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OxyContin: Uses, Risks & Safe Access

What Is OxyContin?

OxyContin is an extended-release formulation of oxycodone used to treat severe, around-the-clock pain that requires long-term opioid therapy when other treatments are inadequate.

In the U.S., it is a Schedule II controlled substance.

How It Works

OxyContin:

  • Releases oxycodone slowly over time

  • Binds to opioid receptors in the brain and spinal cord

  • Reduces pain perception for extended periods

Because it is long-acting and potent, dosing must be carefully individualized and monitored.

Risks & Side Effects

Common

  • Drowsiness

  • Nausea

  • Constipation

  • Dizziness

Serious

  • Respiratory depression (slowed or stopped breathing)

  • Opioid use disorder

  • Overdose (especially if tablets are crushed or misused)

  • Dangerous interactions with alcohol or sedatives

Extended-release opioids carry particularly high overdose risk if misused.

Why “No Prescription” or Overnight Sites Are Dangerous

Websites offering opioids without prescriptions may:

  • Sell counterfeit or contaminated pills

  • Provide incorrect strengths

  • Operate illegally

  • Increase the risk of fatal overdose

Some counterfeit pills have contained illicit fentanyl, which can be life-threatening even in small amounts.

Safe & Legal Pain Management

If you’re dealing with severe pain:

  1. Schedule a medical evaluation (in person or legitimate telehealth).

  2. Review your diagnosis, pain severity, and treatment history.

  3. Discuss whether long-acting opioids are appropriate—or if safer alternatives may work.

  4. Fill prescriptions only at licensed pharmacies.

Alternatives to Long-Acting Opioids

Depending on your condition, options may include:

Medications

  • NSAIDs (ibuprofen, naproxen)

  • Acetaminophen

  • Antidepressants for nerve pain

  • Anticonvulsants

Non-Drug Approaches

  • Physical therapy

  • Rehabilitation programs

  • Behavioral pain management

  • Interventional pain procedures

A multimodal approach often improves outcomes and reduces opioid reliance.




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