All of the following are symptoms of opiate abuse withdrawal (COWS) except

A. Sweating is a common symptom of opioid withdrawal and is included in the Clinical Opiate Withdrawal Scale (COWS), which is used to assess the severity of withdrawal symptoms. B. Goosebumps (also called piloerection) are a classic physical sign of opioid withdrawal and are specifically assessed in the COWS scoring system. C. Palpitations are not typically listed as a core symptom of opioid withdrawal in the COWS assessment. While some individuals may subjectively report feeling anxious or having an increased heart rate, palpitations are not a primary or consistent withdrawal symptom. D. High blood pressure is a recognized symptom of opioid withdrawal and is measured in the COWS tool as part of autonomic symptoms like increased pulse and blood pressure.