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Head-to-head

Compare drugs before you take them — it can save your life

A pill sold as Xanax may be bromazolam. A painkiller with a familiar name may be ten times stronger than the one beside it. And mixing medicines that were never prescribed together — an opioid with a benzo, a stimulant with a depressant — is how most fatal overdoses actually happen. These 70 honest comparisons answer the questions people really search: which is stronger, which is more addictive, what it costs, and which one will hurt you more — in plain English, with sources.

About to mix something, or holding a pill you can’t verify? Start with mixing dangers and how to spot pressed pills — and keep a hotline handy. Counterfeit pills have killed people who thought they knew what they were taking.

Benzos

Anti-anxiety sedatives, side by side. 8 comparisons.

Opioids & painkillers

Painkillers and opioid treatments, head to head. 14 comparisons.

OvsH

Oxycodone vs Hydrocodone

Oxycodone (OxyContin, Roxicodone) and hydrocodone (Vicodin, Norco) are the two most-prescribed strong painkillers in…

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OvsO

OxyContin vs Oxycodone

OxyContin IS oxycodone — the same opioid in a time-release shell designed to last 12 hours. The difference is how the…

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HvsO

Dilaudid vs Oxycodone

Dilaudid (hydromorphone) is the hospital heavyweight — about 5 times stronger than oxycodone per milligram — used for…

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MvsO

Morphine vs Oxycodone

Morphine is the original opioid — used since the Civil War and still the reference standard doctors measure every…

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TvsH

Tramadol vs Hydrocodone

Tramadol was sold for years as the 'safer, weaker' opioid — not a controlled drug at all until 2014. It's weaker than…

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TvsO

Tramadol vs Oxycodone

Tramadol and oxycodone sit at opposite ends of the prescription-opioid strength chart. Oxycodone is roughly ten times…

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FvsH

Fentanyl vs Heroin

Heroin ruled the illegal opioid world for a century. Fentanyl — 50 times stronger, made in labs, shipped by mail…

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FvsM

Fentanyl vs Morphine

Morphine is the century-old reference standard for pain. Fentanyl is its synthetic super-concentrate — 50 to 100 times…

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SvsM

Suboxone vs Methadone

Suboxone (buprenorphine/naloxone) and methadone are the two medications that treat opioid addiction. Both stop…

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SvsS

Suboxone vs Subutex

Subutex is buprenorphine alone; Suboxone is buprenorphine plus a small amount of naloxone. They treat opioid addiction…

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CvsH

Codeine vs Hydrocodone

Codeine is the gentlest prescription opioid — cough syrup's active ingredient, metabolized into morphine by the liver…

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KvsS

Kratom vs Suboxone

Kratom is a Southeast Asian leaf with opioid-like effects, sold legally in much of the US. Suboxone is the…

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Kvs7

Kratom vs 7-OH

Kratom leaf and 7-hydroxymitragynine (7-OH) come from the same plant — but they are not the same product. Leaf is the…

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KvsT

Kratom vs Tramadol

Kratom and tramadol occupy the same niche: the 'mild opioid' people reach for when they want relief without a heavy…

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ADHD meds

Focus medications, compared fairly. 4 comparisons.

Stimulants

Cocaine, meth, crack and friends. 5 comparisons.

Cannabis & hemp

Weed, delta-8, HHC and the hemp aisle. 8 comparisons.

Psychedelics

The classic mind-openers, compared. 9 comparisons.

MDMA & party drugs

MDMA and its chemical family. 3 comparisons.

Dissociatives

Ketamine, PCP and the hole states. 5 comparisons.

Downers & sleep

GHB, sleep aids and nerve-pill cousins. 7 comparisons.

Grey market & more

Grey-market and lifestyle compounds. 7 comparisons.

Frequently asked questions

Why should I compare two drugs before taking anything?

Because the risks hide in the differences. A bar pressed to look like Xanax may actually be bromazolam or contain fentanyl. Two painkillers with similar names can differ tenfold in strength. Two party drugs that feel fine alone can stop your breathing together. Comparing first turns a guess into an informed choice.

Is one drug in a comparison ever 'safe'?

No — and any page that says otherwise is selling something. Every comparison here is harm reduction: both substances carry real risks, and the honest answer is which risks are bigger, how they differ, and how to reduce them. The safest choice is always not to use; the second-safest is to know exactly what you're dealing with.

Where does this information come from?

Each comparison is compiled from public health sources — NIDA, CDC, FDA, DEA, WHO, EMCDDA and peer-reviewed studies — and every page lists its sources and last-updated date. Nothing here is medical advice; in an emergency, call your local emergency number first.