • Confusion
  • Dry mouth
  • Passing pass
  • Feeling anxious

Extended-release tablet

  • Diarrhea
  • Trouble sleeping
  • Tiredness
  • Low appetite
  • Stomach pain

Oxymorphone serious side effects

Contact your healthcare provider immediately if you experience any of the following.

  • Dangerously slow breathing: trouble breathing; bluish-colored lips, fingers, or toes
  • Accidentally taking too much (overdose): not responding to sound or touch, slowed breathing, slow heartbeat, extreme sleepiness, cold or clammy skin
  • Opioid withdrawal: anxiety, suicidal thoughts, restlessness, irritability, runny nose, yawning, sweating, chills, wide pupils
  • Serious allergic reaction: itchy, red rash (hives); shortness of breath; chest tightness; swelling of lips, tongue, throat, face, or eyes

Source: DailyMed

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The following Oxymorphone side effects have also been reported

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur:

Less common

Blurred vision

confusion

decreased urination

difficult or labored breathing

dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position

dry mouth

fast, pounding, racing, or irregular heartbeat or pulse

headache

nervousness

pounding in the ears

rapid breathing

sunken eyes

sweating

swelling of the hands, ankles, or feet

thirst

tightness in the chest

unusual tiredness or weakness

wrinkled skin

Rare

Chest pain or discomfort

chills

cold sweats

confusion about identity, place, and time

cough

decrease in consciousness

deep or fast breathing with dizziness

difficulty in passing urine (dribbling)

difficulty with sleeping

difficulty with swallowing

drowsiness to profound loss of consciousness

fever

hives, itching, or skin rash

hoarseness

irregular, slow, or shallow breathing

irritability

irritation

joint pain, stiffness, or swelling

numbness of the feet, hands, and around the mouth

painful urination

pale or blue lips, fingernails, or skin

puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue

redness of the skin

restlessness

seeing, hearing, or feeling things that are not there

severe constipation

severe vomiting

stomach pain

shaking

trouble in holding or releasing urine

unusual drowsiness, dullness, or feeling of sluggishness

Incidence not known

Agitation

darkening of the skin

diarrhea

large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or genitals

loss of appetite

mental depression

nausea

overactive reflexes

poor coordination

seizures

shivering

talking or acting with excitement you cannot control

twitching

vomiting

Get emergency help immediately if any of the following symptoms of overdose occur:

Symptoms of overdose

Cold and clammy skin

constricted, pinpoint, or small pupils (black part of the eye)

decreased awareness or responsiveness

difficult or troubled breathing

irregular, fast, slow, or shallow breathing

low blood pressure or pulse

muscle weakness

pale or blue lips, fingernails, or skin

severe sleepiness or unusual drowsiness

very slow breathing

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

More common

Difficulty having a bowel movement

feeling of constant movement of self or surroundings

relaxed and calm

sensation of spinning

sleepiness

Less common

Belching

decreased weight

discouragement

excess air or gas in the stomach or bowels

feeling of warmth

feeling sad or empty

full or bloated feeling

heartburn

indigestion

lack of appetite

loss of interest or pleasure

passing gas

pressure in the stomach

redness of the face, neck, arms, and occasionally, upper chest

stomach discomfort or upset

swelling of the abdominal or stomach area

tiredness

trouble concentrating

Rare

Blistering, crusting, irritation, itching, or reddening of the skin

cracked, dry, scaly skin

difficulty with thinking or concentrating

disturbed color perception

double vision

false or unusual sense of well-being

feeling jittery

halos around lights

loss of vision

night blindness

nightmares or unusually vivid dreams

overbright appearance of lights

sudden sweating

tunnel vision

welts

Incidence not known

Forgetfulness

loss of memory

problems with memory

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

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Why trust our experts?

Robert Chad Hakim, PharmD, BCCCP, started his full-time career as a clinical pharmacist at UCLA Health in the general medicine, general cardiology, and ICU units after completing residency in 2016. He also was the preceptor for the general medicine rotation from 2017 to 2021, which was a required rotation for all pharmacy residents.
Allison Gourley, PharmD, is a kidney and pancreas transplant pharmacist at a teaching hospital in the San Francisco Bay Area. When she’s not educating patients about their immunosuppressants, she's actively involved in transplant research.

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