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

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What are the two most commonly abused benzodiazepines?

  1. Clonazepam and Lorazepam

  2. Diazepam and Alprazolam

  3. Temazepam and Nitrazepam

  4. Midazolam and Triazolam

The correct answer is: Diazepam and Alprazolam

Diazepam and alprazolam are widely recognized as the two most commonly abused benzodiazepines. Their popularity in both medical and recreational contexts contributes to their prevalence in abuse scenarios. Diazepam, often used to treat anxiety, muscle spasms, and seizures, has a long history of prescription use since its approval in 1963. Its effects, including sedation and muscle relaxation, make it attractive for misuse. Similarly, alprazolam is frequently prescribed for anxiety and panic disorders, known for its rapid onset of action and effectiveness, which can lead to higher rates of dependency and abuse. While other benzodiazepines listed might be used in medical treatments, they do not have the same levels of reported misuse or dependency as diazepam and alprazolam. This distinction highlights the specific risks associated with these two medications, leading to their identification as the most commonly abused in clinical and addiction contexts.