In the context of opioid withdrawal, which of the following is a common sign?

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In the context of opioid withdrawal, hyporeflexia is not typically a common sign associated with the condition. Instead, during opioid withdrawal, one would commonly observe heightened physiological responses such as elevated blood pressure and dilated pupils. Elevated blood pressure and heart rate are signs of autonomic instability that can occur due to the absence of opioids, which have depressant effects on the central nervous system. When those effects are removed, the body can exhibit heightened sensitivity, resulting in these elevated vitals.

Dilated pupils are also a classic sign; opioids usually cause miosis (constricted pupils), and in withdrawal, the opposite occurs, leading to mydriasis (dilated pupils). Similarly, insomnia is a frequent complaint that arises during withdrawal as patients experience disturbances in their sleep patterns, a consequence of heightened anxiety and physiological discomfort.

Thus, while hyporeflexia may indicate various conditions, it does not align with the characteristic signs of opioid withdrawal. The presence of elevated blood pressure, dilated pupils, and insomnia are much more indicative of the withdrawal state, highlighting the body's response to the absence of opioids.

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