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Concurrent Alcohol and Percocet Abuse

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spilled wine mixed with pills

Percocet is the brand name for a mixture of oxycodone—one of the strongest opioids—and acetaminophen, the main component in over-the-counter fever reducers like Tylenol. An opioid is a synthetic derivative of opium, and opioids are commonly used in the strongest prescription painkillers (Julien, 2011).

Opioids induce feelings of euphoria and numbness in the user similar to those of heroin, and they build tolerance, making them ripe for addiction. Percocet is shorter-lasting than other oxycodone-based drugs like Oxycontin. It is used to treat moderate to severe pain rather than chronic pain. Acetaminophen has a well-documented history of causing liver damage, which is exponentially increased by alcohol use (Brune, et al., 2015).


Signs and Symptoms of Alcohol With Percocet

The visible effects of alcohol and Percocet abuse are no different than those of combining alcohol with any other painkiller. Both drugs slow breathing and limit coordination. People who use alcohol and Percocet at the same time have limited judgment and are a danger to themselves and others. Alcohol tolerance is decreased by the presence of painkillers.

Someone mixing Percocet and alcohol may merely seem extremely drunk, but the combination is actually much more dangerous. (McCabe et al., 2006). Here are the noticeable signs of concurrent alcohol and Percocet abuse:

  • Feeling of euphoria.
  • Slurred speech.
  • Drowsiness.
  • Shallow breathing.
  • Drowsiness.
  • Constant itching.
  • Needle marks.
  • Small pupils.
  • Excessive sweat.
  • Cold skin.
  • Dry mouth.
  • Numbness.

Alcohol and Percocet Facts:

  • Opioid painkillers are similar in properties and function to heroin.
  • Alcohol and painkillers amplify one another’s effects.
  • Percocet is a combination of oxycodone and acetaminophen.
  • Both are addictive.
  • Both Percocet and alcohol are dangerous for the liver.


Combined Effects of Percocet and Alcohol Abuse

The main difference between mixing alcohol with Percocet and mixing alcohol with other painkillers is the high possibility for severe liver damage. The FDA has issued a warning to pharmaceutical companies, limiting the amount of acetaminophen to be mixed into opioid painkillers (FDA News Release, 2011). Acetaminophen causes more than 400 deaths per year due to its effects on the liver. Alcoholic.org warns that all painkillers weigh heavily on the liver and that those using Percocet are best advised to avoid alcohol completely due to the risk of liver damage. The National Institute for Alcohol Abuse and Alcoholism states that the liver, along with the brain, heart and pancreas, are all organs that are negatively affected by alcohol (NIAA, 2010).

With prolonged use, a person will build a tolerance to alcohol and painkillers and form addiction (Gudin et al., 2013). Those with a history of alcohol abuse are more likely to develop dependence on opioid painkillers. Mixing alcohol with Percocet greatly increases the likelihood of overdose.

Effects of concurrent alcohol and Percocet use include:

  • Depressed respiratory system.
  • Constipation.
  • Inability to focus thoughts.
  • Low blood pressure.
  • Liver failure.
  • Heart attack.
  • Colon cancer.
  • Coma.
  • Death (risk especially high for concurrent alcohol use) (Julien, 2011; Kinney, 2009).

Find out more about how to help a Percocet addict when you call our helpline free at .


Treatment for Co-Occurring Alcohol and Percocet Addictions

12-Step Programs

Many people dependent on painkillers are afraid of the dramatic withdrawal. 12-Step education has a proven record of helping addicts of many varieties.

Percocet and alcohol addicts will go out of their way—despite financial, social and health problems—to purchase and use these drugs. They may be seeking out multiple doctors, hiding prescription bottles in odd places, and buying Percocet from people who are prescribed the drug for legitimate health reasons.


Statistics for Alcohol and Percocet Use

Percocet stats:

  • Nearly half of cases of acetaminophen use result in accidental overdose (FDA, 2013).
  • Roughly 400 deaths a year are related to acetaminophen overdose (FDA, 2013).
  • The Foundation for a Drug-Free World notes that about 10% of 12th graders abuse painkillers (2016).

Alcohol stats:

  • The National Institute on Drug Abuse finds that alcohol has the highest rate of dependence and abuse among all drugs (NIDA, 2015).
  • The CDC records over 80,000 alcohol-related deaths each year, and people aged 12 to 20 drink 11% of all alcohol consumed in the U.S.
  • The CDC also reports that adults over 26 comprise 70% of incidents involving alcohol abuse.
  • The National Institute on Alcohol Abuse and Alcoholism estimates that about 17 million Americans abuse alcohol.

Teen Drinking and Percocet Abuse

The Harvard Mental Health Letter cites teens and young adults as being more susceptible to painkiller addiction. Because Percocet has a legitimate use, teens are able to buy it from friends who have been prescribed Percocet. According to CNN, Percocet is sold on the street for around $10 to $15, about twice its actual value (CNN, 2011). The Foundation for a Drug-Free World counts painkillers as being only behind marijuana in popularity among teens who abuse drugs. Most teenagers do not believe painkillers are a serious danger.


Resources, Articles and More Information

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