Prescription opioids like hydrocodone and oxycodone are effective for managing pain, but their high potential for abuse and addiction has significantly impacted communities, including those in Asheville, NC, and beyond. Understanding the differences between these two commonly prescribed medications can help you recognize the risks and take the first step toward recovery. 

At Silver Ridge, we specialize in helping individuals overcome prescription drug addiction in a supportive, healing environment. In this blog, we’ll explore the key differences between hydrocodone and oxycodone, commonly abused prescription drugs and the importance of seeking professional treatment for addiction. 

What to Know About Prescription Drug Abuse and Addiction 

In North Carolina and across the U.S., the opioid epidemic has brought prescription drug abuse to the forefront of public health concerns. While opioids like hydrocodone and oxycodone are prescribed for legitimate medical purposes, their misuse can lead to addiction and life-threatening consequences. 

Signs of Prescription Drug Abuse: 

• Taking higher doses than prescribed 

• Using medication for non-medical reasons, such as to get high 

• “Doctor shopping” or visiting multiple providers to obtain prescriptions 

• Experiencing withdrawal symptoms when not using the drug 

Prescription drug addiction doesn’t discriminate—it affects people from all walks of life, including those in Asheville and surrounding areas. 

Commonly Abused Prescription Drugs 

Many prescription medications are prone to being misused. Here are some of the most commonly abused drugs, their medical names and their street names: 

• Hydrocodone (Vicodin): Street names include “Vikes” or “Watsons” 

• Oxycodone (OxyContin, Percocet): Known as “Oxy,” “Percs” or “Hillbilly Heroin” 

• Alprazolam (Xanax): Street names include “Bars” or “Zannies” 

• Adderall (Amphetamine): Often referred to as “Addys” or “Speed” 

These medications, while effective when taken as prescribed by a physician for treating pain, anxiety or attention disorders, can lead to dependency and addiction when misused. 

What Is Hydrocodone? 

Hydrocodone is an opioid used to treat moderate to severe pain. It is often combined with acetaminophen and sold under brand names like Vicodin or Norco. 

Risks of Hydrocodone Use: 

• Physical dependence after prolonged use 

• Drowsiness, nausea and constipation 

• Risk of respiratory depression in cases of overdose 

In Asheville and across North Carolina, hydrocodone misuse has become a significant contributor to the opioid epidemic. 

What Is Oxycodone? 

Oxycodone, like hydrocodone, is a prescription opioid used for pain relief. It is often prescribed as OxyContin or combined with acetaminophen under the name Percocet. 

Risks of Oxycodone Use: 

• High potential for addiction due to its potency 

• Euphoria that increases the likelihood of misuse 

• Long-term effects, including tolerance and withdrawal symptoms 

Oxycodone’s misuse has similar consequences to hydrocodone but is often considered more potent, making it especially dangerous when abused. 

Hydrocodone vs. Oxycodone: Key Differences 

While both drugs belong to the opioid class and are prescribed for pain management, there are differences in their composition and effects: 

• Potency: Oxycodone is generally considered more potent than hydrocodone. 

• Side Effects: Hydrocodone often causes more drowsiness, while oxycodone is associated with more intense euphoria. 

• Usage: Hydrocodone is often prescribed for moderate pain, while oxycodone is used for moderate to severe pain. 

Understanding these differences is essential, but both drugs share a high risk of addiction and misuse. 

Reclaim Your Life at Silver Ridge Recovery 

Hydrocodone and oxycodone addiction may feel overwhelming, but recovery is possible with the right support. At Silver Ridge, we’re here to help individuals in Asheville and surrounding communities overcome prescription drug addiction and build a healthier, brighter future. 

Contact us today to take the first step toward lasting recovery. Let Silver Ridge guide you on your journey to freedom from addiction.