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OxyContin
oxycodone hydrochloride · Tablet, Film Coated, Extended Release
Overview
Active ingredients
Source: NDC Directory| Ingredient | Strength | RxCUI | Monograph |
|---|---|---|---|
| Oxycodone Hydrochloride | 10 mg/1 | 1049621 | View |
| Oxycodone Hydrochloride | 15 mg/1 | 1049621 | View |
| Oxycodone Hydrochloride | 20 mg/1 | 1049621 | View |
| Oxycodone Hydrochloride | 30 mg/1 | 1049621 | View |
| Oxycodone Hydrochloride | 40 mg/1 | 1049621 | View |
| Oxycodone Hydrochloride | 60 mg/1 | 1049621 | View |
| Oxycodone Hydrochloride | 80 mg/1 | 1049621 | View |
Forms, strengths and routes
Source: NDC DirectoryPharmacologic classes are listed in the class section below.
Pharmacologic class
Source: NDC Directory| Class | Type | Browse |
|---|---|---|
| Full Opioid Agonists [MoA] | MoA | All 74 members |
| Opioid Agonist [EPC] | EPC | All 109 members |
Regulatory status
Source: Drugs@FDANDC Directory| Product | Trade name | Form | Strength | Ingredient | Status | TE | Flags |
|---|---|---|---|---|---|---|---|
| 022272-001 | OXYCONTIN | TABLET, EXTENDED RELEASE | OXYCODONE HYDROCHLORIDE | Prescription | — | RLD | |
| 022272-002 | OXYCONTIN | TABLET, EXTENDED RELEASE | OXYCODONE HYDROCHLORIDE | Prescription | — | RLD | |
| 022272-003 | OXYCONTIN | TABLET, EXTENDED RELEASE | OXYCODONE HYDROCHLORIDE | Prescription | — | RLD | |
| 022272-004 | OXYCONTIN | TABLET, EXTENDED RELEASE | OXYCODONE HYDROCHLORIDE | Prescription | — | RLD | |
| 022272-005 | OXYCONTIN | TABLET, EXTENDED RELEASE | OXYCODONE HYDROCHLORIDE | Prescription | — | RLD RS | |
| 022272-006 | OXYCONTIN | TABLET, EXTENDED RELEASE | OXYCODONE HYDROCHLORIDE | Prescription | — | RLD | |
| 022272-007 | OXYCONTIN | TABLET, EXTENDED RELEASE | OXYCODONE HYDROCHLORIDE | Prescription | — | RLD |
Therapeutic equivalence
Source: Orange BookCodes beginning with “A” indicate products the FDA considers therapeutically equivalent. Codes beginning with “B” indicate bioequivalence has not been established. See methodology.
Patents and exclusivity
Source: Orange Book| Patent | Expires | Product | Substance | Use code | Submitted |
|---|---|---|---|---|---|
| 8808741 | August 24, 2027 | 001 | No | U-1556 | August 19, 2014 |
| 9492393 | August 24, 2027 | 001 | No | U-1556 | November 16, 2016 |
| 9492391 | August 24, 2027 | 001 | No | U-1556 | November 16, 2016 |
| 11304909 | August 24, 2027 | 001 | No | U-1556 | April 21, 2022 |
| 9775808 | August 24, 2027 | 001 | No | October 4, 2017 | |
| 12246094 | August 24, 2027 | 001 | No | March 14, 2025 | |
| 9492389 | August 24, 2027 | 001 | No | November 16, 2016 | |
| 11964056 | August 24, 2027 | 001 | No | April 25, 2024 | |
| 9763933 | August 24, 2027 | 001 | No | September 19, 2017 | |
| 11304908 | August 24, 2027 | 001 | No | April 21, 2022 | |
| 9492392 | August 24, 2027 | 001 | No | November 16, 2016 | |
| 12280152 | August 24, 2027 | 001 | No | May 22, 2025 | |
| 9770416 | August 24, 2027 | 001 | No | September 27, 2017 | |
| 8894988 | August 24, 2027 | 001 | No | November 25, 2014 | |
| 9492393 | August 24, 2027 | 002 | No | U-1556 | November 16, 2016 |
| 8808741 | August 24, 2027 | 002 | No | U-1556 | August 19, 2014 |
| 9492391 | August 24, 2027 | 002 | No | U-1556 | November 16, 2016 |
| 11304909 | August 24, 2027 | 002 | No | U-1556 | April 21, 2022 |
| 9775808 | August 24, 2027 | 002 | No | October 4, 2017 | |
| 11964056 | August 24, 2027 | 002 | No | April 25, 2024 | |
| 9763933 | August 24, 2027 | 002 | No | September 19, 2017 | |
| 9770416 | August 24, 2027 | 002 | No | September 27, 2017 | |
| 12280152 | August 24, 2027 | 002 | No | May 22, 2025 | |
| 12246094 | August 24, 2027 | 002 | No | March 14, 2025 | |
| 11304908 | August 24, 2027 | 002 | No | April 21, 2022 | |
| 9492392 | August 24, 2027 | 002 | No | November 16, 2016 | |
| 9492389 | August 24, 2027 | 002 | No | November 16, 2016 | |
| 8894988 | August 24, 2027 | 002 | No | November 25, 2014 | |
| 8808741 | August 24, 2027 | 003 | No | U-1556 | August 19, 2014 |
| 9492391 | August 24, 2027 | 003 | No | U-1556 | November 16, 2016 |
| 9492393 | August 24, 2027 | 003 | No | U-1556 | November 16, 2016 |
| 11304909 | August 24, 2027 | 003 | No | U-1556 | April 21, 2022 |
| 9770416 | August 24, 2027 | 003 | No | September 27, 2017 | |
| 11964056 | August 24, 2027 | 003 | No | April 25, 2024 | |
| 8894988 | August 24, 2027 | 003 | No | November 25, 2014 | |
| 9775808 | August 24, 2027 | 003 | No | October 4, 2017 | |
| 11304908 | August 24, 2027 | 003 | No | April 21, 2022 | |
| 9492392 | August 24, 2027 | 003 | No | November 16, 2016 | |
| 9763933 | August 24, 2027 | 003 | No | September 19, 2017 | |
| 9492389 | August 24, 2027 | 003 | No | November 16, 2016 | |
| 12246094 | August 24, 2027 | 003 | No | March 14, 2025 | |
| 12280152 | August 24, 2027 | 003 | No | May 22, 2025 | |
| 8808741 | August 24, 2027 | 004 | No | U-1556 | August 19, 2014 |
| 9492393 | August 24, 2027 | 004 | No | U-1556 | November 16, 2016 |
| 9492391 | August 24, 2027 | 004 | No | U-1556 | November 16, 2016 |
| 11304909 | August 24, 2027 | 004 | No | U-1556 | April 21, 2022 |
| 9492392 | August 24, 2027 | 004 | No | November 16, 2016 | |
| 12246094 | August 24, 2027 | 004 | No | March 14, 2025 | |
| 9492389 | August 24, 2027 | 004 | No | November 16, 2016 | |
| 9775808 | August 24, 2027 | 004 | No | October 4, 2017 | |
| 9770416 | August 24, 2027 | 004 | No | September 27, 2017 | |
| 12280152 | August 24, 2027 | 004 | No | May 22, 2025 | |
| 9763933 | August 24, 2027 | 004 | No | September 19, 2017 | |
| 11304908 | August 24, 2027 | 004 | No | April 21, 2022 | |
| 11964056 | August 24, 2027 | 004 | No | April 25, 2024 | |
| 8894988 | August 24, 2027 | 004 | No | November 25, 2014 | |
| 9492393 | August 24, 2027 | 005 | No | U-1556 | November 16, 2016 |
| 9492391 | August 24, 2027 | 005 | No | U-1556 | November 16, 2016 |
| 11304909 | August 24, 2027 | 005 | No | U-1556 | April 21, 2022 |
| 8808741 | August 24, 2027 | 005 | No | U-1556 | August 19, 2014 |
| 9775808 | August 24, 2027 | 005 | No | October 4, 2017 | |
| 9770416 | August 24, 2027 | 005 | No | September 27, 2017 | |
| 12280152 | August 24, 2027 | 005 | No | May 22, 2025 | |
| 11964056 | August 24, 2027 | 005 | No | April 25, 2024 | |
| 11304908 | August 24, 2027 | 005 | No | April 21, 2022 | |
| 9492389 | August 24, 2027 | 005 | No | November 16, 2016 | |
| 9763933 | August 24, 2027 | 005 | No | September 19, 2017 | |
| 8894988 | August 24, 2027 | 005 | No | November 25, 2014 | |
| 12246094 | August 24, 2027 | 005 | No | March 14, 2025 | |
| 9492392 | August 24, 2027 | 005 | No | November 16, 2016 | |
| 8808741 | August 24, 2027 | 006 | No | U-1556 | August 19, 2014 |
| 9492393 | August 24, 2027 | 006 | No | U-1556 | November 16, 2016 |
| 9492391 | August 24, 2027 | 006 | No | U-1556 | November 16, 2016 |
| 11304909 | August 24, 2027 | 006 | No | U-1556 | April 21, 2022 |
| 9763933 | August 24, 2027 | 006 | No | September 19, 2017 | |
| 8894988 | August 24, 2027 | 006 | No | November 25, 2014 | |
| 12280152 | August 24, 2027 | 006 | No | May 22, 2025 | |
| 9775808 | August 24, 2027 | 006 | No | October 4, 2017 | |
| 11304908 | August 24, 2027 | 006 | No | April 21, 2022 | |
| 12246094 | August 24, 2027 | 006 | No | March 14, 2025 | |
| 9770416 | August 24, 2027 | 006 | No | September 27, 2017 | |
| 9492389 | August 24, 2027 | 006 | No | November 16, 2016 | |
| 9492392 | August 24, 2027 | 006 | No | November 16, 2016 | |
| 11964056 | August 24, 2027 | 006 | No | April 25, 2024 | |
| 8808741 | August 24, 2027 | 007 | No | U-1556 | August 19, 2014 |
| 9492391 | August 24, 2027 | 007 | No | U-1556 | November 16, 2016 |
| 9492393 | August 24, 2027 | 007 | No | U-1556 | November 16, 2016 |
| 11304909 | August 24, 2027 | 007 | No | U-1556 | April 21, 2022 |
| 9770416 | August 24, 2027 | 007 | No | September 27, 2017 | |
| 12246094 | August 24, 2027 | 007 | No | March 14, 2025 | |
| 9492392 | August 24, 2027 | 007 | No | November 16, 2016 | |
| 8894988 | August 24, 2027 | 007 | No | November 25, 2014 | |
| 12280152 | August 24, 2027 | 007 | No | May 22, 2025 | |
| 9775808 | August 24, 2027 | 007 | No | October 4, 2017 | |
| 9492389 | August 24, 2027 | 007 | No | November 16, 2016 | |
| 11304908 | August 24, 2027 | 007 | No | April 21, 2022 | |
| 11964056 | August 24, 2027 | 007 | No | April 25, 2024 | |
| 9763933 | August 24, 2027 | 007 | No | September 19, 2017 | |
| 8894987 | March 29, 2030 | 001 | No | November 25, 2014 | |
| 8894987 | March 29, 2030 | 002 | No | November 25, 2014 | |
| 8894987 | March 29, 2030 | 003 | No | November 25, 2014 | |
| 8894987 | March 29, 2030 | 004 | No | November 25, 2014 |
Approval history
Source: Drugs@FDA| Type | No. | Action | Status | Date | Review |
|---|---|---|---|---|---|
| Supplement | 53 | REMS | Approved | June 18, 2026 | N/A |
| Supplement | 52 | Labeling | Approved | December 22, 2025 | Standard |
| Supplement | 49 | REMS | Approved | October 31, 2024 | N/A |
| Supplement | 48 | Labeling | Approved | December 15, 2023 | Standard |
| Supplement | 47 | Labeling | Approved | October 28, 2021 | Standard |
| Supplement | 46 | Labeling | Approved | March 4, 2021 | Standard |
| Supplement | 42 | REMS | Approved | November 14, 2019 | N/A |
| Supplement | 43 | Labeling | Approved | October 7, 2019 | Standard |
| Supplement | 39 | Labeling | Approved | September 26, 2018 | Standard |
| Supplement | 41 | Labeling | Approved | September 18, 2018 | Standard |
| Supplement | 40 | REMS | Approved | September 18, 2018 | N/A |
| Supplement | 37 | REMS | Approved | May 26, 2017 | N/A |
| Supplement | 34 | Labeling | Approved | December 16, 2016 | Standard |
| Supplement | 36 | REMS | Approved | September 30, 2016 | N/A |
| Supplement | 33 | REMS | Approved | April 20, 2016 | N/A |
| Supplement | 32 | Manufacturing (CMC) | Approved | March 28, 2016 | Priority |
| Supplement | 31 | Manufacturing (CMC) | Approved | March 25, 2016 | Priority |
| Supplement | 30 | Manufacturing (CMC) | Approved | November 12, 2015 | Priority |
| Supplement | 29 | Manufacturing (CMC) | Approved | September 10, 2015 | Priority |
| Supplement | 27 | Efficacy | Approved | August 13, 2015 | Priority |
| Supplement | 28 | REMS | Approved | June 26, 2015 | N/A |
| Supplement | 23 | Labeling | Approved | October 22, 2014 | Standard |
| Supplement | 25 | Manufacturing (CMC) | Approved | October 13, 2014 | Priority |
| Supplement | 24 | REMS | Approved | August 19, 2014 | N/A |
| Supplement | 22 | Labeling | Approved | April 16, 2014 | 901 Required |
| Supplement | 15 | Manufacturing (CMC) | Approved | February 4, 2014 | Priority |
| Supplement | 20 | Manufacturing (CMC) | Approved | January 31, 2014 | Priority |
| Supplement | 14 | Efficacy | Approved | April 16, 2013 | Priority |
| Supplement | 17 | REMS | Approved | April 15, 2013 | N/A |
| Supplement | 16 | Labeling | Approved | January 11, 2013 | Standard |
| Supplement | 11 | Labeling | Approved | July 9, 2012 | Standard |
| Supplement | 10 | Labeling | Approved | July 9, 2012 | Standard |
| Supplement | 9 | Labeling | Approved | October 5, 2011 | Unknown |
| Supplement | 6 | Labeling | Approved | November 15, 2010 | Unknown |
| Supplement | 5 | REMS | Approved | June 29, 2010 | N/A |
| Original application | 1 | Type 5 - New Formulation or New Manufacturer | Approved | April 5, 2010 | Priority |
Review documents
- 0 · Supplement · June 23, 2026
- 0 · Supplement · January 6, 2026
- 0 · Supplement · December 31, 2025
- 0 · Supplement · November 4, 2024
- 0 · Supplement · December 19, 2023
- 0 · Supplement · December 18, 2023
- 0 · Supplement · December 18, 2023
- 0 · Supplement · October 29, 2021
- 0 · Supplement · October 29, 2021
- 0 · Supplement · March 8, 2021
- 0 · Supplement · March 5, 2021
- 0 · Supplement · November 15, 2019
- 0 · Supplement · October 9, 2019
- 0 · Supplement · October 8, 2019
- 0 · Supplement · October 1, 2018
- 0 · Supplement · October 1, 2018
- 0 · Supplement · October 1, 2018
- 0 · Supplement · October 1, 2018
- 0 · Supplement · October 1, 2018
- 0 · Supplement · September 27, 2018
- 0 · Supplement · May 30, 2017
- 0 · Supplement · December 21, 2016
- 0 · Supplement · December 20, 2016
- 0 · Supplement · October 4, 2016
- FDA has determined that this product has abuse-deterrent properties · Original application · November 4, 2015
- 0 · Supplement · September 29, 2015
- 0 · Supplement · August 13, 2015
- 0 · Supplement · August 13, 2015
- 0 · Supplement · July 6, 2015
- 0 · Supplement · October 30, 2014
Prescribing information
Source: openFDA Drug LabelingReproduced verbatim from the Structured Product Labeling submitted to the FDA (effective 20260624). This is the manufacturer's labelling text, not a summary and not advice.
Boxed Warning
openFDA Drug LabelingWARNING: SERIOUS AND LIFE-THREATENING RISKS FROM USE OF OXYCONTIN Addiction, Abuse, and Misuse Because the use of OXYCONTIN exposes patients and other users to the risks of opioid addiction, abuse, and misuse, which can lead to overdose and death, assess each patient's risk prior to prescribing and reassess all patients regularly for the development of these behaviors and conditions [see Warnings and Precautions (5.1) ]. Life-Threatening Respiratory Depression Serious, life-threatening, or fatal respiratory depression may occur with use of OXYCONTIN, especially during initiation or following a dosage increase . To reduce the risk of respiratory depression, proper dosing and titration of OXYCONTIN are essential. Instruct patients to swallow OXYCONTIN tablets whole; crushing, chewing, or dissolving OXYCONTIN tablets can cause rapid release and absorption of a potentially fatal dose of oxycodone [see Warnings and Precautions (5.2) ] . Accidental Ingestion Accidental ingestion of even one dose of OXYCONTIN, especially by children, can result in a fatal overdose of oxycodone [see Warnings and Precautions (5.2) ]. Risks From Concomitant Use With Benzodiazepines Or Other CNS Depressants Concomitant use of opioids with benzodiazepines or other central nervous system (CNS) depressants, including alcohol, may result in profound sedation, respiratory depression, coma, and death. Reserve concomitant prescribing of OXYCONTIN and benzodiazepines or other CNS depressants for use in patients for whom alternative treatment options are inadequate [see Warnings and Precautions (5.3) , Drug Interactions (7) ] . Neonatal Opioid Withdrawal Syndrome (NOWS) Advise pregnant women using opioids for an extended period of time of the risk of Neonatal Opioid Withdrawal Syndrome, which may be life-threatening if not recognized and treated. Ensure that management by neonatology experts will be available at delivery [see Warnings and Precautions (5.4) ] . Opioid Analgesic Risk Evaluation and Mitigation Strategy (REMS) Healthcare providers are strongly encouraged to complete a REMS-compliant education program and to counsel patients and caregivers on serious risks, safe use, and the importance of reading the Medication Guide with each prescription [see Warnings and Precautions (5.5) ]. Cytochrome P450 3A4 Interaction The concomitant use of OXYCONTIN with all cytochrome P450 3A4 inhibitors may result in an increase in oxycodone plasma concentrations, which could increase or prolong adverse drug effects and may cause potentially fatal respiratory depression. In addition, discontinuation of a concomitantly used cytochrome P450 3A4 inducer may result in an increase in oxycodone plasma concentration. Regularly evaluate patients receiving OXYCONTIN and any CYP3A4 inhibitor or inducer [see Warnings and Precautions (5.6) , Drug Interactions (7) , Clinical Pharmacology (12.3) ] . WARNING: SERIOUS AND LIFE-THREATENING RISKS FROM USE OF OXYCONTIN See full prescribing information for complete boxed warning. OXYCONTIN exposes users to risks of addiction, abuse, and misuse, which can lead to overdose and death. Assess patient's risk before prescribing and reassess regularly for these behaviors and conditions. ( 5.1 ) Serious, life-threatening, or fatal respiratory depression may occur. Monitor closely, especially upon initiation or following a dosage increase. To reduce the risk of respiratory depression, proper dosing and titration of OXYCONTIN are essential. Instruct patients to swallow OXYCONTIN tablets whole to avoid exposure to a potentially fatal dose of oxycodone. ( 5.2 ) Accidental ingestion of OXYCONTIN, especially by children, can result in a fatal overdose of oxycodone. ( 5.2 ) Concomitant use of opioids with benzodiazepines or other central nervous system (CNS) depressants, including alcohol, may result in profound sedation, respiratory depression, coma, and death. Reserve concomitant prescribing for use in patients for whom alternative treatment options are in …
Recent Major Changes
openFDA Drug LabelingBoxed Warning 12/2025 Indications and Usage ( 1 ) 12/2025 Dosage and Administration ( 2.2 , 2.3 ) 12/2025 Warnings and Precautions ( 5.1 , 5.2 , 5.3 , 5.13 , 5.15 ) 12/2025
Indications and Usage
openFDA Drug Labeling1 INDICATIONS AND USAGE OXYCONTIN is indicated for the management of severe and persistent pain that requires an opioid analgesic and that cannot be adequately treated with alternative options, including immediate-release opioids, in: Adults; and Opioid-tolerant pediatric patients 11 years of age and older who are already receiving and tolerate a minimum daily opioid dose of at least 20 mg oxycodone orally or its equivalent. Limitations of Use Because of the risks of addiction, abuse, misuse, overdose, and death, which can occur at any dosage or duration and persist over the course of therapy [see Warnings and Precautions (5.1) ] , reserve opioid analgesics, including OXYCONTIN, for use in patients for whom alternative treatment options are ineffective, not tolerated, or would be otherwise inadequate to provide sufficient management of pain. OXYCONTIN is not indicated as an as-needed (prn) analgesic. OXYCONTIN is an opioid agonist indicated for the management of severe and persistent pain that requires an opioid analgesic that cannot be adequately treated with alternative options, including immediate-release opioids in: Adults ( 1 ); and Opioid-tolerant pediatric patients 11 years of age and older who are already receiving and tolerate a minimum daily opioid dose of at least 20 mg oxycodone orally or its equivalent. ( 1 ) Limitations of Use Because of the risks of addiction, abuse, misuse, overdose, and death, which can occur at any dosage or duration and persist over the course of therapy, reserve opioid analgesics, including OXYCONTIN, for use in patients for whom alternative treatment options are ineffective, not tolerated, or would be otherwise inadequate to provide sufficient management of pain. ( 1 , 5.1 ) OXYCONTIN is not indicated as an as-needed (prn) analgesic. ( 1 )
Dosage and Administration
openFDA Drug Labeling2 DOSAGE AND ADMINISTRATION OXYCONTIN should be prescribed only by healthcare professionals who are knowledgeable about the use of extended-release/long-acting opioids and how to mitigate the associated risks. ( 2.1 ) OXYCONTIN 60 mg and 80 mg tablets, a single dose greater than 40 mg, or a total daily dose greater than 80 mg are only for use in patients in whom tolerance to an opioid of comparable potency has been established. ( 2.1 ) Patients considered opioid-tolerant are those taking, for one week or longer, at least 60 mg oral morphine per day, 25 mcg transdermal fentanyl per hour, 30 mg oral oxycodone per day, 8 mg oral hydromorphone per day, 25 mg oral oxymorphone per day, 60 mg oral hydrocodone per day, or an equianalgesic dose of another opioid. ( 2.1 ) Use the lowest effective dosage for the shortest duration of time consistent with individual patient treatment goals. Reserve titration to higher doses of OXYCONTIN for patients in whom lower doses are insufficiently effective and in whom the expected benefits of using a higher dose opioid clearly outweigh the substantial risks. ( 2.1 , 5 ) Initiate the dosing regimen for each patient individually, taking into account the patient's underlying cause and severity of pain, prior analgesic treatment and response, and risk factors for addiction, abuse, and misuse. ( 2.1 , 5.1 ) Respiratory depression can occur at any time during opioid therapy, especially when initiating and following dosage increases with OXYCONTIN. Consider this risk when selecting an initial dose and when making dose adjustments. ( 2.1 , 5.2 ) OXYCONTIN is administered orally every 12 hours. ( 2.1 ) Instruct patients to swallow tablets intact and not to cut, break, chew, crush, or dissolve tablets (risk of potentially fatal dose). ( 2.1 , 5.1 ) Instruct patients to take tablets one at a time, with enough water to ensure complete swallowing immediately after placing in mouth. ( 2.1 , 5.12 ) Discuss opioid overdose reversal agents and options for acquiring them with the patient and/or caregiver, both when initiating and renewing treatment with OXYCONTIN, especially if the patient has additional risk factors for overdose, or close contacts at risk for exposure and overdose. ( 2.2 , 5.1 , 5.2 , 5.3 ) Periodically reassess patients receiving OXYCONTIN to evaluate the continued need for opioid analgesics to maintain pain control, for the signs or symptoms of adverse reactions, and for the development of addiction, abuse, or misuse. ( 2.4 ) Do not rapidly reduce or abruptly discontinue OXYCONTIN in a physically-dependent patient because rapid reduction or abrupt discontinuation of opioid analgesics has resulted in serious withdrawal symptoms, uncontrolled pain, and suicide. ( 2.9 , 5.15 ) Adults : For patients who are not opioid tolerant, initiate with 10 mg tablets orally every 12 hours. See full prescribing information for instructions on conversion from other opioids to OXYCONTIN, titration and maintenance of therapy. ( 2.3 , 2.5 ) Pediatric Patients 11 Years of Age and Older: For use only in pediatric patients 11 years and older already receiving and tolerating opioids for at least 5 consecutive days with a minimum of 20 mg per day of oxycodone or its equivalent for at least two days immediately preceding dosing with OXYCONTIN. ( 2.4 ) See full prescribing information for instructions on conversion from other opioids to OXYCONTIN, titration and maintenance of therapy. ( 2.4 , 2.5 ) Geriatric Patients : In debilitated, opioid non-tolerant geriatric patients, initiate dosing at one third to one half the recommended starting dosage and titrate carefully. ( 2.7 , 8.5 ) Patients with Hepatic Impairment : Initiate dosing at one third to one half the recommended starting dosage and titrate carefully. ( 2.8 , 8.6 ) 2.1 Important Dosage and Administration Instructions OXYCONTIN should be prescribed only by healthcare professionals who are knowledgeable about the use of extended-release/long-acting opioids and how to …
Dosage Forms and Strengths
openFDA Drug Labeling3 DOSAGE FORMS AND STRENGTHS Extended-release tablets: 10 mg, 15 mg, 20 mg, 30 mg, 40 mg, 60 mg, and 80 mg. 10 mg film-coated extended-release tablets (round, white-colored, bi-convex tablets debossed with OP on one side and 10 on the other) 15 mg film-coated extended-release tablets (round, gray-colored, bi-convex tablets debossed with OP on one side and 15 on the other) 20 mg film-coated extended-release tablets (round, pink-colored, bi-convex tablets debossed with OP on one side and 20 on the other) 30 mg film-coated extended-release tablets (round, brown-colored, bi-convex tablets debossed with OP on one side and 30 on the other) 40 mg film-coated extended-release tablets (round, yellow-colored, bi-convex tablets debossed with OP on one side and 40 on the other) 60 mg film-coated extended-release tablets (round, red-colored, bi-convex tablets debossed with OP on one side and 60 on the other) 80 mg film-coated extended-release tablets (round, green-colored, bi-convex tablets debossed with OP on one side and 80 on the other) Extended-release tablets: 10 mg, 15 mg, 20 mg, 30 mg, 40 mg, 60 mg, and 80 mg. ( 3 )
Contraindications
openFDA Drug Labeling4 CONTRAINDICATIONS OXYCONTIN is contraindicated in patients with: Significant respiratory depression [see Warnings and Precautions (5.2) ] Acute or severe bronchial asthma in an unmonitored setting or in the absence of resuscitative equipment [see Warnings and Precautions (5.8) ] Known or suspected gastrointestinal obstruction, including paralytic ileus [see Warnings and Precautions (5.13) ] Hypersensitivity (e.g., anaphylaxis) to oxycodone [see Adverse Reactions (6.2) ] Significant respiratory depression ( 4 ) Acute or severe bronchial asthma in an unmonitored setting or in absence of resuscitative equipment ( 4 ) Known or suspected gastrointestinal obstruction, including paralytic ileus ( 4 ) Hypersensitivity to oxycodone ( 4 )
Warnings and Cautions
openFDA Drug Labeling5 WARNINGS AND PRECAUTIONS Opioid-Induced Hyperalgesia and Allodynia: Opioid-Induced Hyperalgesia (OIH) occurs when an opioid analgesic paradoxically causes an increase in pain, or an increase in sensitivity to pain. If OIH is suspected, carefully consider appropriately decreasing the dose of the current opioid analgesic, or opioid rotation. ( 5.7 ) Life-Threatening Respiratory Depression in Patients with Chronic Pulmonary Disease or in Elderly, Cachectic, or Debilitated Patients: Regularly evaluate, particularly during initiation and titration. ( 5.8 ) Adrenal Insufficiency : If diagnosed, treat with physiologic replacement of corticosteroids, and wean patient off of the opioid. ( 5.9 ) Severe Hypotension : Regularly evaluate during dosage initiation and titration. Avoid use of OXYCONTIN in patients with circulatory shock. ( 5.10 ) Risks of Use in Patients with Increased Intracranial Pressure, Brain Tumors, Head Injury, or Impaired Consciousness : Monitor for sedation and respiratory depression. Avoid use of OXYCONTIN in patients with impaired consciousness or coma. ( 5.11 ) Risk of Obstruction in Patients who have Difficulty Swallowing or have Underlying GI Disorders that may Predispose them to Obstruction: Consider use of an alternative analgesic. ( 5.12 ) 5.1 Addiction, Abuse, and Misuse OXYCONTIN contains oxycodone, a Schedule II controlled substance. As an opioid, OXYCONTIN exposes users to the risks of addiction, abuse, and misuse. Although the risk of addiction in any individual is unknown, it can occur in patients appropriately prescribed OXYCONTIN. Addiction can occur at recommended doses and if the drug is misused or abused. The risk of opioid-related overdose or overdose-related death is increased with higher opioid doses, and this risk persists over the course of therapy. In postmarketing studies, addiction, abuse, misuse, and fatal and non-fatal opioid overdose were observed in patients with long-term opioid use [see Adverse Reactions (6.2) ] . Assess each patient's risk for opioid addiction, abuse, or misuse prior to prescribing OXYCONTIN, and reassess all patients receiving OXYCONTIN for the development of these behaviors and conditions. Risks are increased in patients with a personal or family history of substance abuse (including drug or alcohol abuse or addiction) or mental illness (e.g., major depression). The potential for these risks should not, however, prevent the proper management of pain in any given patient. Patients at increased risk may be prescribed opioids such as OXYCONTIN but use in such patients necessitates intensive counseling about the risks and proper use of OXYCONTIN along with frequent reevaluation for signs of addiction, abuse, and misuse. Consider recommending or prescribing an opioid overdose reversal agent for the emergency treatment of opioid overdose [see Dosage and Administration (2.2) , Warnings and Precautions (5.2) ] . Abuse or misuse of OXYCONTIN by crushing, chewing, snorting, or injecting the dissolved product will result in the uncontrolled delivery of oxycodone and can result in overdose and death [see Overdosage (10) ]. Opioids are sought for nonmedical use and are subject to diversion from legitimate prescribed use. Consider these risks when prescribing or dispensing OXYCONTIN. Strategies to reduce these risks include prescribing the drug in the smallest appropriate quantity and advising the patient on careful storage of the drug during the course of treatment and the proper disposal of unused drug. Contact local state professional licensing board or state-controlled substances authority for information on how to prevent and detect abuse or diversion of this product. 5.2 Life-Threatening Respiratory Depression Serious, life-threatening, or fatal respiratory depression has been reported with the use of opioids, even when used as recommended. Respiratory depression, if not immediately recognized and treated, may lead to respiratory arrest and death. Management of respirato …
Adverse Reactions
openFDA Drug Labeling6 ADVERSE REACTIONS The following serious adverse reactions are described elsewhere in the labeling: Addiction, Abuse, and Misuse [see Warnings and Precautions (5.1) ] Life-Threatening Respiratory Depression [see Warnings and Precautions (5.2) ] Interactions With Benzodiazepines and Other CNS Depressants [see Warnings and Precautions (5.3) ] Neonatal Opioid Withdrawal Syndrome [see Warnings and Precautions (5.4) ] Opioid-Induced Hyperalgesia and Allodynia [see Warnings and Precautions (5.7) ] Adrenal Insufficiency [see Warnings and Precautions (5.9) ] Severe Hypotension [see Warnings and Precautions (5.10) ] Gastrointestinal Adverse Reactions [see Warnings and Precautions (5.12 , 5.13) ] Seizures [see Warnings and Precautions (5.14) ] Withdrawal [see Warnings and Precautions (5.15) ] Most common adverse reactions (incidence >5%) were constipation, nausea, somnolence, dizziness, vomiting, pruritus, headache, dry mouth, asthenia, and sweating. ( 6.1 ) To report SUSPECTED ADVERSE REACTIONS, contact Knoa Pharma LLC at 1-888-726-7535 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. 6.1 Clinical Trial Experience Adult Clinical Trial Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. The safety of OXYCONTIN was evaluated in double-blind clinical trials involving 713 patients with moderate to severe pain of various etiologies. In open-label studies of cancer pain, 187 patients received OXYCONTIN in total daily doses ranging from 20 mg to 640 mg per day. The average total daily dose was approximately 105 mg per day. OXYCONTIN may increase the risk of serious adverse reactions such as those observed with other opioid analgesics, including respiratory depression, apnea, respiratory arrest, circulatory depression, hypotension, or shock [see Overdosage (10) ] . The most common adverse reactions (>5%) reported by patients in clinical trials comparing OXYCONTIN with placebo are shown in Table 2 below: TABLE 2: Common Adverse Reactions (>5%) Adverse Reaction OXYCONTIN (n=227) Placebo (n=45) (%) (%) Constipation (23) (7) Nausea (23) (11) Somnolence (23) (4) Dizziness (13) (9) Pruritus (13) (2) Vomiting (12) (7) Headache (7) (7) Dry Mouth (6) (2) Asthenia (6) - Sweating (5) (2) In clinical trials, the following adverse reactions were reported in patients treated with OXYCONTIN with an incidence between 1% and 5%: Gastrointestinal disorders: abdominal pain, diarrhea, dyspepsia, gastritis General disorders and administration site conditions: chills, fever Metabolism and nutrition disorders: anorexia Musculoskeletal and connective tissue disorders: twitching Psychiatric disorders: abnormal dreams, anxiety, confusion, dysphoria, euphoria, insomnia, nervousness, thought abnormalities Respiratory, thoracic and mediastinal disorders: dyspnea, hiccups Skin and subcutaneous tissue disorders: rash Vascular disorders: postural hypotension The following adverse reactions occurred in less than 1% of patients involved in clinical trials: Blood and lymphatic system disorders: lymphadenopathy Ear and labyrinth disorders: tinnitus Eye disorders: abnormal vision Gastrointestinal disorders: dysphagia, eructation, flatulence, gastrointestinal disorder, increased appetite, stomatitis General disorders and administration site conditions: withdrawal syndrome (with and without seizures), edema, peripheral edema, thirst, malaise, chest pain, facial edema Injury, poisoning and procedural complications: accidental injury Investigations: ST depression Metabolism and nutrition disorders: dehydration Nervous system disorders: syncope, migraine, abnormal gait, amnesia, hyperkinesia, hypoesthesia, hypotonia, paresthesia, speech disorder, stupor, tremor, vertigo, taste perversion Psychiatric disorders: depression, agitation, depersonalization, emotional la …
Drug Interactions
openFDA Drug Labeling7 DRUG INTERACTIONS Table 4 includes clinically significant drug interactions with OXYCONTIN. Table 4: Clinically Significant Drug Interactions with OXYCONTIN Inhibitors of CYP3A4 and CYP2D6 Clinical Impact: The concomitant use of OXYCONTIN and CYP3A4 inhibitors can increase the plasma concentration of oxycodone, resulting in increased or prolonged opioid effects. These effects could be more pronounced with concomitant use of OXYCONTIN and CYP2D6 and CYP3A4 inhibitors, particularly when an inhibitor is added after a stable dose of OXYCONTIN is achieved [see Warnings and Precautions (5.6) ] . After stopping a CYP3A4 inhibitor, as the effects of the inhibitor decline, the oxycodone plasma concentration will decrease [see Clinical Pharmacology (12.3) ] , resulting in decreased opioid efficacy or a withdrawal syndrome in patients who had developed physical dependence to oxycodone. Intervention: If concomitant use is necessary, consider dosage reduction of OXYCONTIN until stable drug effects are achieved. Evaluate patients at frequent intervals for respiratory depression and sedation. If a CYP3A4 inhibitor is discontinued, consider increasing the OXYCONTIN dosage until stable drug effects are achieved. Assess for signs of opioid withdrawal. Examples: Macrolide antibiotics (e.g., erythromycin), azole-antifungal agents (e.g., ketoconazole), protease inhibitors (e.g., ritonavir) CYP3A4 Inducers Clinical Impact: The concomitant use of OXYCONTIN and CYP3A4 inducers can decrease the plasma concentration of oxycodone [see Clinical Pharmacology (12.3) ] , resulting in decreased efficacy or onset of a withdrawal syndrome in patients who have developed physical dependence to oxycodone [see Warnings and Precautions (5.6) ] . After stopping a CYP3A4 inducer, as the effects of the inducer decline, the oxycodone plasma concentration will increase [see Clinical Pharmacology (12.3) ] , which could increase or prolong both the therapeutic effects and adverse reactions and may cause serious respiratory depression. Intervention: If concomitant use is necessary, consider increasing the OXYCONTIN dosage until stable drug effects are achieved. Evaluate for signs of opioid withdrawal. If a CYP3A4 inducer is discontinued, consider OXYCONTIN dosage reduction and evaluate patients at frequent intervals for signs of respiratory depression and sedation. Examples: Rifampin, carbamazepine, phenytoin Benzodiazepines and Other Central Nervous System (CNS) Depressants Clinical Impact: Due to additive pharmacologic effect, the concomitant use of benzodiazepines or other CNS depressants, including alcohol, can increase the risk of hypotension, respiratory depression, profound sedation, coma, and death [see Warnings and Precautions (5.3) ] . Intervention: Reserve concomitant prescribing of these drugs for use in patients for whom alternative treatment options are inadequate. Limit dosages and durations to the minimum required. Inform patients and caregivers of this potential interaction and educate them on the signs and symptoms of respiratory depression (including sedation). If concomitant use is warranted, consider recommending or prescribing an opioid overdose reversal agent [see Dosage and Administration (2.2 , 2.6) , Warnings and Precautions (5.2 , 5.3) ] . Examples: Benzodiazepines and other sedatives/hypnotics, anxiolytics, tranquilizers, muscle relaxants, general anesthetics, antipsychotics, gabapentinoids (gabapentin or pregabalin), other opioids, alcohol. Serotonergic Drugs Clinical Impact: The concomitant use of opioids with other drugs that affect the serotonergic neurotransmitter system has resulted in serotonin syndrome . Intervention: If concomitant use is warranted, frequently evaluate the patient, particularly during treatment initiation and dose adjustment. Discontinue OXYCONTIN if serotonin syndrome is suspected. Examples: Selective serotonin reuptake inhibitors (SSRIs), serotonin and norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepres …
Use in Specific Populations
openFDA Drug Labeling8 USE IN SPECIFIC POPULATIONS Pregnancy : May cause fetal harm. ( 8.1 ) Lactation : Not recommended. ( 8.2 ) 8.1 Pregnancy Risk Summary Use of opioid analgesics for an extended period of time during pregnancy may cause neonatal opioid withdrawal syndrome [see Warnings and Precautions (5.4) ] . There are no available data with OXYCONTIN in pregnant women to inform a drug-associated risk for major birth defects and miscarriage. In animal reproduction studies, there was no embryo-fetal toxicity when oxycodone hydrochloride was orally administered to rats and rabbits, during the period of organogenesis, at doses 1.3 to 40 times the adult human dose of 60 mg/day, respectively. In a pre- and postnatal toxicity study, when oxycodone was orally administered to rats, there was transiently decreased pup body weight during lactation and the early post-weaning period at the dose equivalent to an adult dose of 60 mg/day. In several published studies, treatment of pregnant rats with oxycodone hydrochloride at clinically relevant doses and below resulted in neurobehavioral effects in offspring [see Data ]. Based on animal data, advise pregnant women of the potential risk to a fetus. The background risk of major birth defects and miscarriage for the indicated population is unknown. All pregnancies have a background risk of birth defect, loss, or other adverse outcomes. In the U.S. general population, the estimated background risk of major birth defects and miscarriage in clinically recognized pregnancies is 2 to 4% and 15 to 20%, respectively. Clinical Considerations Fetal/Neonatal Adverse Reactions Use of opioid analgesics for an extended period of time during pregnancy for medical or nonmedical purposes can result in physical dependence in the neonate and neonatal opioid withdrawal syndrome shortly after birth. Neonatal opioid withdrawal syndrome presents as irritability, hyperactivity and abnormal sleep pattern, high pitched cry, tremor, vomiting, diarrhea, and failure to gain weight. The onset, duration, and severity of neonatal opioid withdrawal syndrome vary based on the specific opioid used, duration of use, timing and amount of last maternal use, and rate of elimination of the drug by the newborn. Observe newborns for symptoms of neonatal opioid withdrawal syndrome and manage accordingly [see Warnings and Precautions (5.4) ] . Labor or Delivery Opioids cross the placenta and may produce respiratory depression and psycho-physiologic effects in neonates. An opioid overdose reversal agent, such as naloxone or nalmefene, must be available for reversal of opioid-induced respiratory depression in the neonate. OXYCONTIN is not recommended for use in women immediately prior to labor, when use of shorter-acting analgesics or other analgesic techniques are more appropriate. Opioid analgesics, including OXYCONTIN, can prolong labor through actions which temporarily reduce the strength, duration, and frequency of uterine contractions. However, this effect is not consistent and may be offset by an increased rate of cervical dilatation, which tends to shorten labor. Monitor neonates exposed to opioid analgesics during labor for signs of excess sedation and respiratory depression. Data Animal Data Pregnant rats were treated with 0.5, 2, 4, and 8 mg/kg oxycodone hydrochloride (0.08, 0.3, 0.7, and 1.3 times the human daily dose of 60 mg/day, respectively based on a mg/m 2 basis) during the period of organogenesis. Oxycodone did not cause adverse effects to the fetus at exposures up to 1.3 times the human dose of 60 mg/day. The high dose produced maternal toxicity characterized by excessive gnawing on forelimbs and decreased body weight gain. Pregnant rabbits were treated with 1, 5, 25, and 125 mg/kg oxycodone hydrochloride (0.3, 2, 8, and 40 times the human daily dose of 60 mg/day, respectively, based on a mg/m 2 basis) during the period of organogenesis. Oxycodone did not cause adverse effects to the fetus at exposures up to 40 times the human dose o …
Mechanism of Action
openFDA Drug Labeling12.1 Mechanism of Action Oxycodone is a full opioid agonist and is relatively selective for the mu receptor, although it can bind to other opioid receptors at higher doses. The principal therapeutic action of oxycodone is analgesia. Like all full opioid agonists, there is no ceiling effect to analgesia for oxycodone. Clinically, dosage is titrated to provide adequate analgesia and may be limited by adverse reactions, including respiratory and CNS depression. The precise mechanism of the analgesic action is unknown. However, specific CNS opioid receptors for endogenous compounds with opioid-like activity have been identified throughout the brain and spinal cord and are thought to play a role in the analgesic effects of this drug.
Description
openFDA Drug Labeling11 DESCRIPTION OXYCONTIN ® (oxycodone hydrochloride) extended-release tablets is an opioid agonist supplied in 10 mg, 15 mg, 20 mg, 30 mg, 40 mg, 60 mg, and 80 mg tablets for oral administration. The tablet strengths describe the amount of oxycodone per tablet as the hydrochloride salt. The structural formula for oxycodone hydrochloride is as follows: C 18 H 21 NO 4 ∙ HCl MW 351.83 The chemical name is 4, 5α-epoxy-14-hydroxy-3-methoxy-17-methylmorphinan-6-one hydrochloride. Oxycodone is a white, odorless crystalline powder derived from the opium alkaloid, thebaine. Oxycodone hydrochloride dissolves in water (1 g in 6 to 7 mL). It is slightly soluble in alcohol (octanol water partition coefficient 0.7). The 10 mg, 15 mg, 20 mg, 30 mg, 40 mg, 60 mg and 80 mg tablets contain the following inactive ingredients: butylated hydroxytoluene (BHT), hypromellose, polyethylene glycol 400, polyethylene oxide, magnesium stearate, titanium dioxide. The 10 mg tablets also contain hydroxypropyl cellulose. The 15 mg tablets also contain black iron oxide, yellow iron oxide, and red iron oxide. The 20 mg tablets also contain polysorbate 80 and red iron oxide. The 30 mg tablets also contain polysorbate 80, red iron oxide, yellow iron oxide, and black iron oxide. The 40 mg tablets also contain polysorbate 80 and yellow iron oxide. The 60 mg tablets also contain polysorbate 80, red iron oxide and black iron oxide. The 80 mg tablets also contain hydroxypropyl cellulose, yellow iron oxide and FD&C Blue #2/Indigo Carmine Aluminum Lake. Chemical Structure
Overdosage
openFDA Drug Labeling10 OVERDOSAGE Clinical Presentation Acute overdose with oxycodone can be manifested by respiratory depression, somnolence progressing to stupor or coma, skeletal muscle flaccidity, cold and clammy skin, constricted pupils, and in some cases, pulmonary edema, bradycardia, hypotension, hypoglycemia, partial or complete airway obstruction, atypical snoring, and death. Marked mydriasis rather than miosis may be seen with hypoxia in overdose situations [see Clinical Pharmacology (12.2) ] . Toxic leukoencephalopathy has been reported after opioid overdose and can present hours, days, or weeks after apparent recovery from the initial intoxication. Treatment of Overdose In case of overdose, priorities are the reestablishment of a patent and protected airway and institution of assisted or controlled ventilation, if needed. Employ other supportive measures (including oxygen, vasopressors) in the management of circulatory shock and pulmonary edema as indicated. Cardiac arrest or arrhythmias will require advanced life support measures. For clinically significant respiratory or circulatory depression secondary to oxycodone overdose, administer an opioid overdose reversal agent such as naloxone or nalmefene. Because the duration of reversal is expected to be less than the duration of action of oxycodone in OXYCONTIN, carefully monitor the patient until spontaneous respiration is reliably reestablished. OXYCONTIN will continue to release oxycodone and add to the oxycodone load for 24 to 48 hours or longer following ingestion, necessitating prolonged monitoring. If the response to an opioid overdose reversal agent is suboptimal or only brief in nature, administer additional reversal agent as directed by the product's prescribing information. In an individual physically dependent on opioids, administration of the recommended usual dosage of the opioid overdose reversal agent will precipitate an acute withdrawal syndrome. The severity of the withdrawal symptoms experienced will depend on the degree of physical dependence and the dose of the reversal agent administered. If a decision is made to treat serious respiratory depression in the physically dependent patient, administration of the reversal agent should be initiated with care and by titration with smaller than usual doses of the reversal agent.
How Supplied / Storage and Handling
openFDA Drug Labeling16 HOW SUPPLIED/STORAGE AND HANDLING OXYCONTIN (oxycodone hydrochloride) extended-release tablets 10 mg are film-coated, round, white-colored, bi-convex tablets debossed with OP on one side and 10 on the other and are supplied as child-resistant closure, opaque plastic bottles of 100 ( NDC 59011-410-10 ) and unit dose packaging with 10 individually numbered tablets per card; two cards per glue end carton ( NDC 59011-410-20 ). OXYCONTIN (oxycodone hydrochloride) extended-release tablets 15 mg are film-coated, round, gray-colored, bi-convex tablets debossed with OP on one side and 15 on the other and are supplied as child-resistant closure, opaque plastic bottles of 100 ( NDC 59011-415-10 ) and unit dose packaging with 10 individually numbered tablets per card; two cards per glue end carton ( NDC 59011-415-20 ). OXYCONTIN (oxycodone hydrochloride) extended-release tablets 20 mg are film-coated, round, pink-colored, bi-convex tablets debossed with OP on one side and 20 on the other and are supplied as child-resistant closure, opaque plastic bottles of 100 ( NDC 59011-420-10 ) and unit dose packaging with 10 individually numbered tablets per card; two cards per glue end carton ( NDC 59011-420-20 ). OXYCONTIN (oxycodone hydrochloride) extended-release tablets 30 mg are film-coated, round, brown-colored, bi-convex tablets debossed with OP on one side and 30 on the other and are supplied as child-resistant closure, opaque plastic bottles of 100 ( NDC 59011-430-10 ) and unit dose packaging with 10 individually numbered tablets per card; two cards per glue end carton ( NDC 59011-430-20 ). OXYCONTIN (oxycodone hydrochloride) extended-release tablets 40 mg are film-coated, round, yellow-colored, bi-convex tablets debossed with OP on one side and 40 on the other and are supplied as child-resistant closure, opaque plastic bottles of 100 ( NDC 59011-440-10 ) and unit dose packaging with 10 individually numbered tablets per card; two cards per glue end carton ( NDC 59011-440-20 ). OXYCONTIN (oxycodone hydrochloride) extended-release tablets 60 mg are film-coated, round, red-colored, bi-convex tablets debossed with OP on one side and 60 on the other and are supplied as child-resistant closure, opaque plastic bottles of 100 ( NDC 59011-460-10 ) and unit dose packaging with 10 individually numbered tablets per card; two cards per glue end carton ( NDC 59011-460-20 ). OXYCONTIN (oxycodone hydrochloride) extended-release tablets 80 mg are film-coated, round, green-colored, bi-convex tablets debossed with OP on one side and 80 on the other and are supplied as child-resistant closure, opaque plastic bottles of 100 ( NDC 59011-480-10 ) and unit dose packaging with 10 individually numbered tablets per card; two cards per glue end carton ( NDC 59011-480-20 ). Store at 25°C (77°F); excursions permitted between 15°-30°C (59°-86°F) [see USP Controlled Room Temperature]. Store OXYCONTIN securely and dispose of properly [see Patient Counseling Information (17) ] . Dispense in tight, light-resistant container.
Adverse event reports
Source: openFDA FAERSAttributed to this product's most-reported active ingredient: OXYCODONE HYDROCHLORIDE. Combination products with more than six active ingredients are not attributed, because a report count summed across a long ingredient list measures the list, not the medicine.
Packaging and NDCs
Source: NDC Directory| Package NDC | Product NDC | Labeler | Description | Marketing start |
|---|---|---|---|---|
| 59011-410-10 | 59011-410 | Knoa Pharma LLC | 100 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (59011-410-10) | August 8, 2010 |
| 59011-410-20 | 59011-410 | Knoa Pharma LLC | 2 BLISTER PACK in 1 CARTON (59011-410-20) / 10 TABLET, FILM COATED, EXTENDED RELEASE in 1 BLISTER PACK | August 8, 2010 |
| 59011-415-10 | 59011-415 | Knoa Pharma LLC | 100 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (59011-415-10) | August 8, 2010 |
| 59011-415-20 | 59011-415 | Knoa Pharma LLC | 2 BLISTER PACK in 1 CARTON (59011-415-20) / 10 TABLET, FILM COATED, EXTENDED RELEASE in 1 BLISTER PACK | August 8, 2010 |
| 59011-420-10 | 59011-420 | Knoa Pharma LLC | 100 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (59011-420-10) | August 8, 2010 |
| 59011-420-20 | 59011-420 | Knoa Pharma LLC | 2 BLISTER PACK in 1 CARTON (59011-420-20) / 10 TABLET, FILM COATED, EXTENDED RELEASE in 1 BLISTER PACK | August 8, 2010 |
| 59011-430-10 | 59011-430 | Knoa Pharma LLC | 100 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (59011-430-10) | August 8, 2010 |
| 59011-430-20 | 59011-430 | Knoa Pharma LLC | 2 BLISTER PACK in 1 CARTON (59011-430-20) / 10 TABLET, FILM COATED, EXTENDED RELEASE in 1 BLISTER PACK | August 8, 2010 |
| 59011-440-10 | 59011-440 | Knoa Pharma LLC | 100 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (59011-440-10) | August 8, 2010 |
| 59011-440-20 | 59011-440 | Knoa Pharma LLC | 2 BLISTER PACK in 1 CARTON (59011-440-20) / 10 TABLET, FILM COATED, EXTENDED RELEASE in 1 BLISTER PACK | August 8, 2010 |
| 59011-460-10 | 59011-460 | Knoa Pharma LLC | 100 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (59011-460-10) | August 8, 2010 |
| 59011-460-20 | 59011-460 | Knoa Pharma LLC | 2 BLISTER PACK in 1 CARTON (59011-460-20) / 10 TABLET, FILM COATED, EXTENDED RELEASE in 1 BLISTER PACK | August 8, 2010 |
| 59011-480-10 | 59011-480 | Knoa Pharma LLC | 100 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE (59011-480-10) | August 8, 2010 |
| 59011-480-20 | 59011-480 | Knoa Pharma LLC | 2 BLISTER PACK in 1 CARTON (59011-480-20) / 10 TABLET, FILM COATED, EXTENDED RELEASE in 1 BLISTER PACK | August 8, 2010 |
| 59011-410 | 59011-410 | Knoa Pharma LLC | — | August 8, 2010 |
| 59011-415 | 59011-415 | Knoa Pharma LLC | — | August 8, 2010 |
| 59011-420 | 59011-420 | Knoa Pharma LLC | — | August 8, 2010 |
| 59011-430 | 59011-430 | Knoa Pharma LLC | — | August 8, 2010 |
| 59011-440 | 59011-440 | Knoa Pharma LLC | — | August 8, 2010 |
| 59011-460 | 59011-460 | Knoa Pharma LLC | — | August 8, 2010 |
| 59011-480 | 59011-480 | Knoa Pharma LLC | — | August 8, 2010 |
Sources for this page
| Dataset | Agency | Used for |
|---|---|---|
| NDC Directory | FDA | Identity, ingredients, strengths, forms, routes, labelers, packages |
| Drugs@FDA | FDA | Application, sponsor, submissions, review documents, marketing status |
| Orange Book | FDA | Therapeutic equivalence codes, reference drug flags, patents, exclusivity |
| Drug Labeling | FDA / NLM | Prescribing information reproduced above |
| FAERS | FDA | Adverse event report counts |
Generated September 25, 2026 · 12 sections on this page.