Oxycodone cravings can occur when someone with an oxycodone addiction stops using the opioid medication. Cravings are a completely normal response to the abrupt cessation of oxycodone use.
Cravings can cause those with addiction to relapse, but they don’t have to. You can use coping skills to deal with oxycodone cravings.
Oxycodone Urges Signs and Symptoms
When you take oxycodone for a long time, your body can build up tolerance to the opioid painkiller. This tolerance results from changes in your brain and your body. They become accustomed to the presence of oxycodone, and when you suddenly stop taking the drug, withdrawal occurs.
One major sign of addiction is an intense craving for oxycodone. This is because the drug has altered neurochemical processes to the point that you don’t function as well without it. When you are craving oxycodone, you have an overwhelmingly strong urge to use the drug.
If you are concerned about your cravings and relapsing, contact a treatment support specialist today at 1-888-319-2606
- Preoccupying thoughts about oxycodone.
- Dreams about oxycodone.
- Wanting to use oxycodone due to a number of triggers, such as the presence of a medicine bottle and driving by old locations where you used.
- Hanging out with old using friends.
- Increased anxiety.
When Do Cravings Begin?
- Short-acting. If the oxycodone is short-acting (its effects begin soon after administration), you may have cravings 6-12 hours after the last dose.
- Long-acting. If the oxycodone is extended release (its effects last for a longer period of time but aren’t as intense), you may not have cravings until about 2-4 days after the last dose.
Treatment of Cravings
You don’t have to battle oxycodone cravings alone. Many different treatment programs can help you to overcome your cravings and to prevent relapse.
If your oxycodone cravings become extremely difficult for you to fight, you can enter inpatient rehab to prevent relapse or to treat relapse. Inpatient treatment allows you to live at the facility while receiving appropriate rehabilitation. Residing at the location will allow you to escape the environmental triggers that produce oxycodone cravings.
Outpatient rehab programs allow you to live at home while receiving appropriate treatment for your oxycodone cravings or addiction. This is important for those who must fulfill work, home or school responsibilities.
12-step programs such as Narcotics Anonymous and Pills Anonymous are helpful if you’re looking for a supportive and encouraging environment. You can listen to others and share your oxycodone addiction experiences.
Members of these programs tend to have sponsors. These people are confidants who have been through the 12 steps and live a sober life. If you are craving oxycodone, your sponsor is a great person to call to talk it out.
Often, people who are suffering from a substance addiction also have a mental health condition such as anxiety, depression or schizophrenia. This is called dual diagnosis. It’s important that all co-occurring disorders are addressed when treating addiction, or the risk of relapse may increase.
Individual therapy is often a part of inpatient or outpatient rehab. But it can also be independent of either one. During therapy, the therapist will work to identify and address the underlying problems that influence your oxycodone addiction and urges.
Group therapy, which is facilitated by a certified therapist or a mental health professional, focuses on developing and building social skills. It allows you to share your experiences with the group while connecting with others.
Cognitive Behavioral Therapy Techniques
One common therapy used in addiction treatment is cognitive behavioral therapy. CBT focuses on the connection between thoughts, feelings and behaviors. It helps you identify and work through negative self-talk and emotions. This in turn helps to promote more positive and adaptive behaviors. Therapists teach you different coping strategies to use when you are experiencing oxycodone cravings. 2
- Distraction. Do a healthy activity that will distract you from your craving. Examples include riding a bike, swimming, cooking, reading, drawing or going for a run.
- Talking it out. Many people find that if they confide in a friend, family member or 12-step sponsor, the cravings go away. They remember how far they’ve come in their battle against addiction.
- Relaxation. Therapists teach individuals to take deep breaths, to count backwards from 10 or use guided imagery when experiencing cravings or an emotionally trying time.
- Avoid trigger situations. One of the best ways to fight cravings is to avoid trigger situations and people. Don’t hang out with old using friends or go to places where you used oxycodone.
- Self-talk. Remind yourself how well you’ve been doing and how much better your life is without drugs. Encourage yourself and be positive. This will help to curb the oxycodone cravings and promote a sense of well-being.
Contingency management is another effective behavioral treatment for opioid addiction.  It is focused on motivation and rewards to encourage abstinent behavior. If you’re struggling with your cravings and fear relapse, a contingency management program may be helpful.
Does Suboxone Help Curb Urges?
Suboxone helps to curb cravings but has potential for abuse.
Suboxone, a medication approved for the treatment of opioid addiction, helps to curb oxycodone cravings. The drug is a combination of buprenorphine and naloxone.
Suboxone is prescribed as part of a medical maintenance program for opioid addiction that includes behavioral therapy.  It is a partial opioid agonist, which means that it binds to the opioid receptors in the brain but to a lesser degree than full opioids such as oxycodone.
Suboxone helps oxycodone addicts to quit using the opioid painkiller while receiving other treatment. Since Suboxone is an opioid drug, the potential for abuse exists. But the addition of naloxone to the medication aims to prevent intravenous misuse of the drug by inducing severe withdrawal symptoms if it is injected. 
Other Medications for Oxycodone Cravings
In addition to Suboxone, a few other medications that are used to treat oxycodone addiction can help curb cravings.
- Subutex: Subutex is similar to Suboxone, except the only active ingredient is buprenorphine. As a partial opioid agonist, buprenorphine is incapable of eliciting the powerful highs of oxycodone. But it still has abuse potential. If you take Subutex for an oxycodone addiction, be sure to follow the doctor’s instructions carefully and do not take more than prescribed.
- Methadone: Methadone is commonly used to treat opioid addiction. It is a long-acting medication, which means that its medicinal effects (reducing cravings, alleviating withdrawal) last for 24 to 36 hours. 5
Can You Stop Cravings Naturally?
As mentioned previously, cognitive behavioral therapy encourages you to use distractions to cope with cravings. These distractions are natural remedies and help to occupy the mind and the body while craving oxycodone.
Among these distractions, exercise is very useful for overcoming oxycodone cravings during recovery. 7
Cravings During Detox and Withdrawal Risks
Oxycodone withdrawal syndrome isn’t life-threatening. But it can be very uncomfortable and painful. In fact, opioid withdrawal is associated with increased suicide attempts and completions.  This is one of the main reasons why it’s recommended that you seek medically supervised detox.
During detox, health care professionals can provide you with opioid withdrawal medication that can ease the discomfort associated with withdrawal.
- Muscle aches.
- Runny nose.
- Stomach pain/cramping.
- Goose bumps.
- General unease or dissatisfaction.
- Increased risk of suicide. 8,9
Even though the acute physical withdrawal may disappear after a few days or weeks, oxycodone cravings may last much longer. This is due to memories that associate pleasure with using environments and situations. 10 When you are around using friends or in old using environments, you may have strong oxycodone cravings. 10
That’s why it’s extremely important to avoid these triggers if possible so that potential cravings can be eliminated. During rehabilitation, therapists will equip you with the proper coping skills necessary to overcome these cravings.
Will My Oxycodone Cravings Ever Go Away?
Helpline Information if you are having trouble controlling your oxycodone cravings and would like help finding a rehab center.
Oxycodone cravings are unpredictable, so it’s hard to tell how long they will last.
Repeated oxycodone use can decrease the amount of dopamine released in the brain as well as the amount of dopamine receptors. 10 This dopamine reduction can decrease the ability to feel pleasure from normal, substance-free activities, which in turn can cause cravings. 10
According to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, the inability to feel pleasure – a condition known as anhedonia – can last for weeks to months.9 While some people’s cravings dissipate after a few weeks, others experience them for a lifetime.
The good news is that if you develop and use appropriate coping skills, you can help to minimize your oxycodone cravings over time and even avoid them altogether.
You can be on the lookout for a number of different relapse signs in oxycodone recovery. Identifying these warning signs can help you to prevent relapse before it occurs.
Relapse Warning Signs
- Starting to reconnect with old friends who use oxycodone.
- Changes in behavior or attitude.
- Loss of interest in your hobbies.
- Romanticizing past oxycodone use.
- Believing that you can use oxycodone recreationally without becoming addicted.
- Breakdown of social relationships.
Ways to Prevent Relapse
One important part of relapse prevention is aftercare, which is any form of ongoing treatment after your initial treatment. Aftercare can come in many forms.
- Outpatient treatment programs: Many people transition from inpatient recovery centers to outpatient.
- 12-step programs: Some people find comfort and support within the programs and attend the meetings for life.
- Individual therapy: A therapist can continue where your treatment program left off. They can help you develop your coping skills and teach you to avoid triggers.
- Group counseling: Similar to therapy but with a group, you work on building a number of strategies for recovery while sharing your experiences with oxycodone and listening to those of others.
Medication can also help to prevent relapse. Naltrexone is approved for the treatment of oxycodone addiction. Instead of being an opioid agonist, it is an opioid antagonist, which means that it blocks oxycodone’s effects in the brain, which prevents you from experiencing the “high.” 6 In this manner, naltrexone can help to prevent relapse since it causes oxycodone to lose its appeal. 6
If you or a loved one is struggling with oxycodone cravings or addiction, call 1-888-319-2606 Helpline Information to speak to a treatment support specialist. Many options are available to help you, whether you have insurance or not.
Frequently Asked Questions
Why Do I Crave Sugar When I Take Oxycodone?
When you take oxycodone, the drug activates the opioid receptors in the brain that, in turn, influence your regulation of glucose, or sugar, intake. 11 As a result, you may develop a preference for sweet-tasting foods.
When you eat the sweet foods, and blood sugar rises, the circulating sugar molecules are able to activate the endogenous opioid system – the same one that the oxycodone activates to begin with – potentially augmenting the high of the drug by producing its own mild analgesic or pain-relieving effects. 11
This additional activation of the opioid system and the subsequent reward sensation may explain the increased desire to repeat the behavior – in this case eating sugary food or drink – when you take oxycodone.
. Contingency Management Interventions/Motivational Incentives (Alcohol, Stimulants, Opioids, Marijuana, Nicotine). (2012). Retrieved December 14, 2015, from http://www.drugabuse.gov/publications/principles-drug-addiction-treatment-research-based-guide-third-edition/evidence-based-approaches-to-drug-addiction-treatment/behavioral-0
. Cully, J.A., & Teten, A.L. (2008). A Therapist’s Guide to Brief Cognitive Behavioral Therapy. Department of Veterans Affairs South Central MIRECC, Houston.
. Stoller KB, Bigelow GE, Walsh SL, Strain EC: Effects of buprenorphine/naloxone in opioid-dependent humans. Psychopharmacology (Berl). 2001, 154 (3): 230-242. 10.1007/s002130000637. 2001/05/16
. Medication Guide: Suboxone. (2015). Retrieved December 14, 2015, from http://www.fda.gov/downloads/Drugs/DrugSafety/UCM225677.pdf
. Center for Substance Abuse Treatment. Medication-Assisted Treatment for Opioid Addiction in Opioid Treatment Programs. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2005. (Treatment Improvement Protocol (TIP) Series, No. 43.) Chapter 3. Pharmacology of Medications Used To Treat Opioid Addiction.Available from: http://www.ncbi.nlm.nih.gov/books/NBK64158/
. Medication-Assisted Treatment for Opioid Addiction. (2011). Retrieved December 14, 2015, from https://store.samhsa.gov/shin/content/SMA09-4443/SMA09-4443.pdf
. Smith MA and Lynch WJ (2012) Exercise as a potential treatment for drug abuse: evidence from preclinical studies.Psychiatry 2:82. doi: 10.3389/fpsyt.2011.00082
. Opiate withdrawal: MedlinePlus Medical Encyclopedia. (2013). Retrieved December 14, 2015, from https://www.nlm.nih.gov/medlineplus/ency/article/000949.htm
. Diagnostic and statistical manual of mental disorders: DSM-5. (5th ed.). (2013). Washington, D.C.: American Psychiatric Association.
. Kosten, T., & George, T. (2002). The Neurobiology of Opioid Dependence: Implications for Treatment. Science & Practice Perspectives, 1(1), 13-20.
. Mba, D., & Phd, M. (2010). The relationship between opioid and sugar intake: Review of evidence and clinical applications. Journal of Opioid Management, 6(6), 445-452.
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