Classes
DEA Class; Rx
Common Brand Names; Percodan, Endodan, Oxycodan
Analgesics, NSAID/Opioid Combos
Description
Combination product used to treat moderate to severe pain. Aspirin is an acetylated salicylate analgesic; oxycodone is an opiate analgesic. The combination produces a greater analgesic effect than either drug alone.
Indications
Indicated for the treatment of severe pain requiring an opioid analgesic and for which alternative treatments are inadequate.
Contraindications
Hypersensitivity
Oxycodone
Any situation where opioids are contraindicated including significant respiratory depression (in unmonitored settings or the absence of resuscitative equipment), acute or severe bronchial asthma or hypercarbia
Suspected or known paralytic ileus
Aspirin
Reye Syndrome: Aspirin should not be used in children or teenagers for viral infections, with or without fever, because of the risk of Reye syndrome
Known allergy to NSAIDs
Syndrome of asthma, rhinitis, and nasal polyps
Adverse Effects
Tachycardia
Palpitation
Urinary hesitancy or retention
Dry mouth
Blurred vision
Dilated pupils
Increased intraocular tension
Weakness
Nausea
Vomiting
Headache
Dizziness
Constipation
Drowsiness
Urticaria (rare)
Other dermatosis (rare)
Confusion in elderly individuals (infrequent)
Mild central excitation and occasional hallucinations
Warnings
Cases of serotonin syndrome, a potentially life-threatening condition, reported with concomitant use of serotonergic drugs; this may occur within the recommended dosage range; the onset of symptoms generally occur within several hours to a few days of concomitant use, but may occur later than that; discontinue therapy immediately if serotonin syndrome is suspected
Therapy may cause severe hypotension including orthostatic hypotension and syncope in ambulatory patients
Pregnancy and Lactation
Pregnancy; Use of NSAIDs can cause premature closure of fetal ductus arteriosus and fetal renal dysfunction leading to oligohydramnios and, in some cases, neonatal renal impairment
Lactation; Safety during lactation has not been established
Maximum Dosage
Adults
3,900 mg/day PO aspirin and 58 mg/day PO oxycodone hydrochloride.
Geriatric
3,900 mg/day PO aspirin and 58 mg/day PO oxycodone hydrochloride.
Adolescents
Safety and efficacy have not been established.
Children
Safety and efficacy have not been established.
Infants
Safety and efficacy have not been established.
Neonates
Safety and efficacy have not been established.
How supplied
oxycodone/aspirin
Tablet: Schedule II
4.8355mg/325mg