- Surprising Reasons You're in Pain Slideshow
- Take the Pain Quiz
- Joint-Friendly Exercises to Reduce RA Pain Slideshow
Percocet vs. hydrocodone facts
- Percocet (oxycodone and acetaminophen) and hydrocodone (Zohydro ER) are both opioid narcotic pain relievers.
- Percocet has an additional non-narcotic pain reliever added (acetaminophen) which achieves greater pain relief than either taken separately.
- Both Percocet and hydrocodone are available as generic drugs. Percocet is a brand name for oxycodone and acetaminophen.
- Side effects of both Percocet and hydrocodone are similar and include lightheadedness, dizziness, sedation, nausea, vomiting, constipation, itching.
- Serious side effects of both Percocet and hydrocodone include slowed breathing and trouble breathing.
- Combining opioids such as Percocet and hydrocodone with alcohol or other central nervous system depressants may result in severe sedation, respiratory depression, coma, and death.
- Both Percocet and hydrocodone have the potential for abuse and addiction. Withdrawal symptoms for both drugs include restlessness, watery eyes, runny nose, yawning, sweating, chills, muscle pain, and dilated pupils.
What are Percocet and hydrocodone?
Hydrocodone (Zohydro ER) is an opioid narcotic pain reliever similar to oxycodone, morphine, methadone, fentanyl, and other opioids. Hydrocodone, like other opioids, stimulates receptors on nerves in the brain to increase the threshold to pain and reduce the perception of pain. Hydrocodone is prescribed for the long-term treatment of severe pain for which other treatment options are not effective, not tolerated, or would most likely not be strong enough to adequately manage the pain. Hydrocodone is sometimes combined with other non-narcotic pain relievers such as aspirin or acetaminophen.
What are the side effects of Percocet and hydrocodone?
Percocet side effects
The most frequent adverse reactions of Percocet (oxycodone/acetaminophen) include:
Other important side effects include:
- Spasm of the ureter, which can lead to difficulty in urinating
- Severe reduction in blood pressure (hypotension)
- Paralytic ileus
- Serious allergic reactions
- Severe skin reactions
Is Percocet addictive?
Oxycodone can be habit-forming. Mental and physical dependence can occur, but are unlikely when used for short-term pain relief.
Hydrocodone side effects
The most frequent adverse reactions include:
Other side effects include:
- Spasm of the ureter, which can lead to difficulty in urinating.
Other patient warnings include:
- Hydrocodone can impair thinking and the physical abilities required for driving or operating machinery.
- Hydrocodone can depress breathing, and should be used with caution in elderly, debilitated patients, and in patients with serious lung disease.
Is hydrocodone addictive?
Hydrocodone is habit forming. Mental and physical dependence can occur when used long-term.
What is the dosage of Percocet vs. hydrocodone?
- The dose of Percocet (oxycodone/acetaminophen) is variable and depends on the needs of the patient and specific circumstances.
- The usual dose is one tablet every six hours as needed.
- The maximum oxycodone/acetaminophen dose is 60 mg/4 g per day.
- The initial dose for adults is 10 mg orally every 12 hours.
- The dose may be increased every 3 to 7 days by 10 mg every 12 hours as needed to control pain.
- Capsules must be swallowed whole and not chewed.
What drugs interact with Percocet and hydrocodone?
- Oxycodone, like other narcotic pain-relievers, increases the effect of drugs that slow brain function, such as alcohol, barbiturates, skeletal muscle relaxants, for example, carisoprodol (Soma), cyclobenzaprine (Flexeril), and benzodiazepines such as diazepam (Valium) and lorazepam (Ativan). The combined use of muscle relaxants or benzodiazepines and oxycodone may lead to increased respiratory depression.
- Since oxycodone causes constipation, the use of antidiarrheals, for example, diphenoxylate (Lomotil) and loperamide (Imodium), in persons taking oxycodone, can lead to severe constipation.
- Drugs which stimulate and also block opioid receptors, for example, pentazocine, nalbuphine (Nubain), butorphanol (Stadol), and buprenorphine (Subutex) may reduce the effect of oxycodone and may precipitate withdrawal symptoms.
- A fatty meal may increase the absorption of oxycodone by 27%.
- Combining alcohol and other sedatives with hydrocodone can lead to increased sedation and even cause confusion.
- Hydrocodone should not be taken with any of the monoamine oxidase inhibitor (MAOI) class of antidepressants, for example, isocarboxazid (Marplan), phenelzine (Nardil), tranylcypromine (Parnate), selegiline (Eldepryl), and procarbazine (Matulane) or other drugs that inhibit monoamine oxidase, for example, linezolid (Zyvox). Such combinations may lead to confusion, high blood pressure, tremor, hyperactivity, coma, and death. Hydrocodone should not be administered within 14 days of stopping an MAOI.
Are Percocet and hydrocodone safe to use while pregnant or breastfeeding?
Safety of oxycodone/acetaminophen during pregnancy has not been established. Newborns of mothers who were taking oxycodone for a prolonged period may exhibit respiratory depression or withdrawal symptoms.
There are no adequate studies of hydrocodone in pregnant women.
Hydrocodone is excreted in breast milk, and, therefore should be used cautiously by nursing mothers.
Percocet (oxycodone and acetaminophen) and hydrocodone (Zohydro ER) are both opioid narcotic pain relievers. Percocet has an additional non-narcotic pain reliever added (acetaminophen), leading to greater pain relief than either taken separately. Both drugs are potentially addictive. Learn the side effects, dosage, and pregnancy safety information before using these drugs..
Multimedia: Slideshows, Images & Quizzes
Lower Back Pain: Symptoms, Stretches, Exercise for Pain Relief
Do you suffer from low back pain? Learn more about common triggers of lower back pain like posture, exercise, and spondylosis....
Chronic Pain Syndrome: Treatment and Management for CPS
Do you suffer from excruciating pain? What is chronic pain syndrome (CPS)? See causes, symptoms and treatment options, including...
Back Pain: 16 Back Pain Truths and Myths
Which mattress is best for back pain? Back pain conditions are very common. Learn the causes of upper and lower back pain. Find...
Pain Management: 15 Easy Ways to Reduce Chronic Pain
Chronic pain can be a symptom of many conditions, including arthritis, headaches, and others. Comprehensive pain management...
Back Pain Quiz: Test Your Back Pain IQ
There are numerous causes of chronic lower back pain and only one ailment gets more complaints. What is it? Quiz your knowledge...
Pain Quiz: Test Your IQ of Pain
Is pain all in the brain? Take the Pain Quiz to learn everything you've ever wanted to know about the unpleasant sensation we...
Related Disease Conditions
Pain management and treatment can be simple or complex, according to its cause. There are two basic types of pain, nociceptive pain and neuropathic pain. Some causes of neuropathic pain include: complex regional pain syndrome, interstitial cystitis, and irritable bowel syndrome. There are a variety of methods to treat chronic pain, which are dependant on the type of pain experienced.
Muscle Pain (Myofascial Pain Syndrome)
Muscle pain (myofascial pain syndrome) is muscle pain in the body's soft tissues due to injury or strain. Symptoms include muscle pain with tender points and fatigue. Treatment usually involves physical therapy, massage therapy, or trigger point injection.
Chronic pain is pain (an unpleasant sense of discomfort) that persists or progresses over a long period of time. In contrast to acute pain that arises suddenly in response to a specific injury and is usually treatable, chronic pain persists over time and is often resistant to medical treatments.
Pain Management: Musculoskeletal Pain
Natural menopause is the permanent ending of menstruation that is not brought on by any type of medical treatment. For women undergoing natural menopause, the process is described in three stages: perimenopause, menopause, and postmenopause. However, not all women undergo natural menopause. Some women experience induced menopause as a result of surgery or medical treatments, such as chemotherapy and pelvic radiation therapy.
Treatment & Diagnosis
Medications & Supplements
- tramadol (Ultram)
- Oxycodone for Pain (OxyContin, Roxicodone, Oxecta, Oxaydo, Xtampza ER, Roxybond)
- codeine (for Pain)
- Hydrocodone vs. Hydromorphone (Differences between Side Effects)
- Dilaudid vs. Percocet for Pain
- Tramadol (Ultram) Side Effects
- hydromorphone (Dilaudid)
- Percocet (oxycodone and acetaminophen, Roxicet, Tylox, Oxycet)
- What Are Opioid Equivalents and Conversions?
- Tussigon (hydrocodone)
Health Solutions From Our Sponsors
Report Problems to the Food and Drug Administration
You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.
FDA Prescribing Information