Most people start using Percocet with the hope that their chronic pain or severe pain from an injury can be managed. This is a prescription medication that contains oxycodone (opioid) and acetaminophen. Unfortunately, even when Percocet is used as directed by a family doctor there is a high potential for abuse and addiction. Oxycodone is one of the active ingredients in Percocet and belongs to a family of drugs known as opioids. Opioids are highly addictive because they relieve pain by altering how the brain and central nervous system respond to pain signals. Many people are able to use this drug without becoming addicted. However, some people become addicted to it and struggle with being physically dependent on it.
Percocet is a Schedule II controlled substance meaning that it has a high abuse and dependence potential. Physical dependence can occur after several weeks on a high dose of the medication. The length of time it takes to become physically dependent greatly varies from person to person. The body becomes used to always receiving the drug and begins to alter the brain’s chemical balance to adjust to it. When a person becomes dependent on the medication it means that when they try to abruptly stop or reduce their medication use they will experience withdrawal symptoms.
Comedown from Percocet
Withdrawal from Percocet can be extremely painful because of the opioid drug inside the medication. Also, the acetaminophen in this drug intensifies oxycodone potency making it even more powerful. Percocet withdrawal symptoms are a lot similar to the morphine withdrawal symptoms. Withdrawal from Percocet can include agitation, anxiety, tremors, irritability, muscle aches, sweating, yawning, runny nose, increased tearing, loss of appetite insomnia, nausea, vomiting, goosebumps, joint pain, chills, weakness, abdominal cramping, fast heartbeat, fast breathing, diarrhea, and dilated pupils.
Percocet Abuse and Addiction
Taking Percocet anyway other than intended such as taking a higher dose, taking the medication more frequently, or using a different route of administration is considered abusing the medication. The reason people abuse this medication is so that the active ingredient, oxycodone can be released immediately into the body and arrive at the brain faster. This results in an almost immediate high creating euphoric feelings like everything is well in the world.
People typically abuse Percocet through crushing up and mixing the medication with a liquid and then injecting the substance into the body, crushing the pill into a fine powder and snorting it, or chewing the tablets. Abusing Percocet can result in harmful effects such as nausea, vomiting, severe constipation, confusion, drowsiness, slowed breathing, liver damage, and kidney failure.
Drug addiction is a disease that affects a person’s behaviors and leads to uncontrollable use of drugs such as Percocet. An addiction to this drug typically starts with people being prescribed the medication. Over time, medication use becomes more frequent because a person becomes tolerant. This means they need a higher dose to experience the same effects they did when they first started taking the medication.
Eventually, a person will need to take Percocet just to feel normal and it may become difficult to stop using the medication. Once a person is addicted to Percocet it will be extremely difficult to successfully quit the medication due to the intense cravings as well as physical and psychological pain that occurs while withdrawing. How long does Percocet withdrawal last? The Percocet withdrawal timeline will vary from person to person. Many factors contribute to the length of time it takes to detox from this medication such as the dosage a person is taking, their metabolism, and whether or not they are taking Percocet with other drugs or substances like alcohol. Below is a general guide to how long the Percocet withdrawal will last. Day 1 The half-life of Percocet (oxycodone ingredient) is about 3.2 hours for the immediate-release formula. Generally, if a person is dependent, they can expect to see withdrawal symptoms around 6 to 7 hours after they take the last dose. Early symptoms of opioid withdrawal can resemble the flu. Early symptoms include yawning, anxiety, muscle aches, runny nose, sweating, increased tearing, anxiety, and agitation. Day 2-3 Around 2 to 3 days after a person takes their last dose of Percocet, withdrawal symptoms will generally peak in intensity. Later withdrawal symptoms include abdominal cramping, nausea, vomiting, goosebumps, dilated pupils, and diarrhea. Day 4-7 At this point, depending on the severity of the person’s addiction, the intensity of the physical withdrawal symptoms should be going down. According to a study published in Addiction Science and Clinical Practice , the brain abnormalities that produce dependence appear to resolve within days or weeks after detoxification. Typically, physical withdrawal symptoms subside in a week after a person takes their last dose of Percocet. Week 2 and beyond 2 weeks after a person takes their last dose of Percocet the majority of their physical symptoms should be gone. However, an article published in Dialogues in Clinical Neuroscience , stated that people may even experience fatigue, feeling unwell, insomnia, and irritability for 6 to 8 months after abstinence from an opioid-containing drug, like Percocet.
Withdrawal Timeline
Psychologically withdrawal symptoms can go on for a long time after a person finishes withdrawing. The study published in Addiction Science and Clinical Practices, mentioned that the brain abnormalities that produce addiction are wide, ranging, and complex. These abnormalities can result in cravings that cause a person to relapse months or even years after an individual is no longer dependent on opioids like Percocet.
Psychological symptoms such as depression can persist longer if a person is not provided with treatment. This is because chronic use of Percocet creates brain abnormalities. Basically, Percocet reduces a person’s ability to naturally produce chemicals that are associated with feeling pleasure. This creates an inability to feel pleasure when opioids are not present in a person’s system, resulting in depression and other psychological disturbances. Unfortunately, psychological symptoms will continue for weeks, months, or even years after a person takes their last dose of Percocet unless they receive mental health treatment.
Treatment Options
The best way to treat a Percocet addiction is by medical and mental health professionals at a rehabilitation clinic or inpatient hospitalization. Medical detox at a rehab clinic can ensure a person is safe and comfortable by providing them with medications and behavioral therapy. Medications such as methadone, buprenorphine, and clonidine are available to ease the withdrawal symptoms associated with opioid detox. Behavioral therapy is a critical part of therapy because it addresses the underlying cause of Percocet abuse and has the ability to alter maladaptive thought patterns associated with using the medication. Behavioral therapy can also teach valuable coping skills to help a person refrain from using this medication in stressful situations.
However, the biggest complication is returning to drug use. Most opioid overdose deaths occur in people who just finished their detox. Therefore, aftercare is so important because most people need life-long treatment after detox. Self-help groups like Narcotics Anonymous surround a person with peers who are going through the same addiction recovery journey. Also, once a person completes their detox process, naltrexone can be prescribed to prevent relapse. Through the combination of medications and therapy, a person is well equipped to avoid relapse and live an abstinent, healthy life.
Finding Help
No one should have to go through the painful detox process alone. If you or someone you love is dependent on Percocet, finding a high-quality rehab facility can provide help with withdrawal symptoms. Rehab can greatly increase your chances of experiencing a successful withdrawal through providing you with the physical and mental support you need to overcome your Percocet addiction.
References
- Addiction Treatment Options. Sunshine Behavioral Health.
- Drug addiction (substance use disorder). Mayo Clinic.
- Morphine. U.S. National Library of Medicine.
- Neurobiology of opioid dependence: Implications for Treatment. Addiction and Science Clinical Practice Journal.
- Opiate and opioid withdrawal. U.S. National Library of Medicine.
- Oxycodone. Center for Substance Use Disorder Research.
- Percocet. Food and Drug Administration.
- Pharmacologic treatments for opioid dependence: detoxification and maintenance options. Dialogues in Clinical Neuroscience.
- Prescription opioid analgesics increase the risk of major depression The Journal of the Missouri State Medical Association.
Medical disclaimer:
Sunshine Behavioral Health strives to help people who are facing substance abuse, addiction, mental health disorders, or a combination of these conditions. It does this by providing compassionate care and evidence-based content that addresses health, treatment, and recovery.
Licensed medical professionals review material we publish on our site. The material is not a substitute for qualified medical diagnoses, treatment, or advice. It should not be used to replace the suggestions of your personal physician or other health care professionals.