NSTK · 01.2026Independent supplement reference
NutriStack
Edition 1.0Updated August 1, 2026

Supplement × Prescription·Evidence index

Alprazolam and Oxycodone: what the published research says

PubMed indexes 4 records that name Alprazolam and Oxycodone together, either in the title or in an interaction, co-administration, or pharmacokinetic context. Each one is listed below with its study design and, where the abstract states one, the authors’ own conclusion, quoted and linked. This page reports that literature. It does not tell you whether to combine them.

Read this first

An evidence index, not guidance.

Every statement below is attributed to a named, dated, linked source.

This page lists published research relevant to Alprazolam and Oxycodone. It deliberately does not state whether the combination is safe, whether it interacts, in which direction, at what dose, or how far apart to take them.

The research

4 studies naming Alprazolam and Oxycodone.

Strongest relevance first: papers naming both substances in the title, then human trials and systematic reviews.

Separate and combined psychopharmacological effects of alprazolam and oxycodone in healthy volunteers.

Drug and alcohol dependence · 2012 · PMID 22365897

Randomized Controlled TrialResearch Support, N.I.H., Extramural

“In healthy volunteers, abuse liability-related subjective effects of oxycodone were not enhanced by alprazolam. There was enhanced behavioral toxicity when the drugs were taken together, and thus, this is of significant concern from a public safety standpoint.”

Zacny et al. · Authors' conclusion

Names both Alprazolam and Oxycodone in its title.

Drug prescriptions preceding opioid-related deaths-a register study in forensic autopsy patients.

PloS one · 2023 · PMID 37256903

Observational StudyHuman subjects

“Prescription of certain drugs, especially alprazolam and diazepam, should be made with great caution to patients with a history of illicit substance use or concurrent use of opioids.”

Walde et al. · Authors' conclusion

Names Alprazolam and Oxycodone together in an interaction, co-administration, or pharmacokinetic context.

The curse of relieving pain.

BMJ case reports · 2018 · PMID 29367223

Case ReportsHuman subjects

Names Alprazolam and Oxycodone together in an interaction, co-administration, or pharmacokinetic context.

A probable case of gabapentin-related reversible hearing loss in a patient with acute renal failure.

Clinical therapeutics · 2008 · PMID 18840374

Case ReportsHuman subjects

“We report a patient with acute renal failure who developed hearing loss, myoclonus, and confusion with hallucinations in the presence of elevated gabapentin concentrations. Due to rapid improvement after hemodialysis and discontinuation of gabapentin, we believe that these symptoms were probably due to gabapentin toxicity.”

Pierce et al. · Authors' conclusion

Names Alprazolam and Oxycodone together in an interaction, co-administration, or pharmacokinetic context.

Limitations

What this evidence cannot tell you.

Search-based evidence indexes have real limits, and it is worth being explicit about them:

NutriStack

Track what you actually take.

NutriStack is a free iPhone app for organising a supplement routine: what you take, when, and what the published record says about it. Its exploratory interaction checker covers Alprazolam, Oxycodone, and several hundred other substances.

The checker is a research and organisation tool, not a clinical decision aid, and its per-pair assessments are excluded from search until they pass claim-level review.

NutriStack is an informational and organizational tool, not a medical service, and not a substitute for professional advice. Always consult a qualified healthcare professional before starting, stopping, or changing any supplement or medication.