Which option is not a sign of narcotic overdose?

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Narcotic overdose causes central nervous system depression and respiratory suppression. Slow breathing is a hallmark because opioids blunt the brain’s respiratory drive, leading to shallow or slowed breaths. Pinpoint pupils are another classic sign, reflecting the opioid effect on the autonomic nervous system. Hypotension can occur with overdose due to vasodilation and overall depressant effects on the body. Hyperactivity does not fit this pattern; agitation or excessive activity is not typical of narcotic overdose and is more associated with stimulant effects or withdrawal. So the sign that does not indicate narcotic overdose is hyperactivity.