How Long Does Percocet Stay in Your System? Impact on the Body and Drug Testing

Medically Reviewed By:

Kelly Donald, PMHNP

Percocet is a commonly prescribed medication for moderate to severe pain, typically following surgery or injury. Itโ€™s a combination drug containing oxycodone, an opioid analgesic, and acetaminophen, a non-opioid pain reliever. While effective in managing pain, it comes with significant risks, especially when misused or taken for longer periods than recommended.

Whether you’re a patient prescribed Percocet, someone struggling with Percocet addiction, or supporting a loved one, understanding how long Percocet stays in your system is crucial. It can affect not only pain management but also drug tests, withdrawal timelines, and overall health outcomes.

What Is Percocet?

Percocet is a prescription medication combining oxycodone and acetaminophen. Oxycodone targets opioid receptors in the central nervous system (CNS) to relieve pain, while acetaminophen enhances oxycodoneโ€™s effect and adds its own pain relief benefits.

Itโ€™s typically prescribed in tablet form and taken every four to six hours as needed. However, like many prescription opioids, it has a high potential for misuse and addiction.

The Half-Life of Percocet: How Long Does It Stay in Your System?

The half-life of a drug refers to how long it takes for half of the substance to be eliminated from the body. Percocetโ€™s oxycodone component has a half-life of approximately 3.5 hours, while acetaminophenโ€™s half-life is about 2 to 3 hours.

But here’s the catch: it takes multiple half-lives for a drug to be fully eliminated. In general, it can take around 24 to 48 hours for most of the oxycodone in Percocet to leave your body. However, traces can remain detectable in drug tests for much longer.

Drug Test Detection Times for Percocet

For most people, Percocet leaves their system after 1-4 days. However, this can vary based on the type of test used and other key factors.

  • Urine tests: Detectable for 1โ€“4 days after the last dose
  • Saliva tests: Detectable for up to 2 days
  • Blood tests: Detectable for up to 24 hours
  • Hair tests: Detectable for up to 90 days

Detection time can vary significantly depending on individual factors such as:

  • Body mass
  • Liver function
  • Frequency of use
  • Percocet dose
  • Age and metabolism
  • Other drugs being used

Why It Matters: Pain Relief vs. Long-Term Risks

While Percocet can provide powerful pain relief, particularly in cases of chronic pain or post-surgical pain, it is not designed for long-term use. Taking Percocet chronically increases the risk of developing a physical dependence or full-blown substance use disorder.

Higher doses or frequent use overwhelm the CNS, leading to tolerance, meaning you need more Percocet to achieve the same effect. This can result in:

  • Respiratory depression
  • Shallow breathing
  • Serotonin syndrome (especially when mixed with other CNS depressants)
  • Liver damage (due to acetaminophen overload)
  • Life-threatening overdose events

Percocet Withdrawal Symptoms

If someone stops taking Percocet suddenly, especially after prolonged use, they may experience withdrawal symptoms, including:

  • Runny nose
  • Muscle aches
  • Anxiety or agitation
  • Insomnia
  • Sweating
  • Stomach cramps
  • Nausea and vomiting

These symptoms usually begin within 6โ€“12 hours of the last dose and peak around 72 hours, although milder symptoms can last for a week or more.

Factors That Affect How Long Percocet Stays in Your System

There is no one-size-fits-all answer to the question โ€œhow long does Percocet stay in your system?โ€ It depends on a variety of individual factors, including:

  • Dosage: A higher prescribed dose or taking more than prescribed increases the drugโ€™s longevity in your system.
  • Frequency of use: Taking Percocet regularly or for extended periods allows it to build up in the bodyโ€™s fatty tissues, slowing elimination.
  • Age and health: Poor liver function or other chronic health issues can delay the bodyโ€™s ability to eliminate Percocet.
  • Other CNS depressants: Taking Percocet with alcohol, benzodiazepines, or other opioids can amplify its effects and complicate clearance.
  • Method of administration: Snorting or injecting (forms of illicit misuse) bypass normal metabolism and alter how long Percocet stays in your system.

Current Statistics on Percocet and Prescription Opioids

According to the CDC, over 100,000 drug overdose deaths occurred in the U.S. in the last year alone, with opioidsโ€”especially prescription types like Percocetโ€”playing a central role.

A 2023 report from the Substance Abuse and Mental Health Services Administration (SAMHSA) indicated:

  • Around 8.7 million people misused prescription pain relievers in the past year.
  • Young adults (ages 18โ€“25) had the highest rates of nonmedical use of prescription opioids.
  • Over 75% of people who misuse prescription opioids report getting them from friends, family, or leftover prescriptions.

The DEA and FDA have since introduced stricter guidelines to restrict prescriptions, encourage safer practices, and reduce the public health risks associated with opioid misuse.

Can You Speed Up the Elimination of Percocet?

While some believe in โ€œflushingโ€ their system with fluids, exercising, or taking herbal supplements, there is no guaranteed way to speed up how quickly Percocet is eliminated from your system. The process depends heavily on liver function, hydration, and metabolism.

Attempting to detox at home can also be risky. Always seek immediate medical attention if signs of withdrawal or overdose appear.

Breastfeeding and Percocet: What to Know

If you’re breastfeeding while on prescribed Percocet, consult your doctor immediately. Oxycodone passes into breast milk and may cause respiratory depression in infants. Never adjust the dose or discontinue use without proper medical supervision.

Frequently Asked Questions (FAQs)

1. Can Percocet show up as the same substance as other opioids on a drug test?

Yes, standard opioid panels typically detect oxycodone as part of the general “opioid” category. However, more advanced drug tests can differentiate between oxycodone (in Percocet) and other opioids like hydrocodone, morphine, or heroin. If precision is neededโ€”such as in legal or employment contextsโ€”a specialized test may be ordered.

2. Is it safe to drive while taking Percocet?

No. Percocet can impair reaction time, coordination, and alertnessโ€”even at prescribed doses. Because it affects the central nervous system, it can lead to drowsiness or dizziness. Driving or operating heavy machinery while on Percocet increases the risk of accidents and may be considered driving under the influence (DUI) in some jurisdictions.

3. How can I tell if someone is misusing Percocet?

Signs of misuse may include taking the drug more frequently or in higher doses than prescribed, running out of prescriptions early, frequent requests for refills, isolating behavior, mood swings, or signs of intoxication (slurred speech, confusion, pinpoint pupils). If you’re concerned about someone, approach with care and seek guidance from a medical professional or addiction counselor.

4. Are there medications that can interact dangerously with Percocet?

Yes. Percocet should not be taken with other CNS depressants, such as benzodiazepines, alcohol, certain sleep aids, or muscle relaxants. These combinations can cause severe respiratory depression or even be life-threatening. Always inform your doctor about all medications and supplements youโ€™re taking to avoid interactions.

5. Is long-term Percocet use ever appropriate?

Long-term use is typically avoided due to risks of dependence and side effects. In rare casesโ€”such as palliative care or certain chronic pain conditionsโ€”a healthcare provider may supervise extended use with strict monitoring. Even in those cases, dosage and duration are carefully controlled, and alternative therapies are often considered.

6. What should I do if I suspect an overdose?

Call 911 immediately. Signs of overdose include extreme drowsiness, slow or stopped breathing, cold or clammy skin, and unresponsiveness. If available, administer naloxone (Narcan)โ€”an opioid overdose reversal drugโ€”while waiting for emergency services. Time is critical in preventing permanent damage or death.

Get Treatment for Percocet Addiction Now

At Moving Mountains Recovery, we offer comprehensive treatment for prescription opioid addiction, and our personalized treatment plans allow you to get the help you deserve. Learn about our treatment options or get started with a confidential, risk-free assessment today.

References:

  1. U.S. Food and Drug Administration (FDA): Percocet (Oxycodone and Acetaminophen Tablets, USP)
  2. Science Direct: Oxycodone
  3. Substance Abuse and Mental Health Services Administration (SAMHSA): 2023 National Survey on Drug Use and Health (NSDUH) Releases
  4. National Institute of Health (NIH): How People Obtain the Prescription Pain Relievers They Misuse
  5. NIH: PharmGKB summary: oxycodone pathway, pharmacokinetics

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