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

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Prepare for the National Certified Addiction Counselor, Level I (NCAC I) Exam with comprehensive flashcards and multiple choice questions. Each question comes with detailed explanations and hints. Get ready for your NCAC I certification!

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What substance is produced when cocaine is mixed with alcohol?

Acetaldehyde
Cocaethylene
Ephedrine
Phenylethylamine

The correct answer is: Cocaethylene

When cocaine is mixed with alcohol, it produces a substance known as cocaethylene. This substance is formed in the liver when both cocaine and ethanol (alcohol) are present in the system. Cocaethylene is not only a metabolite of cocaine but also has psychoactive properties that can enhance the effects of cocaine, leading to a potential increase in both euphoria and the risk of adverse effects. The presence of cocaethylene in the body can intensify the cardiovascular effects of cocaine, which raises concerns regarding its safety. This interaction can lead to a higher likelihood of overdose and serious side effects, making it crucial for professionals in addiction counseling to understand the implications of mixing these two substances. Understanding the pharmacological interactions and the potential for harm is essential for making informed decisions about treatment and counseling approaches for individuals struggling with substance use.