A.  Heroin withdrawal 

B.   Ecstasy overdose

C.   LSD overdose 

D.  Cocaine overdose

E.   Benzodiazepine withdrawal 

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The correct answer is A .

• Heroin withdrawal symptoms include increased sweating, runny nose, muscle aches, agitation and sleep disturbance thus it is the correct answer. Methadone can be given during the withdrawal symptoms. 

Why not B?

• Symptoms of ecstasy overdose include dehydration or extreme thirst, hyperthermia, uncontrolled body movements, hypertension, insomnia, and tachycardia. Seeing spots of colour or floating colours when eyes are open is a major characteristic of an Ecstasy overdose. 

Why not C?

• In LSD overdose, mydriasis, sweating, diarrhoea, hallucinations and delusions and intensified senses are seen. Smelling colours and seeing sound as well as having visual hallucinations when eyes are closed are major signs.

Why not D?

• Cocaine overdose is involved in symptoms such as arrhythmias, tachycardia or bradycardia, hypertension, seizures, mydriasis, hyperreflexia, agitation and psychosis. Opioid overdoes is managed by Naloxone IV. Chronic management or detoxification is done by Methadone. 

Why not E?

• Benzodiazepine withdrawal symptoms have features of a panic attack; hyperventilation and metabolic alkalosis.

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