IP 204 Pill

The pill with imprint IP 204 is White, Elliptical / Oval and has been identified as Acetaminophen and Oxycodone Hydrochloride 325 mg / 10 mg. It is supplied by Amneal Pharmaceuticals. Acetaminophen/oxycodone is used in the treatment of chronic pain. The medicine is usually prescribed for the relief of chronic pain in limited circumstances and should be used with caution, as abuse can lead to psychological and physical addiction.

Oxycodone, a prescription medicine, is used to alleviate moderate to severe pain from surgery, an injury, or an illness like arthritis or cancer. It is an opioid (related to morphine and codeine) and changes the way the body feels pain by attaching to receptors in the brain, spinal cord and digestive system but has the effect of depressing breathing, causing constipation, itching, red eyes, flushing and sweating.

The size of this pill is 11 mm and it is mostly available on prescription. It belongs to the narcotic analgesic drug class combinations. The generic name is oxycodone and acetaminophen. It is available both in capsule and tablet forms. It is mostly available under the brand names of Percocet and Endocet. This medicine is usually taken to achieve pain relief. It is a narcotic analgesic, so it can be habit-forming if taken inappropriately.


Important Instruction

There are certain things an individual should be aware of while taking this medication:

While taking this medication, do not drive or carry out other activities that would need mental alertness.

To lower the chances of feeling dizzy or passing out all of a sudden, ensure to slowly rise from a lying down or sitting position. Be very careful while going up and down the stairs as well.

There can be chances that you may experience withdrawal symptoms if you suddenly stop taking this medicine. Thus, it is advisable not to change the drug’s dosage without the doctor’s recommendation.

If an individual has been taking this pill for a longer duration or at high doses but does not seem to work, it would be the time when the doctor would recommend higher doses of the medicine, so that the body responds back to the treatment. It is called as tolerance.

While taking this medicine, try to avoid other sources of acetaminophen. It is always better to go through the label of other medicines since too much acetaminophen can lead to serious consequences.

In case if you are taking more than 4,000 mg of acetaminophen on a given day, let your doctor know.

This medicine should not be taken along with other forms of stronger medications or pain patches. It is ideal to first talk to the doctor before taking them.

It is not a good idea to switch between products that contain the same drugs.

Individuals who are 65 years old and above should use this medicine with care since the side effects tend to become more severe due to the age factor.

There are cases wherein taking this medicine can lead to a rise in the chance of seizure attacks in certain individuals, especially those who have a history of seizures.

Since oxycodone and acetaminophen capsules or tablets are opioid drugs or narcotic analgesics, the long-term use of these medicines can lead to a decrease in the levels of sex hormones. In men, there may be symptoms such as changes in their ability to have sex. In women, they may not experience their menstrual period, may have a lack of interest in sex, or issues related to fertility. Let the doctor know if you experience any of these symptoms.

Serotonin Syndrome

There are chances that an individual may suffer from serotonin syndrome if this medicine is taken along with other drugs used for depression, migraine, or any other mental issues. Seek immediate medical help if you experience the following symptoms:

  • Changes in balance
  • Agitation
  • Fever
  • Hallucinations
  • Muscle stiffness
  • Shivering or tremors
  • Persistent diarrhea
  • Abnormal heartbeat
  • An upset stomach
  • Seizure attacks
  • Twitching of the muscles
  • Severe headache


How to Use IP 204 Pill

This pill should be taken exactly as prescribed by the doctor or you can also check the label of the medicine for more detailed instructions on its usage and dosage. It is important to follow all instructions on the usage of this medicine very carefully.

This drug should be taken orally by mouth. It can be either taken with or without food. However, it is better if it is taken along with food to avoid having an upset stomach. It is not advisable to inject or snort this medicine since it can lead to dangerous side effects such as having trouble with breathing or death due to overdose. When taking this medicine, there are also chances that certain laboratory tests can be altered.

In case you missed a dose, you can take it as soon as you remember. However, when it is almost time for the next dose, then skip the missed one and take the scheduled dose. Avoid taking additional doses. Most of the time, doctors recommend this medicine on an as-needed basis and not on a regular basis.

Make sure to store this medicine at room temperature and away from light, moisture, and heat. It should be stored in a dry place and out of children’s reach. Ask the doctor or pharmacist on how to properly dispose of unused or expired medicines. This medicine can be habit-forming when used for a longer duration. This drug is a strong pain medication that can put an individual at risk of drug misuse or abuse. See: 512 Pill 

What are side effects associated with using IP 204 Pill?

Common side effects of Oxycodone Acetaminophen include:

  • lightheadedness
  • dizziness
  • drowsiness or sedation
  • nausea
  • vomiting
  • euphoria
  • state of unease
  • constipation
  • severe itching
  • skin rash and hives
  • kidney damage
  • shallow breathing
  • slow heartbeat
  • feeling lightheaded
  • fainting
  • confusion
  • unusual thoughts or behavior
  • seizures
  • problems with urination
  • upper stomach pain
  • itching
  • loss of appetite
  • dark urine
  • clay-colored stools
  • yellowing of the skin or the eyes
  • blurred vision
  • dry mouth

Rare side effects of IP 204 pill include: kidney failure (associated with high chronic acetaminophen use)

This document does not contain all possible side effects and others may occur. Check with your physician for additional information about side effects.


What other drugs interact with IP 204?

If your doctor has directed you to use this medication, your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with your doctor, health care provider or pharmacist first.

Severe interactions of oxycodone acetaminophen include: alvimopan

  • Oxycodone acetaminophen has serious interactions with at least 54 different drugs.


  • Oxycodone acetaminophen has moderate interactions with at least 256 different drugs.


  • Oxycodone acetaminophen has mild interactions with at least 75 different drugs.


This information does not contain all possible interactions or adverse effects. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share this information with your doctor and pharmacist. Check with your health care professional or doctor for additional medical advice, or if you have health questions, concerns or for more information about this medicine.

What are warnings and precautions for IP 204 Pill?



Risk of addiction, abuse, and misuse, which can lead to overdose and death. Assess patient’s risk before prescribing, and monitor regularly for development of these behaviors or conditions.

  • Serious, life-threatening, or fatal respiratory depression may occur.
  • Accidental consumption, especially in children, can result in fatal overdose.
  • Prolonged use during pregnancy can result in neonatal opioid withdrawal syndrome, which may be life-threatening if not recognized and treated.



Hepatotoxicity may occur with acetaminophen doses that exceed 4 g/day; take into account all acetaminophen-containing products the patient is taking, including as needed doses and over-the-counter products.

  • Acetaminophen associated with cases of acute liver failure, at times resulting in liver transplantation or death.
  • New dosage limit allows no more than 325 mg/dosage unit for prescription medications that contain acetaminophen.
  • Healthcare professionals can direct patients to take 1 or 2 tablets, capsules, or other dosage units of a prescription product containing 325 mg of acetaminophen up to 6 times a day (12 dosage units) and still not exceed the maximum daily dose of acetaminophen of 4 g/day.

This medication contains oxycodone acetaminophen. Do not take IP 204 pill if you are allergic to oxycodone acetaminophen or any ingredients contained in this drug. ALSO READ: How To Spot an IP 204 fake


Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center immediately.




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