Alcohol Withdrawal Timeline: How Long Does Alcohol Withdrawal Last?
Alcohol addiction can take a significant toll on an someone’s overall well-being. One of the most challenging aspects of overcoming alcohol dependence is dealing with withdrawal symptoms.
Medically Reviewed by Dr. Michael Ferri
Last Updated on:
August 2, 2024
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Alcohol withdrawal can begin within hours of someone’s last drink. However, depending on the person, alcohol withdrawal can be different from person to person.
Understanding the timeline of it, recognizing the symptoms, and knowing the stages of withdrawal can help those struggling with alcohol addiction to prepare for recovery.
When Do Alcohol Withdrawal Symptoms Start?
Alcohol withdrawal, also called alcohol withdrawal syndrome (AWS) is the process of someone’s body experiencing uncomfortable withdrawal symptoms when they stop drinking alcohol.
The onset of alcohol withdrawal symptoms can vary depending on several factors, including the duration and intensity of alcohol use, the individual’s health condition, and their genetic makeup. Alcohol withdrawal symptoms can begin six to twelve hours after the last drink. For heavy drinkers, symptoms may start sooner, while for moderate drinkers, they might appear later.
Learn More: What Happens To Your Body When You Quit Drinking?
Alcohol Withdrawal Symptoms
Alcohol withdrawal symptoms can range from mild to severe. Common symptoms include:
- Mild Symptoms: Anxiety, headaches, nausea, vomiting, sweating, insomnia, and tremors.
- Moderate Symptoms: Increased heart rate, elevated blood pressure, fever, confusion, and agitation.
- Severe Symptoms: Hallucinations, seizures, and Delirium Tremens (DTs) - a severe form of withdrawal that can be life-threatening.
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Alcohol Withdrawal Timeline By Hour
Understanding the timeline of alcohol withdrawal can help individuals and their loved ones anticipate and manage symptoms more effectively. Here is a breakdown of the typical alcohol withdrawal timeline by the hour:
- 6-12 Hours: Mild symptoms such as anxiety, nausea, vomiting, headaches, and insomnia start to appear.
- 12-24 Hours: Symptoms intensify, with potential hallucinations, increased heart rate, and elevated blood pressure.
- 24-48 Hours: Moderate symptoms peak, including severe agitation, confusion, and the risk of seizures.
- 48-72 Hours: This period marks the highest risk for severe symptoms such as Delirium Tremens (DTs), characterized by severe confusion, hallucinations, high fever, and seizures.
- 72+ Hours: Symptoms gradually start to decrease in intensity, but some psychological symptoms like anxiety and depression may persist for weeks or even months.
Dangers of Alcohol Withdrawal
Alcohol withdrawal can be dangerous and, in some cases, life-threatening. The most severe risk is Delirium Tremens (DTs), which can cause severe confusion, high fever, and seizures. If left untreated, DTs can lead to heart attack, stroke, or even death. It is crucial to seek medical supervision during the withdrawal process to manage symptoms safely and effectively.
Getting Help for Alcohol Use Disorder
Overcoming alcohol withdrawal is a critical first step in the journey to recovery from alcohol addiction. To navigate alcohol withdrawal safely, it’s important to find professional help. Our alcohol rehab in Nashville offers a full continuum of care for those who are struggling. In general, here is how to effectively get help for alcohol withdrawal:
Detox
Detoxification, or detox, is a medically-monitored process of allowing the body to rid itself of alcohol while managing withdrawal symptoms. During alcohol detox, medical professionals monitor vital signs, provide necessary medical interventions, and offer support to ease discomfort.
Medical supervision ensures that any health risks are promptly addressed, making detox a safer and more comfortable experience.
Inpatient Rehab
During inpatient rehab, clients live onsite at the facility and are provided medical, psychological and support post-detox so they can understand the root cause of their addiction and learn new coping skills to support them in everyday life once they leave.
Medication
Medication plays a crucial role in managing alcohol withdrawal symptoms and supporting long-term recovery. Medication-Assisted Treatment (MAT) involves the use of FDA-approved medications to reduce cravings, alleviate withdrawal symptoms, and prevent relapse. Common medications include naltrexone, which blocks the euphoric effects of alcohol; acamprosate, which helps normalize brain function post-withdrawal; and disulfiram, which creates unpleasant reactions when alcohol is consumed.
Research shows that MAT can reduce the risk of relapse by up to 50%, making it a valuable component of the treatment process.
Therapy
Cognitive Behavioral Therapy (CBT) helps individuals identify and change negative thought patterns and behaviors associated with alcohol use. It is highly effective, with around 60% of individuals showing significant improvements.
Dialectical Behavioral Therapy (DBT) teaches coping skills to manage stress, regulate emotions, and improve relationships, which is particularly beneficial for those with co-occurring disorders. Therapy provides individuals with the tools and strategies needed to maintain sobriety, cope with triggers, and build a healthier, alcohol-free life.
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