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  • BDD Moderators: Keif’ Richards

Difference between hydrocodone and oxycodone?

ravaged_eden

Bluelighter
Joined
May 5, 2006
Messages
72
Location
Minnesota
I was just curious as to if someone could explain to me (in fairly basic terms) what the difference between hydrocodone and oxycodone is? I'm talking about the drug itself, not referring to the generic names for pills. I've always sort of told people when they ask that oxycodone is the drug in all painkillers and that they're just different combinations with ibuprofen/APAP/etc, but I realized the other day that that's not really true, since hydrocodone is the actual drug in pills like Vicodin if I'm not mistaken?
 
There are a range of opioids that can be combined with APAP/ibuprofen.. hydrocodone and oxycodone are the two most common ones in the US. Vicodin does indeed contain hydrocodone.

Oxycodone is stronger than hydrocodone (20mg oxycodone = 30mg hydrocodone according to the conversion chart in my sig) and is metabolised to hydromorphone. Oxycodone is metabolised to oxymorphone.
The wikipedia pages are quite good:
Hydrocodone
Oxycodone

I don't know much about the difference in the highs as we don't have hydrocodone over here, and oxycodone is pretty rare!
 
Oxycodone is basically 14-hydroxy-hydrocodone (it has another oxygen atom inserted on a certain position of the hydrocodone molecule). Oxycodone is generally regarded as more stimulating (less sedating) and much more powerful (milligram for milligram) than hydrocodone. It is in widespread usage for moderate to severe pain in first world countries in various dosage forms (oral pills, oral extended release i.e. Oxycontin, oral liquid, injections)

Hydrocodone is more known in the US and Canada, it is the active ingredient in e.g. Vicodin and Norco. It is regarded as a much weaker opiate than oxycodone that is more useful for cough suppression and moderate pain. It is generally prescribed in combination with acetaminophen or antihistamines in syrups and pills. Some people make said syrups into "sizzurp" by mixing them with fizzy drinks and occasionally hard candy or jelly beans.

All painkillers are formulated differently. There are actually several opiates in common worldwide usage that are compounded with APAP. For instace there are hydrocodone/APAP (Vicodin, Norco), hydrocodone/ibuprofen (Vicoprofen), oxycodone/APAP (Percocet), oxycodone/aspirin (Percodan), codeine/APAP (Tylenol number series, plus caffeine in Canada), dihydrocodeine/APAP (co-dydramol) and many more. In addition there are hundreds of single-ingredient formulations ranging from hydromorphinol to ethylmorphine in various compounding forms. In practical usage, however, there are only about 6 to 8 true or semi-synthetic opiates that are in active usage worldwide.

This doesn't even begin to touch on fully synthetic drugs like tramadol, methadone, fentanyl and such.
 
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