What symptom is NOT typically associated with opioid use?

In the context of opioid use, improved energy levels are not typically associated with their effects. Opioids are primarily known for their sedative properties, which often lead to drowsiness, lethargy, or fatigue. They work by binding to opioid receptors in the brain and spinal cord, producing pain relief but also affecting other systems in the body, leading to various side effects.

Respiratory depression is a well-known and potentially dangerous side effect of opioid use, as opioids can suppress the central nervous system, leading to decreased breathing rate and depth. Urinary retention is also a common side effect of opioids due to their effect on the smooth muscles of the bladder and the autonomic nervous system. Urticaria, while not as common, can occur as an allergic reaction to opioids.

In contrast to these symptoms, the expectation of improved energy levels contradicts the sedative and depressant qualities of opioids, thus establishing why this choice is the correct answer.