A yellow tablet marked 230 is a reason to pause and check safety, not to jump straight to an accusation. The matching labeled medicine contains an opioid and acetaminophen, and a loose pill cannot be verified by color alone.
Key points
- The labeled yellow 230 tablet with the Alvogen logo contains oxycodone 10 mg and acetaminophen 325 mg.
- A matching imprint or photograph cannot authenticate a loose pill.
- Possible ingestion comes before investigation: seek Poison Control or emergency guidance.
- Finding a pill does not, by itself, diagnose addiction.
First: is anyone at risk right now?
If someone has collapsed, is having a seizure, has trouble breathing, or cannot be awakened, call 911 immediately. For a possible pill ingestion or overdose without those emergency signs, call U.S. Poison Control at 1-800-222-1222. Do not wait to finish identifying the pill or make the person vomit. Poison Control first-aid guidance.
What the 230 imprint may mean
Alvogen’s labeling describes a yellow, round tablet with 230 on one side and its logo on the other. That product contains oxycodone hydrochloride 10 mg and acetaminophen 325 mg. A number without the full appearance, opposite-side marking, and source is an incomplete identification. Read the DailyMed product label.
Check the medicine’s history before assuming its purpose
Start with practical details: where the tablet was found, whether there is an original pharmacy container, whose name is on it, and whether any tablets may be missing. A past dental procedure or injury may explain a prescription, but leftover medicine should not be shared or restarted without the prescriber’s guidance. A person’s explanation deserves a hearing; it does not replace a medication check.
The opioid component can slow breathing, and excessive acetaminophen can injure the liver. Combining an opioid with alcohol or sedating medicines can increase danger. A counterfeit may not contain the labeled ingredients at all. If you cannot establish whether anyone swallowed it, call Poison Control and explain what is known and what remains uncertain.
Keep the pill secure while you get answers
Keep it away from children and pets, retain the packaging, and note where and when it was found. Do not taste, crush, or share it. Ask a pharmacist about the markings and any matching prescription; do not put an unverified pill into someone’s medication bottle. After any exposure assessment, ask about safe disposal of unwanted medicine.
A conversation you can start without blame
“I found a yellow pill and want to understand where it came from. I’m most concerned about whether anyone has taken it. Can we look at the prescription information together?” Avoid asking your child to prove it is harmless by taking it. Once the immediate question is resolved, agree on secure storage and a plan for discussing pain or other symptoms with a clinician.
Frequently asked questions
Does the number 230 tell me how much medicine is in the pill?
No. An imprint is a product marking, not a dose instruction. The labeled Alvogen product described here contains two ingredients, and an unknown tablet cannot be authenticated by its number.
Should I wait for symptoms before calling?
If an unknown pill or an excessive amount may have been swallowed, get advice promptly rather than waiting for symptoms. Poison Control can help assess the situation. Call 911 for trouble breathing, collapse, a seizure, or inability to wake the person.
What information should I have ready?
Keep the pill and its container available. Share the complete markings, your child’s age, symptoms, what may have been taken, the possible amount, and the time. Say when you do not know; do not delay a call to collect every detail.
What if my child says it belongs to someone else?
That may be true. Begin by checking whether anyone took it and where it came from. Keep the conversation calm, secure the medicine, and verify any prescription explanation with the appropriate adult or pharmacy. Repeated concerns deserve a healthcare assessment rather than a conclusion drawn from one discovery.
When your family needs a longer-term plan
Once immediate medical concerns are addressed, a discovery may lead to a larger conversation about stress, pain, access to medication, or substance use. You do not have to diagnose the problem before seeking support. Start with your child’s healthcare professional for clinical assessment. The Firm can help families organize their concerns, prepare a conversation, and consider appropriate next steps.
For ongoing non-prescribed opioid use or repeated safety concerns, our fentanyl and opioid intervention services help families prepare an organized approach to offering care. Family coaching can support communication and boundaries before and after that conversation. These services follow medical assessment; they do not replace emergency treatment or a clinician’s prescribing decisions.
Talk with The Firm about your family’s next steps. This consultation service is not emergency care or a pill-identification service.
Sources and further reading
DailyMed: medication labeling
DEA: counterfeit prescription pills
CDC: lifesaving naloxone
Poison Control: acetaminophen safety
Educational information for parents, not an identification of a pill in your possession or a substitute for individualized medical advice. Sources checked November 4, 2026.
Photo reference: Drugs.com pill identifier. Graphic layout and background edited from the reference photograph; visual comparison cannot establish authenticity.