Pronunciation: a SEET a MIN oh fen and OX i KOE done
Generic: acetaminophen-oxycodone
Brand: Endocet,
Narvox,
Percocet 10/650,
Roxicet,
Roxilox,
Tylox.
What is acetaminophen and oxycodone?
Oxycodone is in a group of drugs called narcotic pain relievers.
Acetaminophen is a less potent pain reliever that increases the effects of oxycodone.
The combination of acetaminophen and oxycodone is used to relieve moderate to severe
pain.
Acetaminophen and oxycodone may also be used for purposes other than those listed in
this medication guide.
How should I take acetaminophen and oxycodone?
Take this medication exactly as it was prescribed for you. Do not take it in larger
amounts, or use it for longer than recommended by your doctor. Follow the directions on your
prescription label. Tell your doctor if the medicine seems to stop working as well in relieving
your pain.
An overdose of acetaminophen can cause serious harm to your liver. The maximum
amount of acetaminophen for adults is 1 gram (1000 mg) per dose and 4 grams (4000 mg) per
day. One acetaminophen and oxycodone tablet may contain up to 650 mg of acetaminophen.
Know the amount of acetaminophen in the specific product you are taking.
Measure the liquid form of this medication with a special dose-measuring spoon or cup,
not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist where
you can get one.
Drink 6 to 8 full glasses of water daily to help prevent constipation while you are
taking acetaminophen and oxycodone. Ask your doctor about ways to increase the fiber in your
diet. Do not use a stool softener (laxative) without first asking your doctor.
You may have withdrawal symptoms when you stop using acetaminophen and
oxycodone after using it over a long period of time. Do not stop using this medication suddenly
without first talking to your doctor. You may need to use less and less before you stop the
medication completely.
This medication can cause you to have unusual results with certain urine tests. Tell any
doctor who treats you that you are using acetaminophen and oxycodone.
If you need to have any type of surgery, tell the surgeon ahead of time that you are using
acetaminophen and oxycodone. You may need to stop using the medicine for a short time.
Store acetaminophen and oxycodone at room temperature away from moisture and
heat.
Keep track of how many tablets have been used from each new bottle of this medicine.
Oxycodone is a drug of abuse and you should be aware if any person in the household is using
this medicine improperly or without a prescription.
What are the possible side effects of acetaminophen and oxycodone?
Get emergency medical help if you have any of these signs of an allergic
reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have any of these serious side effects:
- shallow breathing, slow heartbeat;
- feeling light-headed, fainting;
- confusion, unusual thoughts or behavior;
- seizure (convulsions); or
- nausea, stomach pain, loss of appetite, itching, dark urine,
clay-colored stools, jaundice (yellowing of the skin or eyes).
Less serious side effects include:
- feeling dizzy or drowsy;
- mild nausea, vomiting, upset stomach, constipation;
- headache;
- blurred vision; or
- dry mouth.
Side effects other than those listed here may also occur. Talk to your
doctor about any side effect that seems unusual or that is especially bothersome.
What other drugs will affect acetaminophen and oxycodone?
Before taking this medication, tell your doctor if you are using any of the following drugs:
- glycopyrrolate (Robinul);
- mepenzolate (Cantil);
- atropine (Donnatal, and others), benztropine (Cogentin),
dimenhydrinate (Dramamine), methscopolamine (Pamine), or scopolamine (Transderm-Scop);
- bladder or urinary medications such as darifenacin
(Enablex), flavoxate (Urispas), oxybutynin (Ditropan, Oxytrol), tolterodine (Detrol), or
solifenacin (Vesicare);
- a bronchodilator such as ipratropium (Atrovent) or
tiotropium (Spiriva); or
- irritable bowel medications such as dicyclomine (Bentyl),
hyoscyamine (Anaspaz, Cystospaz, Levsin, and others), or propantheline (Pro-Banthine).
If you are using any of these drugs, you may not be able to use
acetaminophen and oxycodone, or you may need dosage adjustments or special tests during
treatment.
There may be other drugs not listed that can affect acetaminophen and oxycodone. Tell
your doctor about all the prescription and over-the-counter medications you use. This includes
vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a
new medication without telling your doctor.
What should I avoid while taking acetaminophen and oxycodone?
This medication can cause side effects that may impair your thinking or reactions.
Be careful if you drive or do anything that requires you to be awake and alert.
Do not use any other over-the-counter cough, cold, allergy, or pain medication
without first asking your doctor or pharmacist. Acetaminophen is contained in many medicines
available over the counter. If you take certain products together you may accidentally take too
much acetaminophen. Read the label of any other medicine you are using to see if it contains
acetaminophen.
Avoid drinking alcohol while taking acetaminophen and oxycodone. Alcohol may
increase your risk of liver damage while taking acetaminophen.
Cold or allergy medicine, narcotic pain medicine, sleeping pills, muscle relaxers,
antidepressants, or seizure medication can add to sleepiness caused by oxycodone, or could slow
your breathing. Tell your doctor if you need to use any of these other medicines while you are
taking acetaminophen and oxycodone.
What happens if I overdose?
Seek emergency medical attention if you think you have used too much of this
medicine. An overdose of acetaminophen and oxycodone can be fatal.
Overdose symptoms may include extreme drowsiness, pinpoint pupils, nausea, vomiting,
dark urine, jaundice (yellowing of the skin or eyes), confusion, cold and clammy skin, muscle
weakness, fainting, weak pulse, coma, blue lips, shallow breathing, or no breathing.
What happens if I miss a dose?
Since acetaminophen and oxycodone is taken as needed, you may not be on a dosing
schedule. If you are taking the medication regularly, take the missed dose as soon as you
remember. If it is almost time for the next dose, skip the missed dose and wait until your next
regularly scheduled dose. Do not use extra medicine to make up the missed
dose.
What is the most important information I should know about acetaminophen
and oxycodone?
Tell your doctor if you drink more than three alcoholic beverages per day or if you have
ever had alcoholic liver disease (cirrhosis). You may not be able to take medication that contains
acetaminophen.
Oxycodone may be habit-forming and should be used only by the person it
was prescribed for. Keep the medication in a secure place where others cannot get to
it.
This medication can cause side effects that may impair your thinking or reactions.
Be careful if you drive or do anything that requires you to be awake and alert.
Tell your doctor if the medicine seems to stop working as well in relieving your pain.
What should I discuss with my healthcare provider before taking
acetaminophen and oxycodone?
Do not use this medication if you are allergic to acetaminophen (Tylenol) or
oxycodone.
Oxycodone may be habit-forming and should be used only by the person it
was prescribed for. Acetaminophen and oxycodone should never be given to another
person, especially someone who has a history of drug abuse or addiction. Keep the medication in
a secure place where others cannot get to it.
Before using acetaminophen and oxycodone, tell your doctor if you are allergic to any
drugs, or if you have:
- asthma, COPD, sleep apnea, or other breathing disorders;
- a history of head injury or brain tumor;
- epilepsy or other seizure disorder;
- low blood pressure;
- a stomach, intestinal, or pancreas disorder;
- underactive thyroid;
- Addisons disease or other adrenal gland disorder;
- enlarged prostate, urination problems;
- curvature of the spine;
- mental illness; or
- a history of drug or alcohol addiction.
If you have any of these conditions, you may not be able to use
acetaminophen and oxycodone, or you may need a dosage adjustment or special tests during
treatment.
Tell your doctor if you drink more than three alcoholic beverages per day or if you have
ever had alcoholic liver disease (cirrhosis). You may not be able to take medication that contains
acetaminophen.
FDA pregnancy category C. This medication may be harmful to an unborn baby, and
could cause breathing problems or addiction/withdrawal symptoms in a newborn. Tell your
doctor if you are pregnant or plan to become pregnant during treatment.
Acetaminophen and oxycodone may pass into breast milk and could harm a nursing
baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.
Older adults may be more sensitive to the effects of this medicine.
Where can I get more information?
Your pharmacist has information about acetaminophen and oxycodone written for health
professionals that you may read.
Remember, keep this and all other medicines out of the reach of children, never share
your medicines with others, and use this medication only for the indication prescribed.
Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate,
up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum
information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not
warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does
not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist
licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not
a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or
drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any
given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information
Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug
interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse
or pharmacist.
