Continuous monitoring of sodium, potassium, and magnesium levels prevents arrhythmias and muscle cramps. This level of supervision ensures any complications are detected and treated immediately. Anyone who thinks they are dependent on alcohol should consider speaking with a doctor. At BRC, we assist clients in connecting with the community resources that best align with their recovery goals and personal values. Research from Verywell Mind shows that individuals who regularly attend peer-support groups are significantly less likely to relapse within the first year of sobriety. According to PsychologyToday, creating a written, reviewed relapse plan dramatically improves long-term success rates.
Addiction Treatment
This phase is less common and is known as post-acute withdrawal syndrome (PAWS). PAWS involves withdrawal symptoms that occur after acute withdrawal and can make post-rehab life challenging for some individuals. Depending on the severity of your alcohol abuse, PAWS can last anywhere from a few weeks to a year.

After 72 hours, you’ll generally see physical symptoms subside, though some cognitive effects might persist. Your risk for severe complications increases if you have a history of long-term alcohol dependence or underlying health conditions. Alcohol withdrawal is a serious medical condition that arises from the body’s dependency on alcohol. Whether you drink heavily on a daily basis or engage in occasional binge drinking, abrupt cessation can provoke a range of withdrawal symptoms, from mild discomfort to life-threatening complications. Recognizing the signs early and seeking professional help is crucial for a safe and effective recovery process. AW seizures also can occur within 1 or 2 days of decreased alcohol intake, even in the absence of other withdrawal signs and symptoms.

Risk Factors for DT’s and Seizures
Recognizing and responding to these symptoms early can prevent complications and ensure a smoother detox process. Many agents other than benzodiazepines have been used for managing AW. For example, other cross-tolerant medications, such as barbiturates, would be expected to relieve withdrawal symptoms and prevent withdrawal seizures and DT’s. In fact, a few studies have demonstrated that long-acting barbiturates can ease withdrawal symptoms. However, controlled studies have not provided sufficient data to demonstrate that these agents can prevent seizures or DT’s. Furthermore, barbiturates have a narrow therapeutic index—that is, the difference between the minimum dose required for a therapeutic effect and the dose at which the agents become toxic is small.
Caron Atlanta Outpatient Center
These findings support the association between alcohol intake and the clinical manifestations of withdrawal syndrome. In this blog, we’ll break down what you can expect if you engage with treatment for alcohol use disorder and how to find a safe and effective program for alcohol withdrawal. Late-stage alcoholism is what happens after many years of sustained and heavy drinking, which has long been known to cause severe health problems. Alcohol detox is the process of removing all harmful toxins that alcohol brings into the body. Because detox involves the quitting or reduction of heavy or prolonged alcohol use, it causes alcohol withdrawal. A seizure is a sudden, uncontrolled electrical disturbance in the brain that causes changes in behavior, movements, feelings, and levels of consciousness.
Acute Alcohol Withdrawal
Outpatient detox programs like Eleanor Health can help you manage symptoms and monitor your progress without disrupting your daily routine. Alcohol withdrawal typically follows a predictable timeline, with symptoms emerging within hours after you stop drinking and lasting 7 to 10 days. There are three potential stages of alcohol withdrawal, although most people will only experience the first stage. Medical assistance is always recommended but will become necessary if symptoms progress beyond the first stage.
Finding the Right Community Support
You’ll notice these physical symptoms gradually emerge and peak during the initial phase of withdrawal. Understanding these symptoms helps you prepare for the withdrawal process and recognize when to seek medical support. You may reach a point where you start drinking again just to relieve your symptoms. For instance, you might write a list of reasons why you want to stop drinking alcohol and read it. The sooner you start treatment (which often includes both medication and therapy) the better your outcome.
Signs you need medical detox
- The symptoms most commonly begin between 6 to 24 hours after your last drink.
- As alcohol leaves your system, withdrawal headaches emerge as a distinct and severe manifestation of the body’s neurochemical readjustment process.
- The syndrome is due to overactivity of the central and autonomic nervous systems, leading to tremors, insomnia, nausea and vomiting, hallucinations, anxiety, and agitation.
Another trial12 yielded similar results, with patients in the fixed-schedule group receiving an average of 231.4 mg of oxazepam and those in the symptom-triggered group receiving an average of alcohol withdrawal syndrome symptoms 37.5 mg. Of the patients in the symptom-triggered group, 61 percent did not receive any oxazepam. This trial excluded persons with major psychiatric, cognitive, or medical comorbidities.
Refine Recovery is available 24/7 to discuss your treatment options. Their representatives will discuss whether their facility may be an option for you. These calls are offered at no cost to you and with no obligation to enter into treatment. BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic. If you are worried that you or someone you know may have this condition, use the Ada app for a free symptom assessment.
During alcohol withdrawal, you’ll likely experience nausea within 6-8 hours after your last drink, affecting nearly 24% of individuals going through withdrawal. Your digestive discomfort may intensify over the first hours, accompanied by symptoms like clammy skin and poor appetite. To manage stomach pain safely, you should maintain hydration, consider doctor-prescribed anti-nausea medications, and watch for signs of severe symptoms that require immediate medical attention. AW syndrome varies significantly among alcoholics in both its clinical manifestations and its severity.
You should also contact a doctor if you are experiencing alcohol withdrawal symptoms. They will be able to advise you on how to manage your symptoms and reduce the risk of delirium tremens. At River Rock Treatment, we provide specialized care for individuals going through alcohol withdrawal. Our team of medical professionals creates personalized treatment plans that address both physical symptoms and underlying mental health concerns. These factors create unique challenges during the withdrawal process. In some cases, symptoms will escalate between 12 and 48 hours after the last drink, generating a severe form of withdrawal characterized by seizures and hallucinations.
Health Conditions
While most cases are mild, if you experience severe or acute withdrawal, seek immediate medical attention, as symptoms can be life-threatening if left alone. Daily, heavy drinkers and people with alcohol use disorder are at the greatest risk for severe withdrawal symptoms and DTs. Alcohol withdrawal (alcohol withdrawal syndrome) is a range of symptoms that can happen if you stop or significantly reduce alcohol intake after long-term use. Patients with mild withdrawal symptoms (i.e., CIWA–Ar scores of 8 or less) and no increased what is Oxford House risk for seizures can be managed without specific pharmacotherapy (Mayo-Smith 1997; Saitz and O’Malley 1997). Successful nonpharmacological treatments include frequent reassurance and monitoring by treatment staff in a quiet, calm environment. Most patients with mild withdrawal symptoms, whether they are treated or not, do not develop complications.
