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Oxycodone (ok-see-co-don) is a pain-relief medicine used to treat severe pain. It is often used to treat pain following an operation (surgery). It is usually given together with other pain-relief medicines such as paracetamol (e.g. Panadol) and anti-inflammatories (e.g. Nurofen).
Oxycodone is made by many different companies, and different brands of the same medicine have different names (e.g. Endone, OxyContin).
Your child’s doctor will work out the amount (the dose) of oxycodone that is right for your child. The dose will be shown on the medicine label.
Oxycodone comes in fast- and slow-acting preparations and is available as tablets, capsules, liquid and suppositories. Targin-brand tablets contain oxycodone and another medicine called naloxone (a medicine that can make constipation less likely). Your doctor or pharmacist will advise which product is most suitable for your child.
If your child is prescribed a fast-acting preparation, it should be given as needed when pain is not controlled by simple pain-relief medicines such as paracetamol (e.g. Panadol). Fast-acting preparations start to relieve pain within 30 minutes, and may be taken up to every four hours if needed.
Slow-acting preparations release the medicine slowly over a longer period. Slow-acting oxycodone is usually given twice each day, as directed by your doctor. You should give one dose in the morning and one dose in the evening – giving the doses 12 hours apart is best (e.g. if the morning dose is given at 8am, the evening dose should be given at 8pm).
If your child is prescribed both fast- and slow-acting oxycodone, you must not give both preparations at the same time. It’s important to allow at least one hour between giving each preparation (e.g. if your child takes a dose of slow-acting oxycodone at 8am, you must wait until after 9am to give a dose of fast-acting oxycodone). If more than one person usually gives your child their medication, make sure that you communicate and write down doses given so that you don’t give extra doses by mistake.
Fast-acting oxycodone preparations should only be given when it is needed for pain.
If you miss a dose of a slow-acting preparation (e.g. Novacodone, OxyContin or Targin), it can be given as soon as you remember, as long as this is at least six hours before the next dose is due. Otherwise, skip the missed dose and continue giving the medicine at the normal times.
If you think you may have given your child too much oxycodone, call the Poisons Information Centre on 13 11 26 as soon as possible, even if your child shows no symptoms. In the case of an emergency, call an ambulance or take your child to the nearest hospital emergency department. Have the medicine container or packaging with you, even if it is empty, as this information will be useful.
Medicines are designed to make us better, but sometimes they have unwanted effects (side effects). Some side effects will go away with time, or after the dose has been changed.
Speak to your child’s doctor if you are worried about any of the following:
To avoid constipation, encourage your child to drink plenty of water and eat fruits and vegetables. If constipation is a problem for your child when taking oxycodone, your doctor may prescribe a medicine (laxative) to help move your child’s bowels.
Your child may feel sleepy or dizzy while taking oxycodone. Care must be taken with activities like bike riding or climbing, or, for older children, driving or operating heavy machinery.
Oxycodone should not be given with any medicine containing codeine or morphine. Also avoid alcohol and other medicines that cause drowsiness (e.g. medicines to help with sleep problems, prescription cough medicines and other strong pain-relief medicines).
You should call an ambulance immediately if your child:
There may be other side effects that are not listed in this fact sheet. If you notice anything unusual or are concerned about your child, contact your doctor.
Can my child become addicted to oxycodone?
When oxycodone is used for pain and given at the recommended dose for a short period of time, it does not cause addiction. When used for a long period of time, people can get used to having it in their system and become tolerant to it.
Misuse of oxycodone can lead to addiction. Always follow the instructions on the medicine label and give all medicines as directed by your doctor.
Can other medicines be given at the same time as oxycodone?
Care must be taken when using oxycodone with some other medicines. Tell your doctor and pharmacist about any other medicines your child is taking before starting oxycodone, including complementary (natural) medicines.
It is safe to give simple pain medicines such as paracetamol (e.g. Panadol) and anti-inflammatories (e.g. Nurofen) with oxycodone. Consuming alcohol or other medicines that cause drowsiness (e.g. medicines to help with sleep problems, prescription cough medicines and other strong pain-relief medicines) can be dangerous while taking oxycodone. Your child should not be given any medicine containing codeine or morphine while taking oxycodone.
Check with your doctor or pharmacist before giving any other medicines to your child. This includes prescription medicine, medicine purchased from a pharmacy or supermarket without a prescription and herbal or complementary medicines.
Developed by The Royal Children's Hospital Medication Safety Committee and Children’s Pain Management Service. We acknowledge the input of RCH consumers and carers.
Developed March 2019.
Kids Health Info is supported by The Royal Children’s Hospital Foundation. To donate, visit www.rchfoundation.org.au.
This information is intended to support, not replace, discussion with your doctor or healthcare professionals. The authors of these consumer health information handouts have made a considerable effort to ensure the information is accurate, up to date and easy to understand. The Royal Children's Hospital Melbourne accepts no responsibility for any inaccuracies, information perceived as misleading, or the success of any treatment regimen detailed in these handouts. Information contained in the handouts is updated regularly and therefore you should always check you are referring to the most recent version of the handout. The onus is on you, the user, to ensure that you have downloaded the most up-to-date version of a consumer health information handout.