Suppose you have come across a white oval pill imprinted with ‘M523′ on one side and ’10/325’ on the reverse. In that case, you may have encountered the M523 pill, a combination of acetaminophen and oxycodone hydrochloride, commonly known as Percocet. Classified as a Schedule II controlled substance, it carries a high risk for abuse and dependence. Being a narcotic analgesic and an opioid combination, the M523 pill possesses considerable potential for addiction.

What Is The M523 White Oval Pill?

The M523 white oval pill is a medication that contains a combination of acetaminophen and oxycodone hydrochloride. It is used to manage moderate to severe pain. The pill is identified by its white color, oval shape, and the imprint “M523” on one side and “10/325” on the other side. The strength of the components in this pill is 325 mg of acetaminophen and 10 mg of oxycodone hydrochloride. This medication is classified as a narcotic analgesic combination and is available only by prescription due to its potential for abuse and addiction.
Individuals might search for this medication using various terms like:

  • M523 Oblong Pill
  • M523 Oval Pill
  • M523 10 35

All these terms refer to the same medication, identified by its shape (oblong or oval) and the specific imprints.

Brand Names of M523

The brand names for the M523 pill, which contains acetaminophen and oxycodone hydrochloride, include:

  • Percocet
  • Endocet
  • Roxicet
  • Nalocet
  • Primalev
  • Xartemis XR

These brand names are associated with narcotic analgesic combinations containing the same active ingredients as the M523 pill and are classified as Schedule II controlled substances due to their high potential for abuse and dependence.

What Is In M523 Pill?

The M523 pill is a combination medication that contains acetaminophen and oxycodone hydrochloride. This combination is generally known under the brand name Percocet, and the M523 pill is a generic form of this medication.

Oxycodone Hydrochloride: An opioid pain reliever, oxycodone is the primary ingredient responsible for the pain-relieving effects of this medication.

Acetaminophen: Commonly known by the brand name Tylenol, acetaminophen is a less potent pain reliever that enhances the effects of oxycodone.

How Does M523 Pill Work?

The M523 pill operates through the synergistic effects of its two primary components. Acetaminophen, one of these components, functions by suppressing the body’s production of chemicals that signal pain. Additionally, it has a fever-reducing action by influencing the hypothalamus in the brain. Conversely, oxycodone, the other active ingredient, targets opioid receptors in the central nervous system. By doing so, it effectively blocks pain signals, thereby generating its analgesic effects. This combination of actions enables the M523 pill to offer effective relief from moderate to severe pain.

Dosage and Precautions

Precautions when using the M523 pill include:
Avoiding Overdose: Do not exceed the recommended dosage to prevent potential health consequences, including liver damage.

Proper Administration: The M523 pill should be taken whole without crushing, chewing, or snorting it.

Maximum Daily Acetaminophen Limit: The total daily dose of acetaminophen in the M523 pill should not exceed 4,000 milligrams to avoid liver damage.

Individualized Dosage: Older individuals or those with liver or kidney issues may require lower dosages to prevent complications.

It is essential to follow your healthcare professional’s dosing guidelines to prevent adverse effects and overdose.

What are the common side effects of M523?

The M523 pill, like any medication, may cause specific side effects. It is crucial to seek medical advice if you experience any side effects. Here are some potential side effects of the M523 pill:
Nausea and Vomiting
Some individuals may experience gastrointestinal disturbances such as nausea and vomiting after taking the M523 pill. Taking the medication with food or milk can help alleviate these symptoms.

Constipation
Opioid-based medications like the M523 pill can cause constipation, a common side effect. Increasing fluid intake, eating a high-fiber diet, and engaging in regular exercise can help alleviate constipation.

Drowsiness and Dizziness
The M523 pill may cause drowsiness or dizziness, especially when starting the medication or with higher dosages. It is critical to avoid tasks that demand attentiveness, including working on heavy machinery and driving a vehicle, unless you know how the specific medicine affects your system.

Respiratory Depression
Opioids can slow down breathing, leading to respiratory depression. This is especially common at larger dosages or when taken with other respiratory depressant medicines. Seek medical treatment immediately if you have breathing difficulties or are breathing heavily.

Itching or Rash
Some individuals may develop itching or a skin rash after taking the M523 pill. Seek medical treatment immediately if you experience facial swelling, lip numbness, or other concerning symptoms.

Headache
Headaches may occur as a side effect of the M523 pill. Consult a doctor urgently if you experience severe headaches consistently.

Sweating and Flushing
Some individuals may experience increased sweating or flushing of the skin while taking the M523 pill. These symptoms may resolve over time.

Mood Swings
Opioids can affect mood and mental health. Some people may experience exhilaration, while others may experience mood swings, anxiety, or sadness. Report any significant changes in mood or mental health to your doctor immediately.

Urinary Retention
The M523 pill can affect bladder function and cause difficulty in urination or urinary retention. Inform your doctor as soon as possible if you experience any changes in your urinary well-being.

Dependence and Addiction

Physical dependence on a prescribed medication does not signify addiction. The symptom involves the occurrence of a withdrawal syndrome when there is sudden reduction or cessation in drug use or if an opiate antagonist is administered. Physical dependence can be detected after a few days of opioid therapy. However, clinically significant physical dependence is only seen after several weeks of relatively high dosage therapy. In this case, abrupt discontinuation of the opioid may result in a withdrawal syndrome. If the discontinuation of opioids is therapeutically indicated, gradual tapering of the drug over a 2-week period will prevent withdrawal symptoms. The severity of the withdrawal syndrome depends primarily on the daily dosage of the opioid, the duration of therapy and medical status of the individual.

 

How Does M523 Pill Make You Feel?

The M523 pill, containing oxycodone, induces various sensory experiences in those who consume it. Often, users report a reduction in pain sensitivity, feelings of relaxation, and mild euphoria. However, these pleasurable effects come with a caution: they can conceal the significant risks of addiction and overdose. Individual reactions can include a sense of calm, but others might experience mood swings, anxiety, or sadness.

How Addictive Is M523 Pill?

M523 pill contains oxycodone and oxycodone has a addictive nature as an opioid painkiller.
As you use the M523 pill over time, you may become physically dependent and at risk of addiction, affecting not just your body but also your mental health. You could experience mood swings, have trouble sleeping, notice your breathing slowing down, or feel depressed.

Why Do People Abuse the M523 pill?

People may abuse the M523 pill for several reasons:

Seeking Euphoria and Relaxation: The M523 pill’s active ingredient, oxycodone, is a potent opioid that can induce feelings of euphoria and relaxation. This sensation can be particularly appealing to individuals seeking a psychological escape from stress, anxiety, or depression. The immediate pleasurable effects may provide a temporary reprieve from emotional or mental discomfort.

Development of Addiction: The feelings that oxycodone can provide may lead to misuse if you don’t take the medication exactly as prescribed. This misuse can evolve into an addiction over time, due to oxycodone’s capacity to change your brain’s chemistry, resulting in both physical and psychological dependence. You might start craving the drug more and more, even to the point of placing its use above crucial parts of your life like your relationships, job, or health.

Self-Medication for Emotional or Physical Pain: Some individuals may misuse the M523 pill as a form of self-medication, attempting to cope with emotional distress, mental health issues, or even chronic physical pain. Without proper medical supervision, this form of self-medication can quickly spiral into abuse and addiction, as the underlying issues are not adequately addressed.

At Still Detox in Boca Raton, we’re here for you, fully aware of the challenges that come with oxycodone abuse. If you or someone close to you is struggling with addiction, remember, you’re not alone.

 

Does M523 Pill Cause Withdrawal?

The M523 pill, which contains acetaminophen and oxycodone hydrochloride, can lead to withdrawal symptoms upon cessation of use. Common withdrawal symptoms include:

  • Anxiety
  • Agitation
  • Insomnia
  • Excessive sweating
  • Diarrhea
  • Abdominal pain
  • Nausea and vomiting

If you believe someone is abusing M523 pills, watch for signs such as mood swings, altered sleep patterns, and social isolation, along with the above-listed symptoms.
Withdrawal symptoms can manifest after abrupt discontinuation of the M523 pill, as the body adjusts to the absence of oxycodone. Gradual tapering of the dose under medical supervision is recommended to minimize withdrawal symptoms and complications.

Possible Drug Interactions

Opioid analgesics may enhance the neuromuscular-blocking action of skeletal muscle relaxants and produce an increase in the degree of respiratory depression.

Patients receiving CNS depressants such as other opioid analgesics, general anesthetics, phenothiazines, other tranquilizers, centrally-acting anti-emetics, sedative-hypnotics or other CNS depressants (including alcohol) concomitantly with oxycodone and acetaminophen tablets may exhibit an additive CNS depression. When such combined therapy is contemplated, the dose of one or both agents should be reduced. The concurrent use of anticholinergics with opioids may produce paralytic ileus.

Agonist/antagonist analgesics (i.e., pentazocine, nalbuphine, naltrexone, and butorphanol) should be administered with caution to a patient who has received or is receiving a pure opioid agonist such as oxycodone. These agonist/antagonist analgesics may reduce the analgesic effect of oxycodone or may precipitate withdrawal symptoms.

 

When taking the M523 white oval pill with the imprint “10/325,” it is important to be cautious of potential drug interactions to ensure safe and effective use. Here are some drug interactions to be mindful of:

Antidepressants
Combining the M523 pill with certain antidepressants, such as monoamine oxidase inhibitors (MAOIs) or selective serotonin reuptake inhibitors (SSRIs), can increase the risk of serotonin syndrome, characterized by symptoms like confusion, agitation, rapid heartbeat, and high blood pressure.

Antifungal Medications
Some antifungal therapies, like ketoconazole or itraconazole, can interfere with the metabolism of oxycodone in the M523 pill, potentially leading to increased oxycodone levels in the body and causing excessive sedation or respiratory depression.

Benzodiazepines
Concurrent use of benzodiazepines, such as diazepam (Valium) or alprazolam (Xanax), with the M523 pill can enhance central nervous system depression effects, resulting in drowsiness, difficulty breathing, and impaired motor function.

Other Opioids
Combining the M523 pill with other opioids can increase the risk of respiratory depression and overdose. It is crucial to avoid mixing opioids unless specifically directed by a healthcare provider.

It is essential to inform your healthcare provider about all medications you are taking to prevent harmful interactions and ensure optimal usage of the M523 pill in managing your pain.

Risk of Counterfeit Pills

Counterfeit M523 pills containing fentanyl, a highly potent synthetic opioid, have been discovered. If you come across white, oblong pills marked “10/325” and “M523,” be extremely cautious – these might be counterfeit M523 pills laced with fentanyl, a synthetic opioid far more potent than morphine. Even small amounts of fentanyl can be deadly. For your safety, avoid handling these pills and call 911 right away if you suspect they’re counterfeit. The Dutchess County Drug Task Force informed the public in 2022 that this counterfeit Oxycodone containing Fentanyl has been seized in Dutchess County.

m523 pills with fentanyl seized in Dutchess County in 2022
Image courtesy of Dutchess Country Drug Task Force

How To Identify Fake M523?

To identify fake or counterfeit M523 pills, consider the following characteristics:
Physical appearance: Authentic M523 pills are white, oval or oblong-shaped, and imprinted with “10/325” and “M523”. Counterfeit pills may vary slightly in color, shape, or imprint, but should still closely resemble genuine M523 pills.
National Drug Code (NDC): Check the NDC printed on the pill or its container. Genuine M523 pills have the NDC number 00406-0523
Manufacturer: Look for the manufacturer’s logo on the pill or its container. The primary manufacturer of M523 pills is Mallinckrodt Inc.
Pill identifier websites: Use reputable pill identification services,to verify the identity of the pill based on its imprint, color, and shape.

Keep in mind that while checking these features can provide clues about the legitimacy of a pill, it is not foolproof. Counterfeiters often try to mimic legitimate medications, so it is always safest to obtain medications directly from a trusted source, such as a licensed pharmacy.

 

How To React M523 Pill Overdose?

To address a suspected opioid overdose involving the M523 pill, which contains Oxycodone, follow these guidelines:

  1. Call 911 immediately to request emergency medical services.
  2. Administer naloxone, if available, according to the manufacturer’s instructions. Naloxone is a lifesaving medication that can reverse an opioid overdose.
  3. Monitor the patient’s condition. Continue to observe the person until emergency help arrives, as naloxone’s effectiveness is limited to approximately 30 to 90 minutes.
  4. Keep the person warm and comfortable. Place the person on their side to prevent choking2
  5. Stay with the person until emergency personnel arrive and provide further care.

 

Opioid Overdose Symptoms

Signs of an opioid overdose include:

  • Extreme drowsiness
  • Shallow breathing or difficulty breathing
  • Loss of consciousness
  • Pinpoint pupils
  • Choking or gurgling sounds
  • Limp body
  • Cold and/or clammy skin
  • Discolored skin (particularly in lips and nails)

Help For M523 Pill Addiction

Treatment options for addiction to M523 pills involve a multifaceted approach, focusing on addressing the physiological and psychological aspects of opioid dependence. Key components of treatment include:

Medical Detoxification

Supervised withdrawal from M523, usually involving gradual reduction of the medication under the guidance of a physician to minimize withdrawal symptoms.

Pharmacotherapy

Use of medications such as methadone, buprenorphine, or naltrexone to alleviate cravings and block the pleasurable effects of opioids.

Psychotherapeutic Interventions

Counseling, cognitive behavioral therapy, motivational interviewing, and group therapy sessions aimed at promoting emotional regulation, coping skills development, and relapse prevention strategies.

Long-term maintenance

Continuous monitoring and support to maintain sobriety and prevent relapse.

Opioid Painkiller Addiction Treatment in Boca Raton, Florida

At Still Detox a comprehensive drug and alcohol treatment center in Florida, we know and see every day the impact that addiction to opioid painkillers like oxycodone can have. It’s not just a journey you or your loved one has to walk alone – we’re here to walk with you. Let’s face these challenges together, and we will help you take your life back.

Call Now: (561) 556-2677

Conclusion

The M523 white oval pill, a blend of acetaminophen and oxycodone hydrochloride, plays a key role in managing moderate to severe pain. Marked with ‘M523′ and ’10/325’, this pill combines 325 mg of acetaminophen with 10 mg of oxycodone hydrochloride. However, the pills have serious implications of potential for addiction and abuse. Users need to be alert to any negative side effects or signs of withdrawal and should immediately consult with their healthcare provider if these arise.

Furthermore, the existence of counterfeit versions of this medication in the marketplace highlights the necessity of obtaining it through a legitimate prescription. Acquiring M523 pills, or any drugs, from unverified online sources carries significant health hazards. Finally, addressing addiction to oxycodone requires urgent action.

Sources

  1. National Library of Medicine – OXYCODONE AND ACETAMINOPHEN
  2. Dutchess County Drug Task Force