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

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What is the withdrawal peak for long-acting barbiturates?

  1. First week

  2. Second or third week

  3. Fourth week

  4. First month

The correct answer is: Second or third week

The withdrawal peak for long-acting barbiturates typically occurs during the second or third week after cessation of use. This is primarily due to the pharmacokinetics of these substances, as they have a long elimination half-life, leading to a gradual decline in their levels in the body. As the body metabolizes and clears these drugs, withdrawal symptoms can intensify as the substance becomes less available, peaking in severity weeks after the last use. During the second and third weeks, individuals may experience heightened symptoms, including anxiety, tremors, and in some cases, severe complications such as seizures. Understanding this timeline is crucial for addiction counselors to provide appropriate support and intervention strategies during the withdrawal process. In contrast, the initial phase of withdrawal occurs earlier, while the later weeks may not exhibit the peak intensity seen in this timeframe. This understanding helps in creating tailored treatment plans that mitigate risks associated with withdrawal and support recovery effectively.