230 pill is a prescription narcotic widely used for pain management and recognized as a generic equivalent of Percocet. Though medically legitimate, it is also among the most commonly misused pain medications in the United States.

When taken outside of prescribed guidelines, it is often used for its calming or sedating effects. Like other fast-acting narcotics, the 230 pill can lead to dependence, especially when used in high doses or without medical supervision.

Yellow Round 230 Pill Identifier

The 230 pill is a yellow, round tablet stamped with “230” on one side and a “C” logo on the other. It is manufactured by Alvogen Inc. and contains 10 mg of oxycodone hydrochloride and 325 mg of acetaminophen. This combination classifies it as a narcotic analgesic and a Schedule II controlled substance under U.S. federal law due to its high potential for abuse and dependence.

This version is a generic equivalent of oxycodone/acetaminophen and is also sold under brand names like Percocet, Endocet, Roxicet, and Xartemis XR. On the street, pill 230 is often called C230 pill, yellow C230, Alvogen Oxy, or round yellow Percs.

 

230 Pill is a generic equivalent of Percocet 10/325 and is also sold under brand names like Endocet, Roxicet, and Xartemis XR. On the street, it is often referred to as C230 pill, yellow C230, Alvogen Oxy, or round yellow Percs.

yellow round 230 pill

What Is 230 Yellow Pill Used For?

Medically, the 230 yellow pill is prescribed for moderate to severe pain, especially when other pain relievers like ibuprofen or acetaminophen alone are not effective. It’s typically given after surgical procedures, dental extractions, injuries, or to manage chronic pain in tightly monitored cases.

According to the 2022 National Survey on Drug Use and Health, more than 984,000 Americans reported misusing oxycodone in the past year, while 7.8 million used it as prescribed.

How Long 230 Pill Takes to Work and How Long It Lasts

This medication typically begins working within 20 to 30 minutes. Maximum effects are usually felt around one hour after ingestion. The total duration of effect is between four to six hours. Because it’s an immediate-release formulation, the 230 pill produces effects quickly, which may increase its abuse potential compared to extended-release opioids.

Crushing or chewing the pill, which is a form of misuse, may accelerate the onset but also greatly increases the risk of overdose.

How Does 230 Yellow Pill Makes You Feel

When taken as directed,  230 yellow pill typically produces a sense of pain relief, physical relaxation, and mild drowsiness. Some users describe feeling “heavy-limbed” or emotionally calm. These effects are most noticeable in opioid-naïve individuals those who haven’t built up a tolerance.

In higher doses or when misused, the effects intensify. People who abuse 230 pill often report feeling euphoric or disconnected, entering a semi-conscious state known as “nodding.” This is where a person drifts in and out of wakefulness, sometimes appearing to fall asleep while sitting or speaking. Nodding is often associated with heroin or fentanyl use and though it may feel pleasurable, it’s also a clear sign of central nervous system depression and potential overdose.

What Happens in C230 Pill Overdose

An overdose on the 230 pill is a medical emergency. It can occur from taking too many pills, using the drug with alcohol or benzodiazepines, or ingesting a counterfeit version laced with fentanyl. Symptoms of overdose include shallow breathing, loss of consciousness, cold or bluish skin, and pinpoint pupils.

If treated quickly, naloxone (Narcan) can reverse the overdose. But if help isn’t given in time, respiratory failure and death can occur.

Side Effects of Round Yellow Pill 230

Like other opioids, round yellow pill 230 can cause a range of side effects, even when taken as prescribed. These effects vary depending on dosage, individual sensitivity, and whether the pill is combined with other substances.

Common side effects include:

  • Drowsiness
  • Dizziness
  • Constipation
  • Nausea
  • Dry mouth
  • Itching
  • Headache

Some users also report feeling slightly euphoric or emotionally blunted, especially at the beginning of 230 pill use or when increasing the dose. For those without a tolerance, even a single pill 230 can produce noticeable sedation.

More serious side effects may include:

  • Respiratory depression (slowed or labored breathing)
  • Extremely low blood pressure
  • Irregular heart rhythm
  • Confusion or disorientation
  • Allergic reactions (hives, facial swelling)
  • Liver damage (especially with high doses or prolonged use due to acetaminophen)

In rare cases, combining the 230 yellow pill with other central nervous system depressants, such as benzodiazepines or alcohol can trigger life-threatening complications, including coma or death. According to the FDA, the risk of additive CNS depression is significantly higher when opioids are used with other sedatives.

Anyone experiencing severe side effects should seek immediate medical attention. Long-term use may also cause hormonal changes, mood instability, and decreased immune response.

Is the 230 Pill Addictive?

230 yellow Alvogen pill contains oxycodone, one of the most addictive prescription opioids. Even when used correctly, oxycodone can lead to physical dependence in as little as a few weeks.

According to the American Psychiatric Association (2025), an estimated 3–12% of people treated with opioids for chronic pain will develop addiction or misuse with harmful consequences.

Repeated misuse of the 230 pill can lead to psychological cravings, behavioral shifts, and long-term changes in brain chemistry, especially when used to cope with pain, trauma, or anxiety.

Withdrawal and How to Quit the 230 Pill

Stopping the 230 pill suddenly, especially after prolonged or high-dose use, can trigger opioid withdrawal, a process that can be physically and emotionally distressing. While withdrawal is not typically life-threatening, it often leads to relapse when not properly managed.

Withdrawal symptoms may include:

  • Anxiety and irritability
  • Sweating or chills
  • Nausea, vomiting, or diarrhea
  • Muscle aches and restlessness
  • Runny nose
  • Insomnia
  • Intense cravings

The safest way to quit is through a medically supervised taper, where the dosage is gradually reduced over time. In some cases, doctors may recommend Medication-Assisted Treatment (MAT) using drugs like buprenorphine or methadone to stabilize the individual before discontinuing opioids entirely.

Get Help Quitting Yellow Pill 230 (Oxycodone 10/325)

If you’re struggling with 230 pill misuse or oxycodone addiction, Still Detox Addiction Treatment Facility can help you safely start recovery. Opioid withdrawal is real, and you don’t have to face it alone.

📞 Call Now for confidential support: (561) 556-2677

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FAQ

Is the 230 pill a narcotic?
Yes. It contains oxycodone, a Schedule II narcotic with a high risk of abuse and dependence.

Can you get high from the 230 pill?
Yes. At high doses or when misused, it can produce euphoria and sedation similar to heroin.

How long does the 230 pill last?
Pain relief usually lasts 4 to 6 hours. Effects are shorter if the drug is misused.

Can you snort the 230 pill?
Snorting is a form of abuse that increases the risk of overdose, respiratory failure, and death. It is extremely dangerous and not medically approved.