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Oxycontin OC 40 mg is a prescription medication for pain consisting of a powerful opioid called oxycodone OC stands for Original Continuous meaning it is a type of oxycodone designed to slowly release over a period of time and thus more sustainably manage pain. When the medicine is taken it begins working to relieve pain in under 2 to 4 hours and it affects the body 15 to 30 hours.