IP 204 is a white to off-white capsule-shaped tablet containing oxycodone hydrochloride 10 mg and acetaminophen 325 mg. In nonmedical use, people may call it a Perc or Perc 10. Repeated oxycodone exposure can affect breathing and bowel function, remain detectable on drug tests and produce withdrawal after dependence develops.

IP 204 contains oxycodone 10 mg with acetaminophen 325 mg and may be called a “Perc 10” in street language. IP 204 is a generic imprint, while Percocet is a brand name, so the terms should not be treated as exact pharmaceutical equivalents.

IP 204 at a Glance

Legitimate identity IP 204 is a white to off-white capsule-shaped tablet containing oxycodone hydrochloride 10 mg and acetaminophen 325 mg.
Appearance white to off-white, capsule-shaped, 11 mm, IP 204 imprint, plain reverse
Street/search language Perc, Perc 10, oxy, oxycodone 10, pressie
Opioid effect Sedation, pain relief and euphoria in some users
Body effects Respiratory depression, constipation, nausea, drowsiness and dependence
Second ingredient Acetaminophen 325 mg
Drug-test timeline Urine about 1 to 2 days in standard references; blood roughly a day; saliva roughly 1 to 2 days; hair about 90 days
Counterfeit concern Illicit pressed pills can copy prescription opioid appearances

IP 204 and the “Perc 10” Street Identity

IP 204 contains oxycodone 10 mg with acetaminophen 325 mg and may be called a “Perc 10” in street language. IP 204 is a generic imprint, while Percocet is a brand name, so the terms should not be treated as exact pharmaceutical equivalents.

DEA documents Perc as oxycodone slang. In street use, Perc or Perc 10 can be applied broadly to oxycodone-acetaminophen pills even when the tablet is a generic product with its own imprint.

Someone dependent on oxycodone may know the product only as a Perc 10. The nickname can describe the expected drug family, while the imprint identifies a specific regulated tablet when the pill is authentic.

The pharmaceutical identity explains what a legitimate IP 204 contains, while street terminology explains how similar oxycodone-acetaminophen pills may be described outside a pharmacy.

IP 204 vs RP 10 325 vs IP 110

Several oxycodone-acetaminophen products contain the same labeled 10 mg / 325 mg strength while using different shapes and imprints. That is useful for understanding legitimate product identity and has little effect on the underlying opioid addiction risk.

Someone using these pills nonmedically is exposed to oxycodone regardless of whether the tablet carries IP 204 or RP 10 325. The acetaminophen component also remains 325 mg in the products discussed here.

Street sellers may use broad terms such as Perc 10 or oxy 10 without naming the imprint. A treatment history should record both the reported nickname and the pill details when known.

Loose pills from an illicit source can also be pressed copies, so appearance cannot establish chemical contents.

Why People Abuse IP 204

Oxycodone acts at opioid receptors involved in pain relief and reward. Some people experience euphoria, relaxation or emotional relief, which can reinforce nonmedical use.

Repeated use can shift from seeking a high to preventing withdrawal. A person may begin using the pill because it feels good and later use because they feel restless, sweaty, sick, achy or unable to sleep without it.

Tolerance can also develop. The person may report that a Perc 10 no longer feels the way it once did, which can contribute to more frequent use or a move toward stronger pills such as 30s.

The addiction pathway is driven by oxycodone exposure and the surrounding behavior, not the manufacturer imprint.

What Repeated Use Can Do to Breathing and Alertness

Oxycodone can suppress respiratory drive and cause substantial drowsiness. At higher exposure, breathing becomes slower and shallower and the person may repeatedly nod off.

Alcohol, benzodiazepines and other opioids deepen the respiratory effect. A person may appear heavily sedated before an overdose becomes obvious.

Pinpoint pupils, inability to stay awake, slowed speech and poor attention can appear during opioid intoxication. Severe difficulty waking or abnormal breathing is an emergency sign.

Repeated episodes of nodding or naloxone use are strong indicators that the use pattern has become medically dangerous.

Constipation, Nausea and Daily Body Effects

Oxycodone slows gastrointestinal movement. Constipation can become persistent in people using opioids every day and may be one of the most noticeable chronic effects.

Nausea, vomiting, itching, sweating and dizziness can also occur. Some users normalize these symptoms because they become part of everyday opioid use.

Daily sedation can affect work, driving, memory and sleep patterns even when the person is no longer experiencing obvious euphoria.

Acetaminophen and Liver Risk

IP 204 contains 325 mg of acetaminophen in addition to oxycodone. Repeated heavy use of combination pills can make acetaminophen exposure clinically important.

Someone focused on the oxycodone amount may overlook acetaminophen in each tablet and may also use other acetaminophen-containing products during the same day.

Excessive acetaminophen exposure can cause severe liver injury. Acetaminophen toxicity is a separate concern from opioid respiratory depression during repeated or high-dose combination-pill exposure.

For a person using multiple Perc-type tablets daily, both ingredients matter.

Pressies and Counterfeit IP 204 Pills

Illicit pill presses can reproduce familiar opioid markings. A pill sold as a Perc 10 can therefore be a pharmaceutical oxycodone-acetaminophen tablet or a counterfeit product.

The M30 market provides the clearest current example of how counterfeit oxycodone identity can evolve into a large street-drug category, but other prescription opioid appearances can also be imitated.

A street pill can create an opioid effect or withdrawal pattern that differs from what the user expects from oxycodone.

Counterfeit pills can change the actual drug exposure, which can affect overdose risk, tolerance, withdrawal and treatment history.

How Long Does IP 204 Stay in Your System?

IP 204 contains oxycodone, so the test timeline follows oxycodone and its metabolites.

Urine About 1 to 1.5 days in SAMHSA TIP 63, with longer practical windows possible depending on cutoff and repeated use
Blood Usually a recent-use window around the first day
Saliva Controlled research found oxycodone detectable for a mean of about 34 hours at a very sensitive oral-fluid cutoff
Hair Commonly used for an approximately 90-day retrospective window

Oxycodone is metabolized to compounds including noroxycodone and oxymorphone. See How Long Does Oxycodone Stay in Your System? for specimen-specific testing windows and interpretation.

The test window can continue after the strongest opioid effect has faded.

What IP 204 Withdrawal Feels Like

Immediate-release oxycodone behaves as a short-acting opioid for withdrawal timing. SAMHSA’s TIP 63 describes early withdrawal from short-acting opioids beginning around 8 to 24 hours after the last use.

Early symptoms can include yawning, runny nose, watery eyes, sweating, restlessness and insomnia. Muscle aches, abdominal pain, nausea, vomiting and diarrhea can develop as withdrawal progresses.

Fully developed short-acting opioid withdrawal commonly appears over the first one to three days and can last around seven to ten days.

See Oxycodone Withdrawal for the full timeline and treatment context.

When IP 204 Use Has Become Opioid Addiction

The imprint matters less once the person is using compulsively. Warning signs include taking more than intended, craving, spending increasing time finding pills, using to prevent withdrawal, failed attempts to stop and continued use after overdoses or other harm.

Street-market use adds a supply problem. Someone may move between genuine Perc-type pills, M30s and pressed opioids while still describing the whole pattern as oxycodone use.

Evidence-based opioid use disorder treatment can include buprenorphine, methadone or naltrexone along with medical and behavioral support.

People seeking help can compare detox centers , residential treatment , dual-diagnosis care based on withdrawal risk, polysubstance use and co-occurring mental health needs.

What Daily IP 204 Use Can Look Like

Daily use often becomes less about a noticeable high and more about maintaining a stable opioid level. The person may wake with anxiety, aches, sweating or stomach discomfort and feel substantially better after taking another pill.

Constipation can become persistent, sleep can become fragmented, and daytime drowsiness may start interfering with work or driving. Family members may notice nodding, slowed speech, repeated trips to obtain pills or marked irritability when the supply is low.

Someone using oxycodone every day can also become more tolerant to the sedating feeling while remaining vulnerable to respiratory depression, especially when alcohol, benzodiazepines or a stronger street pill enters the pattern.

Day-to-day changes such as withdrawal sickness, constipation, sedation and loss of control can show that pill use has progressed beyond a simple identification question.

IP 204 and Oxycodone

IP 204 contains oxycodone, so its dependence, withdrawal and testing concerns follow the same core opioid pharmacology as other oxycodone products.

Related questions are covered in Oxycodone Street Names and Slang, How Long Does Oxycodone Stay in Your System? and Oxycodone Withdrawal.

Why a Perc-Type Pill Can Become a Daily Dependence

Oxycodone-acetaminophen pills can become part of a routine that starts with pain or occasional intoxication and ends with daily use to avoid withdrawal. The person may stop noticing a strong high and still feel unable to function without the next tablet.

This is where the pill imprint becomes useful mainly as a search entry. The clinically important pattern is frequent oxycodone exposure, increasing tolerance, withdrawal between doses and the source of the pills.

Repeated use from an informal supply can also expose the person to pressed opioid pills that look familiar but do not have the same composition as a pharmacy-dispensed tablet.

Frequently Asked Questions About IP 204

What is the legitimate IP 204 pill?

IP 204 is a white to off-white capsule-shaped tablet containing oxycodone hydrochloride 10 mg and acetaminophen 325 mg.

Is IP 204 a Perc?

It contains oxycodone and acetaminophen, the same active-drug combination associated with Percocet. IP 204 is a generic imprinted product.

How long does IP 204 stay in urine?

Oxycodone is listed by SAMHSA TIP 63 with a urine detection window of about one to one and a half days at the referenced cutoff.

Can IP 204 cause withdrawal?

Yes. Repeated oxycodone exposure can cause physical dependence and a short-acting opioid withdrawal syndrome.

Can a pressie copy IP 204?

Counterfeit pills can reproduce prescription opioid appearances and markings.

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About This Article
Evidence-based sourcesSources verified August 17, 2026

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