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Alcohol DetoxAlcohol Detox

The alcohol detox stage is the first step in treating alcoholism. During this time, alcohol is completely flushed from your body. Withdrawal symptoms typically subside within approximately one to two weeks after starting detox; however, this could take longer depending on the severity of your AUD. From there, you will be able to focus on other aspects of the recovery process such as different activities, therapies, counseling sessions and support options.

Alcohol is a depressant that your body begins to rely on over the course of months and years of drinking. Your brain eventually stops producing certain chemicals that it receives from alcohol, becoming dependent on the drug. That’s why when you quit drinking, it takes time for your body to adjust. This is what causes withdrawal symptoms such as headache, fever, nausea, irregular heartbeat and hallucinations.

Some people are apprehensive to quit drinking because they’re nervous about the withdrawal symptoms experienced during alcohol detox. While some people may only be affected by minor effects of alcoholism, others may face extreme pain. Withdrawal symptoms can change quickly and aggressively, which is why it’s important to detox under the care of medical professionals. Treatment specialists at a rehab facility will be able to help you manage your pain with different medications. This allows you to focus on your recovery and get better.

If you’re ready to quit drinking, get the help you deserve. We can help you find top-rated rehab facilities that fit your needs and will guide you along your recovery journey. Give us a call today and take the first step in overcoming alcoholism.

 

Symptoms of Alcohol Detox

The alcohol detox phase can involve withdrawal symptoms ranging from mild intensity to life-threatening. Oftentimes, the longevity and severity of your alcohol use disorder (AUD) will play a role in the withdrawal symptoms you experience. For example, individuals who have struggled with years of heavy drinking are more likely to develop serious withdrawal symptoms like seizures or delirium tremens.

Minor symptoms of alcohol detox include:

  • Anxiety
  • Sweating
  • Nausea
  • Insomnia
  • Headaches

More serious alcohol detox withdrawal symptoms are:

  • Tremors
  • Seizures
  • Extreme hallucinations
  • Disorientation
  • Delirium tremens (in rare cases)

Although uncommon, the most serious effect from alcohol withdrawal is delirium tremens. It can start within two to five days after your last drink and can be life-threatening. However, less than five percent of people will develop delirium tremens when quitting drinking.

Due to the severity of some withdrawal symptoms, alcohol detox should be monitored by a medical professional. This is especially true for those who have a history of lung or heart diseases, or other medical conditions, as withdrawal symptoms can quickly worsen. Your treatment specialist will be able to track your blood pressure and heart rate to make sure your condition doesn’t worsen. You can also talk with them about the symptoms you are experiencing, as well as if you are in any pain. This information helps your medical team determine which medicine will help alleviate your discomfort.

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Alcohol Detox Timeline

Withdrawal symptoms can begin to surface in as early as two hours after your last drink. While the most painful symptoms typically subside within the first week, some mild symptoms can last for several weeks to a year. There is no exact timeline as to when or what withdrawal symptoms you will experience; however, there’s a general outline of what to expect.

Here’s a breakdown of the alcohol detox process:

 

First six to 12 hours

The initial symptoms of alcohol detox are mild, but can quickly begin to worsen as time goes on. Some of the early withdrawal symptoms include headaches, anxiety, shaking, nausea and irritability.

Day one

As you approach the end of the first 24 hours of detox, symptoms may become increasingly severe. Alongside the effects felt from the first 12 hours, additional symptoms may involve disorientation, hand tremors and seizures.

Day two

Similar to the first full day of detox, the most painful symptoms will continue into the second day. Hallucinations and panic attacks are common during this time as your body rids alcohol from its system.

Days three to seven

For the remainder of your first week in detox, different withdrawal symptoms may come and go. This is also the timeframe where you’re most at risk for life-threatening symptoms such as delirium tremens.

After one week

By the time you’ve completed your first week of detox, many of the withdrawal symptoms will begin to taper off. While some symptoms may persist for a few weeks, most of them are minor and can be treated with medication.

Even after the most serious withdrawal symptoms have lessened, some people may experience post-acute withdrawal syndrome (PAWS) – the prolonged symptoms of detox. Generally, these symptoms include anxiety, low energy, trouble sleeping and delayed reflexes, and can last from several months to a year.

Alcohol Detox Withdrawal Symptoms

The most uncomfortable detox withdrawal symptoms usually peak around 10 to 30 hours after the last drink and start to lessen by 40 to 50 hours.

Alcohol Detox and Delirium Tremens

Although delirium tremens is unlikely, roughly 30 percent of those who get it will also develop Aspiration Pneumonia.

Medically-assisted Withdrawal

A medically-assisted withdrawal helps prevent serious complications, keeps track of a patient’s health condition, and relieves any painful effects.

Medications Used During Alcohol Detox

When alcohol detox is treated in an inpatient rehab facility, different medications may be used to help reduce uncomfortable withdrawal symptoms. Medications can also help keep a person’s body chemicals in balance, lowering the risk for serious complications. In rehab, a medical professional will administer the medication and monitor its effects. If the medication begins to cause unwanted side effects or interferes with the detox process, another remedy can be used.

Several medications commonly administered during the detox phase are:

Benzodiazepines

Benzodiazepines (benzos) are most frequently used to treat withdrawal symptoms during the alcohol detox phase. They are used to help calm your central nervous system and may also be prescribed to treat insomnia, anxiety and muscle spasms. The medication comes in two forms: short-acting and long-acting. Usually, long-acting benzos are administered for three days or taken as needed. Chlordiazepoxide (Librium) and diazepam (Valium) are two types of benzos prescribed most often in an inpatient rehab setting.

Naltrexone

Naltrexone helps reduce alcohol cravings during the detox stage. In the event of a relapse, naltrexone works by inhibiting the high feeling that alcohol may cause. Since the medication can stimulate withdrawal symptoms, it is recommended that you wait seven to 10 days before taking naltrexone. It comes in two forms: a tablet and injectable. The pill form of naltrexone is sold under the brand names ReVia and Depade, while the injectable form is known as Vivitrol.

Acamprosate

Years of heavy drinking can significantly alter how the brain looks and works. Acamprosate, sold under the name Campral, is prescribed to help your brain begin to function normally again after you quit drinking. Research studies have also started to look into whether or not acamprosate helps reduce the symptoms of PAWS including insomnia, anxiety and restlessness. It also works to reduce alcohol cravings; however, it will not produce an unwanted effect if alcohol is consumed.

Disulfiram

Another medication used in the treatment of alcoholism is disulfiram. Unlike other medications, disulfiram works by producing severe reactions if alcohol is consumed. For instance, if you drink while on disulfiram, you will experience unwanted effects like facial flushing, nausea, headache, weakness and low blood pressure. The negative effects are meant to deter you from continuing your drinking pattern. Disulfiram is not meant to reduce your alcohol cravings or restore brain functions like some other medications.

Getting Help for Alcoholism

Seeking help for alcohol use is a huge step toward sobriety. While the recovery process may not always be easy, it will be worth it when you regain control of your life and health.

The decision on where to get treatment should not be taken lightly. The more comfortable you feel during the recovery process, the greater the likelihood of achieving your sobriety goals. When researching treatment options, don’t limit yourself to facilities that are only in state. In fact, going out of state for treatment has many benefits such as accessibility to more specialized treatment programs and a greater distance from triggers.

Let us help you find the right treatment center for you. Give us a call today to learn more about rehab facilities and other recovery resources.

Author

Carol Galbicsek

Carol Galbicsek

Content Marketing Manager

Carol is the lead writer for Alcohol Rehab Guide. She is passionate about helping people who are struggling with alcohol abuse and addiction. Her past experience in the medical field has led to a deep knowledge of the struggles facing those with a substance use disorder (SUD), and a desire to do something to help.

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U.S. National Library of Medicine. (2016). Acamprosate. November 2016. https://medlineplus.gov/druginfo/meds/a604028.html

U.S. National Library of Medicine. (2012). Disulfiram. November 2016. https://medlineplus.gov/druginfo/meds/a682602.html

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National Institute on Drug Abuse. (2015). What is Detoxification, or “Detox”? October 2016. https://www.drugabuse.gov/frequently-asked-questions

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Mcgregor, Sherrie. Detoxing from Drugs and Alcohol. October 2016. http://psychcentral.com/lib/detoxing-from-drugs-and-alcohol/