National Certified Addiction Counselor, Level I (NCAC I) Practice Exam

Between short-acting and long-acting barbiturates, which type is more likely to be prescribed for detox?

1. Short-acting barbiturates

2. Long-acting barbiturates

3. Both are equally effective

4. Neither are prescribed for detox

The correct answer is: Long-acting barbiturates

Long-acting barbiturates are typically preferred for detoxification because they provide a more gradual and stable release of the medication in the body. This can help to mitigate withdrawal symptoms that often arise during detox. Since long-acting barbiturates have a longer half-life, they maintain therapeutic levels for an extended period, which aids in minimizing the peaks and troughs that can occur with shorter-acting substances. In a detox setting, the goal is to ensure safety and comfort for the individual, and the use of long-acting formulations allows for a smoother transition away from dependence on the drug. Short-acting barbiturates, while they may have their place in other treatment regimens, can lead to more rapid onset of withdrawal symptoms, making them less suitable for detox purposes. Therefore, the preference for long-acting barbiturates aligns with the objective of providing a more consistent therapeutic effect during the detoxification process, reducing the risks associated with withdrawal.