Oxycodone
OXY
Primary Products
DrugSURE® Integrated Test Cups
DrugSURE® Dip Tests
OralTox® Oral Fluid Tests
What is Oxycodone?
Oxycodone is a semi-synthetic opioid medication derived from thebaine and used medically for moderate to severe pain management. It is available in immediate-release and extended-release formulations (e.g., OxyContin®, Roxicodone®), and typically appears as tablets or capsules in various colors, sizes, and imprints depending on manufacturer. In clinical use, it is taken orally under strict medical supervision due to its high abuse potential.
Recreationally, oxycodone may be swallowed, crushed and snorted, or—in more serious misuse cases—dissolved and injected to intensify its euphoric and sedative effects. Because it directly activates the brain’s opioid receptors, oxycodone carries significant risks for dependence, respiratory depression, overdose, and transition to stronger illicit opioids if misused.
Effects:
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Pain relief and relaxation
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Euphoria or a sense of well-being
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Drowsiness and sedation
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Slowed breathing and respiratory depression
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Constricted “pinpoint” pupils
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Nausea or vomiting
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Itching or flushed skin
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Impaired coordination and slowed reaction time
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Constipation
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High risk of tolerance, dependence, and withdrawal symptoms
Commons Slang Terms:
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Oxy
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Oxys
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OC
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Percs / Percocets
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Hillbilly heroin
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Blues (for certain 30 mg tablets)
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Roxy / Roxies
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80s (referring to OxyContin® 80 mg, historically)
Legal Status:
Oxycodone is classified as a Schedule II controlled substance in the United States, meaning it is legal only with a valid prescription but has a high potential for abuse, addiction, and diversion. Because of this scheduling, oxycodone is routinely included in standard drug-testing panels for workplaces, treatment programs, court-ordered monitoring, and other supervised environments.
In point-of-care (POC) rapid toxicology testing programs, oxycodone often requires its own dedicated test line, as standard opiate screens may not reliably detect it due to its chemical structure. This makes targeted oxycodone assays valuable for identifying misuse versus prescribed medical use. Any presumptive positive at the POC level typically requires laboratory confirmation to verify accuracy and to distinguish legitimate prescriptions from non-medical use.
Its controlled status also means that programs must document prescription disclosures, maintain strict chain-of-custody procedures, and apply consistent policies when evaluating positive results to ensure compliance with federal and employer standards.
Screening Options:
LEGEND
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