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

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What is one of the key considerations when discontinuing methadone treatment?

  1. It has immediate withdrawal symptoms

  2. It has a fast onset and fast resolution of withdrawal

  3. Withdrawal lasts shorter than heroin

  4. Withdrawal from methadone can be extended

The correct answer is: Withdrawal from methadone can be extended

Discontinuing methadone treatment involves various considerations, and one of the key factors is that withdrawal from methadone can be prolonged. Unlike short-acting opioids, methadone is a long-acting medication that stays in the system longer. This means that when treatment is stopped, the withdrawal process can take significantly longer to manifest and persist compared to other opioids. Methadone withdrawal often begins later and can last several weeks, and in some cases, symptoms can continue for months. This prolonged withdrawal can complicate the recovery process and may necessitate a carefully planned tapering strategy to minimize discomfort and support the individual's transition off the medication. The other options address aspects of withdrawal that do not accurately reflect the nature of methadone, such as immediate onset of withdrawal symptoms or faster onset and resolution compared to other opioids, which is not the case. Understanding the dynamics of methadone is crucial for effective treatment planning and providing support to those discontinuing its use.