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

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Which of the following barbiturates has a high abuse potential?

  1. Phenobarbital

  2. Secunol

  3. Tuinal

  4. Both Secunol and Tuinal

The correct answer is: Both Secunol and Tuinal

Secunol and Tuinal are both barbiturates known for their high potential for abuse. This is primarily due to their sedative-hypnotic properties, which can lead users to misuse them for their calming effects, especially in social or stressful situations. Secunol (secobarbital) is often associated with recreational use due to its quick onset of effects, which can lead to cravings and dependency. Similarly, Tuinal, a combination of amobarbital and secobarbital, is notorious for its potential to be misused, particularly in large doses, because it can produce euphoric effects that appeal to individuals seeking a high. In contrast, Phenobarbital is generally considered to have a lower abuse potential because it is primarily used in medical settings, particularly for the management of seizures, and its effects are longer-lasting and less euphoric compared to the other two drugs. Therefore, the correct answer highlights that both Secunol and Tuinal have a significant risk of abuse, making them notable in discussions about addiction and substance misuse.