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

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Why has Levacetylmethadol fallen out of medical favor?

  1. It is too short-acting compared to methadone

  2. It has a high risk of dependency

  3. It is associated with potentially dangerous side effects

  4. It is only effective for a limited time

The correct answer is: It is associated with potentially dangerous side effects

Levacetylmethadol, also known as LAAM (Levo-alpha-acetylmethadol), has fallen out of medical favor primarily due to its association with potentially dangerous side effects. While it was once considered an alternative to methadone for the treatment of opioid dependence, the emergence of serious safety concerns has led to a reassessment of its use. The risks of side effects, such as cardiac issues and prolonged QT interval, can have severe implications for patients, making monitoring essential yet challenging. These concerns outweigh the benefits of its use in treating opioid dependence, especially when other safer alternatives are available. This critical safety profile has made practitioners hesitant to prescribe Levacetylmethadol, contributing to its decline in popularity as a treatment option.