Monograph N02AA05 - Oxycodone
Propably not porphyrinogenic
PNP
Rationale
Oxycodone is a substrate of CYP3A4, but is not an inhibitor or an inducer of CYP3A4 or other major CYP enzymes.
Risk for gastrointestinal adverse events in the form of obstipation, nausea, vomiting, loss of appetite, abdominal pain, diarrhoea and dyspepsia motivates vigilance against insufficient intake of food, especially of carbohydrate.
Chemical description
Oxycodone is an opioid.
Therapeutic characteristics
Very common side effects that can be potentially porphyrinogenic through reduction in carbohydrate intake and that also can be confused with an acute porphyria attack are obstipation, nausea and vomiting. Other common side effects are loss of appetite, abdominal pain, diarrhoea and dyspepsia.
Metabolism and pharmacokinetics
Oxycodone is metabolised to noroxycodone and oxymorphone by CYP3A4 and CYP2D6 respectively. They are then metabolised to noroxymorphone and excreted.
Oxycodone is not an inhibitor or an inducer of CYP3A4 (Interaksjoner and Soderberg 2013) or other major CYP enzymes.
Personal communication
Andersson clinical observation (n=1): tolerated.
Published experience
Oxycodone is listed as unsafe for patients with acute porphyria (Moore 2000).
IPNet drug reports
Uneventful use reported in 2 patients with acute porphyria.
Similar drugs
References #
Citation details
PMID
* Scientific articles 1.
Moore AW 3rd, Coke JM. Acute porphyric disorders.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000 Sep;90(3):257-62.
10982942 2.
Cytochrome p450-mediated changes in oxycodone pharmacokinetics/pharmacodynamics and their clinical implications.
Söderberg Löfdal KC, Andersson ML, Gustafsson LL. Drugs. 2013 May;73(6):533-43.
23605691 * Drug interaction databases 3.
Interaksjoner. Oxycodone. Accessed : 14.08.2013
* Summary of Product Characteristics 4.
Norwegian medicines agency. Summary of Product Characteristics (SPC). Oksykodon.
Tradenames
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Oxicodona · OXICODONA SANDOZ 10 mg COMPRIMIDOS DE LIBERACION PROLONGADA EFG · Oxicodona Sandoz 40 mg Comprimidos de Liberacion Prolongada efg · OXYCONTIN 10 mg COMPRIMIDOS DE LIBERACION PROLONGADA · OXYCONTIN 20 mg COMPRIMIDOS DE LIBERACION PROLONGADA · OXYCONTIN 40 mg COMPRIMIDOS DE LIBERACION PROLONGADA · OXYCONTIN 5 mg COMPRIMIDOS DE LIBERACION PROLONGADA · OXYCONTIN 80 mg COMPRIMIDOS DE LIBERACION PROLONGADA · Oxynorm 10 mg Capsulas Duras · OXYNORM 10 mg/ml SOLUCION INYECTABLE Y PARA PERFUSION · Oxynorm 20 mg Capsulas Duras · Oxynorm 5 mg Capsulas Duras · OXYNORM CONCENTRADO 10 mg/ml, SOLUCION ORAL · Taioma · Taioma 10 mg Comprimidos de Liberacion Prolongada efg · Taioma 20 mg Comprimidos de Liberacion Prolongada efg · Taioma 40 mg Comprimidos de Liberacion Prolongada efg · Taioma 5 mg Comprimidos de Liberacion Prolongada efg Ossicodone · Oxicodone · Oxycontin OXICODONA SANDOZ 40 mg · OXICODONA SANDOZ 60 mg · OXICODONA SANDOZ 80 mg · OXIDOLOR 20 mg · OXIDOLOR 40 mg · OXIDOLOR 80 mg Abtard · Candox · Carexil · Dolocodon · Dolocodon PR · Ixyldone · Leveraxo · Longtec · Lynlor · Onexila · Oxeltra · Oxyact · Oxycodone · OxyContin · Oxylan · OxyNorm · OxyNorm liquid · Oxypro · Proladone · Reltebon · Renocontin · Shortec · Zomestine Codilek Depot · Coxynon Depot · Lindoxa · Oxycodone Abboxia · Oxycodone Accord · Oxycodone Hameln · Oxycodone Kalceks · Oxycodone Teva · Oxycodone Vitabalans · Oxycodonhydrochlorid G.L. · OxyContin Depot · Oxylan Depot · OxyNorm · OxyNorm Dispersa · Reltebon Depot Oksykodon SA · Oxycodone Abboxia · Oxycodone Actavis · Oxycodone Hameln · Oxycodone Orifarm · OxyContin · OxyNorm · Reltebon Depot Accordeon · Oxycodon Stada · Oxycodone Hydrochloride Hameln · Oxycodone Kalceks · Oxycodone Molteni · Oxycodone Polpharma · Oxycodone Vitabalans · OxyContin · Oxydolor · Oxydolor Fast · OxyNorm · Reltebon · Xancodal OxyNorm · OxyNorm Instant · Oxypro Oxikodon Depot Actavis · Oxycodone Alvogen · Oxycodone HCl Lannacher · OxyContin Depot · OxyNorm · OxyNorm Dispersa Oxanest · Oxycodone Abboxia · Oxycodone Kalceks · Oxycodone Orifarm · Oxycodone Stada · Oxycodone Vitabalans · Oxycontin Depot · Oxycorion Depot · Oxynorm · Oxyratio · Oxyratio Depot Oxycodone Kalceks · Oxycodone Vitabalans Codexy®