Oxycodone/Acetaminophen, sold under the brand name Percocet among others, is a combination medication used to help relieve moderate to severe pain. It contains an opioid pain reliever (oxycodone) and a non-opioid pain reliever (acetaminophen). Oxycodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever.
PERCOCET® is a Registered Trademark of Endo Pharmaceuticals Inc. Percocet is a strong pain reliever most often prescribed for intense, short-term pain felt after surgery or trauma, but it is also sometimes used for patients with severe chronic pain. Percocet is often seen as a safer way to get high because it is legal to purchase (it is available with a prescription).
However, Percocet is still widely abused for its narcotic effect. A high enough dose can result in a sense of euphoria similar to that experienced by heroin users. Abuse of Percocet can lead to addiction to Percocet or to something harder.
Why is fake Percocet popping up everywhere?
The use of Percocet by recreational drug users and addicts has created a black market for prescription pills which include real diverted pills and fake Percocet pills containing the deadly fentanyl. This is because it takes very little to produce a high with fentanyl, making it a cheaper option. This is especially risky when people taking drugs don’t realize they might contain fentanyl as a cheap but dangerous additive. They might be taking stronger opioids than their bodies are used to and can be more likely to overdose. Fentanyl is a powerful synthetic opioid that is similar to morphine but is 50 to 100 times more potent
Statistics show fentanyl is popping up in more substances and illicit drugs around the world. The Drug Enforcement Administration has reported a notable increase in seizures of methamphetamine and cocaine that include fentanyl. Federal officials believe that some of the mixing of substances at the drug trafficking level may be unintentional, especially when dealers are selling more than one drug. Synthetic opioids contributed to more than 36,000 overdose deaths nationwide in 2019, according to the National Center for Health Statistics. Deaths involving fentanyl made up more than half of the 2,320 drug-related deaths in 2019 in North Carolina.
How to Spot Fake Percocet
In their latest report on fake online pharmacies that ply their trade in the United States, the National Association of Boards of Pharmacy (NABP) found more than 1,500 new websites that it considers “Not Recommended,” and of these, 31% are offering illicit prescription drugs. Studies have shown that, poor quality medicines represent a global threat to the public health that can result in treatment ineffectiveness, drug resistance, increased morbidity and mortality rate, economic loss and problems to the healthcare system.
As a consumer, you may not have access to most of the test equipment used by regulatory bodies to verify the identity of a drug product. The following tips will serve as a guide to purchasing genuine Percocet pills and help you avoid fakes;
Visual inspection as stated by the World Health Organization (WHO) (1999) still remains the first step in identifying potential fake drug irrespective of the analytical methods used. This is because such observation serves as a lead to identifying fake products even in the absence of the knowledge of the physical characteristics of a genuine drug product. You are expected to examine carefully both the package and its content before purchase or use.
Visual inspection of the Package
- Examine the package and check if it appears suspicious or different from what you previously know.
- Check if the security seal has been tampered with by looking for breaks or tears in the sealing tape and seals.
- Look for unusual fonts, font sizes, print colour, and spelling errors.
- Check the legibility of the information on both the primary and secondary packages.
- Check if the batch number, expiry date and manufacturer’s address on the secondary package are the same with that on the primary package.
- Check if the manufacturer’s address is traceable, that is, if it contains the exact location of the company and not just the country address.
- Check if the registration number (FDA number as the case is for products marketed or sold in United States) is properly printed or if it appears to be tampered with.
Visual inspection of the Dosage form
At this stage, you are meant to Check for differences in the physical appearance (colour uniformity, size, shape, consistency etc.) of the drug. As stated by WHO, commonly encountered physical defects that should be looked out for in tablets include:
- Excessive powder and/or pieces of tablets at the bottom of the container (from abraded, crushed or broken tablets);
- Cracks or chips in the tablets, swelling, mottling, discolouration, fusion of tablets;
- Appearance of crystal on the walls of the container or on the tablet.
- Hardening or softening, cracking, swelling, mottling or discolouration of capsule shell should also be looked out for.
The source of the drug also determines if you are buying a fake Percocet pills or not. Buying Mexican Percocet exposes you to a lot of risk. Filling your prescription in a reputable pharmacy greatly reduces your chances of buying fake drugs while buying from illiterate and unqualified vendors who hawk drugs in buses, motor parks and in the streets increases your chances of buying fake drugs.
This is another way of identifying fake Percocet. If the price is far cheaper than what is expected, then you have to think twice. However, this may not always be true especially for some products (fake innovator/generic brands) which may be sold at the same price as the genuine one.
Unexpected side effect
Counterfeit Percocet most of the time contains substances other than the appropriate Active Pharmaceutical Ingredient (API). They may contain incorrect substances, improper dosage or hazardous substances like Fentanyl which produce unusual side effects, worsening medical condition after taking it. The medication should be stopped once any of the above is noticed.
Fentanyl testing is one of the most reliable ways of telling a fake from a real Percocet. A new University of Maryland study found fentanyl tops the list of drugs detected in overdose patients at two Baltimore hospital emergency departments. The finding suggests that hospitals and medical systems throughout the United States consider adding fentanyl, a potent synthetic opioid linked to most fatal overdoses in Maryland, to their routine drug testing panels. That is the conclusion of researchers at the University of Maryland School of Medicine (UMSOM) and the Center for Substance Abuse Research (CESAR) at the University of Maryland, College Park. Currently, fentanyl is not routinely included in these panels nationwide. The procedure described below can help law enforcement agents and public health officials to pick out fentanyl laced powders and pills .
- Crush pill or pour powder into a clean bowl or test tube
- Add ¼ inch of clean water to the powder in the tube or bowl and mix properly
- Dip the end of the test strip into the residue for 15 seconds, remove, and lay on a clean flat surface
- Check strip after 5 minutes, (manufacturer’s directions) results may be visible sooner: One line means fentanyl (positive) Two lines means no fentanyl (negative) * If the strip does not either have one or two lines, the test is invalid.
According to the Pharmaceutical Research and Manufacturers of America, consumers who purchase medications online should avoid the following: sites that are located outside of the U.S. that do not indicate any physical address; sites that do not have a license by the relevant State Boards of Pharmacy; sites without a licensed pharmacist to answer questions; and websites that do not require a prescription.
Consumers who wish to purchase drugs over the Internet should look for websites that have the Verified Internet Pharmacy Practice Sites seal. These sites, which are created by the National Association of Boards of Pharmacy, are licensed pharmacies selling FDA-approved medications to discourage the sale of counterfeit drugs from illegitimate online sources
Percocet Safety Information
- You should be aware that PERCOCET (oxycodone and acetaminophen tablets) tablets contain oxycodone, which is a morphine-like substance.
- Keep PERCOCET (oxycodone and acetaminophen tablets) tablets in a secure place out of the reach of children. In the case of accidental ingestions, emergency medical care should be sought immediately.
- When PERCOCET (oxycodone and acetaminophen tablets) tablets are no longer needed, the unused tablets should be destroyed by flushing down the toilet.
- Do not to adjust the medication dose yourself. Instead, consult your prescribing physician.
- PERCOCET (oxycodone and acetaminophen tablets) tablets may impair mental and/or physical ability required for the performance of potentially hazardous tasks (e.g., driving, operating heavy machinery).
- Do not combine PERCOCET (oxycodone and acetaminophen tablets) tablets with alcohol, opioid analgesics, tranquilizers, sedatives, or other CNS depressants unless under the recommendation and guidance of a physician. When co-administered with another CNS depressant, PERCOCET (oxycodone and acetaminophen tablets) tablets can cause dangerous additive central nervous system or respiratory depression, which can result in serious injury or death.
- The safe use of PERCOCET (oxycodone and acetaminophen tablets) tablets during pregnancy has not been established; thus, women who are planning to become pregnant or are pregnant should consult with their physician before taking PERCOCET (oxycodone and acetaminophen tablets) tablets.
- Nursing mothers should consult with their physicians about whether to discontinue nursing or discontinue PERCOCET (oxycodone and acetaminophen tablets) tablets because of the potential for serious adverse reactions to nursing infants.
- If you are being treated with PERCOCET (oxycodone and acetaminophen tablets) tablets for more than a few weeks, you should not to abruptly discontinue the medication. Consult your doctor for a gradual discontinuation dose schedule to taper off the medication.