National Certified Addiction Counselor, Level 2 (NCAC II) Practice Exam Exam

Which of these symptoms does NOT typically accompany opiate use disorder?

1. Intense cravings

2. Dependence on alternative substances

3. Difficulty breathing during intoxication

4. Increased appetite

The correct answer is: Increased appetite

In the context of opiate use disorder, increased appetite is not a typical symptom associated with the condition. Opiates often have a suppressive effect on appetite, leading to decreased food intake and potential weight loss in individuals who misuse these substances. On the other hand, intense cravings, dependence on alternative substances, and difficulty breathing during intoxication are well-documented symptoms related to opiate use disorder. Intense cravings occur as a result of the brain's adaptation to the presence of opiates, creating a strong desire for the substance. Dependence on alternative substances can develop as individuals seek other ways to cope or manage their withdrawal symptoms, often leading to polydrug use. Difficulty breathing during intoxication represents a serious risk associated with opiate overdose, where respiratory depression can occur, leading to life-threatening situations. Understanding these nuances is critical for recognizing the clinical presentations of opiate use disorder and differentiating them from other potential issues that may arise with substance misuse.