Which of the following is NOT a sign of narcotic analgesic abuse?

Hyperactivity is not a typical sign of narcotic analgesic abuse. Generally, narcotic analgesics (such as opioids) are central nervous system depressants that tend to slow down bodily functions. Users may exhibit signs such as shallow breathing, which can indicate respiratory depression, blue lips and fingernails due to a lack of adequate oxygenation, and clammy skin often associated with opioid overdose or withdrawal. Hyperactivity stands in contrast to the sedative effects of these substances, making it the least compatible with the expected symptoms of narcotic analgesic abuse.