IP 204 Pill: Oxycodone 10/325 Identification and Risks

The white pill marked IP 204 contains 10 mg of oxycodone hydrochloride and 325 mg of acetaminophen. Current DailyMed labeling from Amneal describes the tablet as white to off-white, capsule-shaped, biconvex, marked IP204 on one side and plain on the reverse. Oxycodone is a Schedule II opioid.

IP 204 should not be confused with IP 110. Both are opioid/acetaminophen tablets with a “10 mg / 325 mg” combination, but IP 204 contains oxycodone while IP 110 contains hydrocodone. Matching milligram numbers do not make two different opioids equivalent.

A loose pill from an unknown source cannot be authenticated from the imprint alone. Counterfeit opioid tablets can be manufactured to resemble approved prescription pills.

IP 204 Pill Identification

What Is the IP 204 Pill?

IP 204 is an immediate-release oxycodone/acetaminophen tablet. It combines an opioid analgesic with acetaminophen and is used for pain severe enough to require an opioid when alternative treatments are inadequate.

The pill is sometimes loosely referred to as “Percocet” because Percocet is a familiar brand of oxycodone/acetaminophen. IP 204 is better described as a generic oxycodone/acetaminophen 10 mg/325 mg tablet.

IP 204 vs. IP 110

This is one of the most important comparisons in this pill cluster because a quick search for “IP 10/325” can surface both drugs. The complete imprint must be checked.

IP 204 vs. RP 10 / 325

IP 204 and RP 10/325 can both identify oxycodone 10 mg / acetaminophen 325 mg products.

How Strong Is IP 204?

Each IP 204 tablet contains 10 mg oxycodone hydrochloride and 325 mg acetaminophen. The strength identifies the product but is not a dosing recommendation for an individual reader.

Oxycodone is a potent opioid. A person without opioid tolerance can experience serious sedation and respiratory depression, especially when other depressants are involved.

What Is Oxycodone?

Oxycodone is a semisynthetic opioid analgesic. It binds to opioid receptors and can reduce pain, but it can also cause euphoria, drowsiness, slowed breathing, constipation, nausea, tolerance, physical dependence, and opioid use disorder.

DEA lists oxycodone as a Schedule II controlled substance.

What Is Acetaminophen Doing in IP 204?

Acetaminophen adds non-opioid pain relief. Each tablet contains 325 mg. Excessive acetaminophen exposure can cause severe liver injury.

FDA states that adults and children age 12 and older should not exceed 4,000 mg of acetaminophen in 24 hours from all sources combined unless instructed to use a lower limit.

What Is IP 204 Prescribed For?

Current labeling indicates oxycodone/acetaminophen for pain severe enough to require an opioid analgesic when alternative treatments are inadequate.

The medication should only be used according to the prescription written for that patient. Sharing, escalating, or using an unknown pill can increase overdose risk.

Common Side Effects

Opioid/acetaminophen tablets can cause:

• Drowsiness
• Dizziness
• Nausea
• Vomiting
• Constipation
• Lightheadedness
• Impaired coordination or judgment

Patients should follow prescribing instructions regarding driving and machinery.

IP 204 and Alcohol

Alcohol can intensify oxycodone-related sedation and respiratory depression. Combining opioids with alcohol can cause profound sedation, coma, and death.

IP 204 and Benzodiazepines

Benzodiazepines such as alprazolam, clonazepam, diazepam, and lorazepam can also suppress the central nervous system. Using them with oxycodone substantially increases overdose risk.

Can You Overdose on IP 204?

Yes. Oxycodone can slow or stop breathing. Taking too much of an oxycodone/acetaminophen product can also produce dangerous acetaminophen exposure.

Signs of opioid overdose include inability to wake, very slow or absent breathing, gurgling sounds, severe discoloration, and pinpoint pupils. Call emergency services and give naloxone if available.

Can IP 204 Get You High?

Oxycodone can produce euphoria and sedation. Using IP 204 to pursue those effects is misuse. Crushing, combining substances, increasing the amount, or taking tablets from an unknown source increases harm and overdose risk.

Can IP 204 Cause Addiction?

Yes. Oxycodone can cause opioid use disorder. Warning signs include craving, impaired control, continuing use despite harm, taking more than intended, obtaining pills outside medical care, and repeated unsuccessful attempts to stop.

Oxycodone Physical Dependence and Withdrawal

Repeated oxycodone exposure can produce physical dependence. Abrupt discontinuation can trigger symptoms such as restlessness, muscle aches, sweating, yawning, runny nose, anxiety, insomnia, nausea, vomiting, diarrhea, and abdominal cramping.

Current opioid labeling advises against abruptly stopping treatment in a physically dependent patient. Reduction should be individualized.

Can IP 204 Be Counterfeit?

Yes. Counterfeit prescription pills can reproduce the IP 204 imprint and appearance. FDA warns that counterfeit medicine may contain unexpected ingredients or incorrect amounts.

A pill bought through social media, a dealer, or an unsafe online source should not be assumed to be oxycodone simply because it looks correct.

IP 204 and Fentanyl Counterfeit Risk

Illicit pills sold as oxycodone are a recognized counterfeit-pill concern. Visual appearance cannot prove that a tablet contains pharmaceutical oxycodone rather than fentanyl or another unexpected substance. The reliable distinction is the licensed pharmacy supply chain.

What Should You Do With an Unknown IP 204?

If it is supposed to be your prescription but looks unexpected, contact the dispensing pharmacist. If the source is unknown, do not use an online photo match as proof that it is safe.

Treatment for Oxycodone Misuse

Someone who is taking more oxycodone than intended, experiencing withdrawal, buying pills outside medical care, or struggling to control opioid use can be evaluated for opioid use disorder. Evidence-based treatment can include buprenorphine, methadone, or naltrexone when appropriate.

Rehabs.Today can help compare detox centers and residential treatment programs.

Is IP 204 the Same as Brand-Name Percocet?

IP 204 contains oxycodone and acetaminophen, the same two active ingredients associated with Percocet products. However, the IP 204 imprint identifies a generic product in current Amneal labeling. Brand names, generic manufacturers, tablet shapes, inactive ingredients, and imprints can differ.

For pill identification, “Percocet” is therefore too broad. The exact imprint tells the reader which labeled tablet they are looking up.

Why IP 204 Is Not Equivalent to Hydrocodone 10/325

IP 204 and some hydrocodone products both use a 10 mg opioid component and 325 mg of acetaminophen, but oxycodone and hydrocodone are different active drugs. Milligram numbers should never be used as a do-it-yourself opioid conversion.

Opioid conversion requires clinical judgment because relative potency, tolerance, incomplete cross-tolerance, patient factors, and formulation differences can affect safety. A reader should not substitute IP 204 for IP 110, M367, or another hydrocodone tablet.

Why IP 204 Has No Score Line

Current Amneal labeling describes IP 204 as a capsule-shaped biconvex tablet with no score. The plain reverse is part of the tablet’s expected appearance and helps distinguish it from some scored hydrocodone products.

The lack of a score also reinforces an important point: a pill-identification page should not be used to invent a personal dose. Patients should follow the prescription and pharmacist instructions for the exact product dispensed.

Who Is at Greater Risk From Oxycodone?

Respiratory depression can be particularly dangerous in opioid-naive patients, older or frail people, those with significant breathing problems, and anyone combining oxycodone with other sedatives. Liver disease can create an additional concern because IP 204 also contains acetaminophen.

Patients should make sure the prescriber and pharmacist know about benzodiazepines, sleep medicines, muscle relaxants, alcohol use, other opioids, and over-the-counter products containing acetaminophen.

IP 204 During Pregnancy and Breastfeeding

Prolonged opioid use during pregnancy can cause neonatal opioid withdrawal syndrome. A pregnant patient who is using oxycodone regularly should discuss treatment planning with the healthcare team rather than abruptly stopping without guidance.

Opioids can also expose a breastfeeding infant. Excessive infant sleepiness, poor feeding, limpness, or breathing difficulty requires prompt medical attention.

Why Counterfeit Oxycodone Pills Are a Special Concern

Illicit pills are frequently marketed using familiar oxycodone names or markings because buyers recognize them. A pill may be sold as “Perc 10” or described as pharmaceutical oxycodone even when it was manufactured outside a regulated supply chain.

Visual inspection cannot tell whether an unknown tablet contains oxycodone, fentanyl, another drug, or an uneven amount of active substance. This is why the article distinguishes identification of a legitimate IP 204 product from authentication of a loose pill.

How Should IP 204 Be Stored and Disposed Of?

Oxycodone/acetaminophen tablets should be stored securely away from children and people who might take them without a prescription. Opioids should not be shared even when another person reports similar pain.

Use an authorized drug take-back location for unwanted tablets when possible. Follow current FDA disposal recommendations when a take-back option is not readily available.

When Is IP 204 a Medical Emergency?

Call emergency services for inability to wake, very slow or stopped breathing, collapse, severe confusion, suspected counterfeit-pill ingestion, or a suspected dangerous acetaminophen exposure. Give naloxone if available when opioid overdose is suspected.

Frequently Asked Questions About IP 204

What is the IP 204 pill?

IP 204 is oxycodone hydrochloride 10 mg / acetaminophen 325 mg in current DailyMed labeling.

Is IP 204 Percocet?

It contains the same active drug combination used in Percocet products, but IP 204 is a generic oxycodone/acetaminophen tablet rather than the brand-name tablet.

Is IP 204 the same as IP 110?

No. IP 204 contains oxycodone; IP 110 contains hydrocodone.

Is IP 204 the same as RP 10 325?

They can contain the same active drugs and labeled strength, but they are different imprinted products.

Is IP 204 Schedule II?

Yes. Oxycodone is a Schedule II controlled substance.

Can a fake pill say IP 204?

Yes. Counterfeit pills can imitate legitimate opioid imprints.

Sources

• DailyMed: Oxycodone and Acetaminophen Tablets, IP 204 — current Amneal labeling, identification and safety information.
• DailyMed: Oxycodone and Acetaminophen Tablets, RP Imprints — current Rhodes/Knoa labeling, identification and safety information.
• Drug Enforcement Administration: Drug Scheduling — current Schedule II status of oxycodone.
• U.S. Food and Drug Administration: Acetaminophen — total daily acetaminophen safety information.
• U.S. Food and Drug Administration: Counterfeit Medicine — counterfeit prescription-drug risks.
• Centers for Disease Control and Prevention: Overdose Prevention — opioid overdose recognition and naloxone information.
• SAMHSA: Substance Use Treatment Options — evidence-based opioid use disorder treatment options.