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Available abuse deterrent opioids

Available abuse deterrent opioids
Generic compound ADF mechanism Dosages available Deterrence label* Comments
Oxycodone
OxyContin (oxycodone extended-release) and abuse-deterrent generic equivalent Difficult to crush and if dissolved, the tablet forms a viscous gel that is difficult to inject IV. Tablets: 10 mg, 15 mg, 20 mg, 30 mg, 40 mg, 60 mg, 80 mg IV, nasal  
Xtampza ER (oxycodone extended-release)

Capsules contain microspheres of oxycodone and inactive ingredients that hinder dosage dumping via intranasal and oral abuse.

Microspheres cannot be readily dissolved and will solidify within a needle to prevent injection.
Capsules: 9 mg, 13.5 mg, 18 mg, 27 mg, 36 mg IV, nasal, oral

A good option for patients unable to swallow tablets. The capsules can be opened so that the microspheres may be safely poured into a feeding tube, sprinkled onto food, or placed directly into the mouth.

Dosage expressed as oxycodone base; 9 mg base is equivalent to 10 mg oxycodone hydrochloride.
Targin (oxycodone extended-release plus naloxone) Contains naloxone (opioid antagonist) which is not active when taken orally, but blocks opioid associated euphoria when injected or inhaled. Tablets: 5/2.5 mg, 10/5 mg, 20/10 mg, 40/20 mg IV, nasal Available in Canada and other countries, not available in the United States.
Hydrocodone
Hysingla ER (hydrocodone extended-release tablet) and abuse-deterrent generic equivalent Difficult to crush and if dissolved, the tablet forms a viscous gel that is difficult to inject IV. Tablets: 20 mg, 30 mg, 40 mg, 60 mg, 80 mg, 100 mg, 120 mg IV, nasal, oral  
This table shows the available opioids with FDA approval for abuse deterrent labeling. A number of other ADFs have been approved by the FDA but have either been discontinued or never marketed. Some other opioids have abuse deterrent properties but do not have FDA approval for abuse deterrent labeling.

ADF: abuse deterrent formulation; IV: intravenous; ER: extended release; FDA: Food and Drug Administration.

* The type of potential abuse deterred according to the drug label.
Data from:
  1. US product information (available online at https://dailymed.nlm.nih.gov/dailymed/about.cfm) and Health Canada product monograph.
  2. Lexicomp Online. Copyright © 1978-2024 Lexicomp, Inc. All Rights Reserved.
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