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The narcotic in both medications is the oxycodone, the only difference between the two is the additiâ¦on of Tylenol (aka acetaminophen). The addition of Tylenol does not necessarily make the combo drug more powerful than the straight oxycodone, but is an adjunctive therapy so to speak.
Narcotics, including oxycodone and OxyContin, are prescribed to alleviate very severe pain, such as might follow surgery, a car crash or some other traumatic injury. While narcotics are very effective, they are also highly addictive. The main difference between oxycodone and OxyContin is that oxycodone is a generic drug rather than a brand name. Neither oxycodone or OxyContin should be taken for more than three to four months, according to the National Institutes of Health.