Category: Detox

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I Drink Every Night. Am I an Alcoholic?

If this is a question that you have asked yourself, then you may have an unhealthy relationship with alcohol. 

Alcohol dependence can appear differently in everyone. The stereotype of an alcoholic as unemployed and disheveled is just that: a stereotype. Someone struggling with alcohol consumption can have healthy relationships, a successful career, and look great.

 However, these positive aspects can quickly deteriorate if an addiction is left untreated. Spotting warning signs early and making changes can help you create a healthier lifestyle.

Understanding Alcohol Consumption

The recommended alcohol consumption and amount that turns excessive varies based on factors such as gender, age, and overall health. To understand your drinking habits, consumption can be split into these categories1: 

  • Moderate drinking typically refers to up to one drink per day for women and up to two drinks per day for men; however, it is not recommended to drink daily.
  • Binge drinking is characterized by consuming a large amount of alcohol in a short period, leading to a blood alcohol concentration (BAC) level of 0.08% or higher. For men, binge drinking usually occurs after consuming five or more drinks within two hours, while for women, it is after four or more drinks in the same timeframe.
  • Heavy drinking means consuming more than the moderate drinking guidelines, such as more than one drink a day.

Remember, the healthiest amount of alcohol is no alcohol. If you’re interested in decreasing your regular consumption or giving up alcohol completely, learn more about the sober curious movement.

Alcohol Consumption Chart

Alcohol Use Disorder (AUD) is a medical condition characterized by an impaired ability to stop or control alcohol use1 despite adverse social, occupational, or health consequences. AUD can vary in severity, and heavy alcohol use causes lasting changes in the brain that perpetuate AUD and make individuals vulnerable to relapse.

If you currently drink every night and feel it would be hard to stop, it may be time to assess your relationship with alcohol.

Evaluating Your Drinking Habits

Reviewing your alcohol consumption through self-reflection and with the guidance of a medical professional can reshape your lifestyle choices and help you moderate or abstain from drinking.

Frequency of Alcohol Consumption

The National Institute on Alcohol Abuse and Alcoholism (NIAA) does not recommend daily alcohol consumption. Alcohol consumption is entirely advised against special groups, such as pregnant women, those on medication, and those with certain medical conditions. 

Drinking every day can deteriorate multiple areas in the body2, including the heart, liver, stomach, and brain. Moreover, it can create a biological need for alcohol3 as the brain and body adjust to daily consumption. The more regularly you drink, the harder it will be to decrease consumption or stop altogether.

Consistent drinking can also interfere with daily responsibilities, relationships, and overall well-being. If you find alcohol is becoming a priority over other activities or obligations, that could indicate a problem.

Quantity and Type of Alcohol

For most people, moderate drinking is inconsistent and includes only a couple drinks at a time. Someone with a healthy relationship with alcohol can have 2 drinks at dinner and then not drink for a number of days. 

Excessively drinking any type of alcohol is unhealthy, even though some say that wine is healthier than beer, for example. The best way to maintain well-being is to limit your amount of any type of alcohol. Beer, wine, and spirits are classified as a Group 1 carcinogen4, or a cancer-causing agent—and the more alcohol is consumed, the higher the risk of developing cancer.  

Context and Patterns of Drinking

Drinking can become psychologically unhealthy when it’s used to escape uncomfortable feelings. Sometimes, people drink to relieve stress from work, relationships, or other areas of life. Others use it as a social lubricant to feel less inhibited and more outgoing. This can evolve to a solitary activity, frequenting the same bar every week and drinking until drunk every time.

The truth is: Alcohol may help for the moment of unease, but consistent consumption can degenerate physical, mental, psychological, and spiritual aspects of your life. As patterns become habits that soon become unshakable routines, drinking turns into dependence. 

Signs of Alcohol Dependence

Your brain and body can indicate if you’re forming an alcohol dependence. The Priory Group, owner of Life Works Rehab in the United Kingdom, breaks down the signs5:

  • Secretive or dishonest behaviors related to alcohol
  • Drinking heavily in solitude
  • Heavy drinking or binge drinking
  • Drinking at inappropriate times such as first thing in the morning
  • Avoiding contact with loved ones
  • Withdrawing from responsibilities at home or work
  • Continuing to drink despite the negative effects that this has had on home, work, or social life
  • Losing interest in activities that were once important to you

Alcohol dependence can take a toll on the body, including serious, long-term health complications. 

The Impact of Regular Drinking

The body can become far too acquainted with alcohol, so much so that it alters the ways organs and systems function. These changes can sometimes evolve to permanency; however, early intervention decreases that risk.

Physical Health Risks

Alcohol consumption impacts vital organs in the body, including

As mentioned earlier, alcohol is a cancer-causing agent directly associated with multiple forms of cancer15, including liver, breast, colon, mouth, throat, and more. Researchers hypothesize that multiple factors contribute to the increased risk of cancer, such as 

  • The metabolization process turns alcohol to acetaldehyde (a dangerous chemical compound).
  • The creation of molecules that damage proteins, lipids, and DNA through oxidation.
  • The impairment to the body’s ability to break down and absorb various nutrients.
  • The increase of estrogen, a sex hormone, is linked to the risk of breast cancer.

Mental Health and Emotional Well-Being

Consistent and excessive alcohol consumption is strongly linked to co-occurring mental health disorders16. The bidirectional relationship between alcohol and mental health can cause complex thoughts and behaviors to untangle—meaning, alcohol use can contribute to the development of mental health disorders, and pre-existing mental health issues can lead to the use of alcohol as a form of self-medication.

While alcohol causes an initial feeling of euphoria or relaxation17, it is a central nervous system depressant18, ultimately leading to adverse changes in mood. The depressing effects lead to chemical imbalances in the brain, contributing to anxiety, depression, and mood swings. Additionally, cortisol, the stress hormone, is released each time you drink19, causing daily anxiety if you are drinking every day. 

Someone in the throes of addiction will continue to drink despite the negative effects. The compounding physical and psychological symptoms can be managed through professional treatment and the commitment to stop excessive drinking.

When to Seek Help

Knowing when to get help for drinking can be simple: Once you realize that you have an unhealthy relationship with alcohol, seek out help. The earlier you get professional care, the less likely you’ll need intensive treatment, have lifelong health complications, and have lasting social, emotional, and spiritual consequences. 

Recognizing Problematic Drinking

You can ask yourself questions like 

  1. Would you be able to quit drinking right now?
  2. Has your drinking caused tension or conflict with friends, family, or colleagues?
  3. Do you miss important events or obligations because you are drinking or hungover?
  4. Do you use alcohol to cope with stress, sadness, loneliness, or boredom?
  5. Have friends, family, or co-workers expressed concern about your drinking?
  6. Have you given up hobbies or activities you used to enjoy because you prefer to drink?
  7. Are you concerned about where your health and happiness might lead to if you keep drinking at your current rate?

The answers will likely be straightforward and telling if you need medical treatment.

Resources for Assessment

Self-assessment tools, such as online quizzes, can help you gauge whether your alcohol use may be problematic and if you might benefit from professional help. These tools are not diagnostic but can give you a clearer picture of your relationship with alcohol.

Your primary care physician can provide an initial evaluation and refer you to a specialist for a more comprehensive assessment, such as a mental health professional or addiction specialist. During this session, you can ask questions such as

  1. How is my current level of drinking affecting my overall health?
  2. What are the signs and symptoms of alcohol dependence I am exhibiting?
  3. Based on my evaluation, do you believe I have a mild, moderate, or severe alcohol use disorder?
  4. What kind of treatment do you think I need?
  5. How can I safely reduce or quit drinking, and what steps should I take to do so?
  6. Can you refer me to any support groups or resources that might help me?

Treatment Options for Alcohol Use Disorder

As you embark on your recovery journey, you and your care team can explore treatment options to determine the best fit for your individual needs.

Detox

Many people begin their journey by going through the detox process, so you can safely rid your body of alcohol. Medical professionals will be there to ensure you’re as comfortable as possible. This can help you feel more focused and prepared to take on therapy. 

It is crucial to detox under medical supervision, as withdrawal symptoms can be life threatening. In some cases, FDA-approved medications can be prescribed, such as Naltrexone and Disulfiram20, to assist the tapering process. Your clinical team can help you decide what treatments and procedures suit you.

Residential Programs

Residential rehab provides an intensive, distraction-free environment to focus on psychotherapies and learning healthy coping skills. Individuals in this stage of care live in the center and have 24/7 support. Ideally, the clinical team creates a personalized treatment plan to address the unique needs of each individual in recovery. 

You might participate in evidence-based therapies like cognitive behavioral therapy (CBT) and holistic and alternative healing methods like yoga and massage therapy. The center may provide a blend of individual and group therapy sessions. Your loved ones can engage in family therapy so you can find common ground, improve communication skills, and work towards healthier relationships. 

Outpatient Programs

Your care team may recommend an outpatient program if your recovery does not require 24/7 support. Outpatient treatment has varying levels of care, with partial hospitalization (PHP) providing a more intensive level of care and outpatient (OP) providing the least intensive. You’ll participate in the program for a few hours a day on certain days of the week, allowing you to go to work or attend school simultaneously. You’ll likely participate in therapies similar to a residential program and build your support network as you heal with others in therapy.

Support Groups

Joining support groups like Alcoholics Anonymous and SMART Recovery provide a sense of community, understanding, and accountability in your recovery. They offer a safe space to share experiences, learn from others, and receive ongoing support.

Building a Support Network

Creating a support network with strong relationships is a foundational aspect of long-lasting recovery. Social support in recovery can reduce stress, increase self-efficacy, and motivate lasting sobriety21. Your relapse prevention plan can detail how you will connect with loved ones who supported you through the treatment process. You may make new friends through sober activities and groups. Try your best to plan regular get-togethers with friends and family, as avoiding isolation and bolstering these relationships can make recovery easier. 

Setting and communicating boundaries in recovery is a practice of self-love and can enhance your relationships. Without boundaries, you may say “yes” to things you don’t want to, avoid necessary conversations, and be consumed by others’ negative feelings. Prioritizing your boundaries ensures you’re aligned with what’s best for your well-being.

Preventing Relapse

Not everyone in recovery will relapse, but it can be a part of the recovery process22—and that’s okay. Relapse prevention can help you address these obstacles and keep you on the right track.

Relapse prevention planning aims to recognize and address these warning signals before they escalate to the physical stage—drinking after a period of sobriety. It takes a cognitive behavioral approach to prevent relapse and provides appropriate skills on what to do if a relapse does occur. Relapse prevention blends education, coping strategy development, trigger identification, building support networks, and lifestyle changes.

You and your care team can begin to build your relapse prevention plan by reflecting on 3 key recovery components: 

  1. Reflect on your recovery history. In treatment, what worked and what didn’t work? If you’ve relapsed before, what led to it? What were your triggers before you got treatment? Learn from mistakes of the past to make a realistic relapse prevention plan.
  2. Write down personal, relationship, and employment goals to highlight situations you want to be in and people you want to be around. 
  3. Identify your triggers—all the people, places, and things that could cause stress. Developing coping strategies for each trigger can empower you to live life without fear.

One of the most essential parts of a relapse prevention plan is building skills to navigate uncomfortable feelings and situations. You may practice coping techniques such as breathing exercises, regulating emotions through journaling, and saying “no” to situations that do not serve your recovery. This can help you walk into any situation with confidence. 

Attending outpatient care or talk therapy sessions can help you navigate foreign situations and continue skill-building. During individual therapy sessions, you’ll likely engage in various therapeutic methods like dialectical behavior therapy (DBT) and acceptance and commitment therapy (ACT). 

Creating a daily routine that promotes physical and mental health, including regular exercise, balanced nutrition, and sufficient sleep, can bolster sustainable recovery23. A scheduling system, such as time blocking in a calendar, can help you avoid idle time that might lead to thoughts or behaviors associated with relapse.

A day of sobriety is a day worth being celebrated! The effort to choose your health and well-being every day is a great feat, so continue to reflect and pride yourself on your hard work.

A Step in the Right Direction

If you feel like you can’t drink at a healthy pace and use alcohol to cope with uncomfortable feelings, it might be time to seek treatment. You can discover and sustain a healthy and balanced lifestyle that prioritizes your well-being. Embrace a life without alcohol. Begin your search by browsing our list of alcohol addiction treatment centers.

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Why Is Alcohol Dangerous?

Although alcohol may be legal and normalized, it’s associated with various health risks and negative consequences. Physically, alcohol’s toxins contribute to liver disease, heart disease, and specific types of cancer1. Alcohol’s danger can go beyond disease, harming your relationships, mental health, and well-being2, as well. This stems from its psychoactive properties, which can impair judgment, coordination, and control, leading to risky behaviors and a propensity for addiction.

Alcohol impacts everything from individual health to society as a whole. Safe consumption and preventive measures can help minimize these unhealthy effects. 

How Can Alcohol Affect Your Life?

Unsafe alcohol consumption can cause a ripple effect that touches nearly every facet of your life. 

Alcohol can lead to strained family relationships and even domestic violence3. Children in families where alcohol use is prevalent are at a higher risk of experiencing emotional and behavioral problems4. They may also be at greater risk of developing substance use problems later in life.

Professionally, alcohol use can lead to poor performance5, absenteeism, and, ultimately, job loss. An unstable source of income can cause financial problems and volatile relationships. 

Socially, alcohol can lead to behaviors that strain relationships, such as aggression6, social withdrawal, and engaging in illegal activities. It can also result in legal repercussions ranging from fines for public intoxication to more serious charges like driving under the influence (DUI), which can have long-term consequences on a person’s legal record and employment opportunities.

How Is Alcohol Unhealthy?

Alcohol is a toxin that metabolizes to an acetaldehyde7, which are highly reactive molecules that can damage DNA, proteins, and lipids. Alcohol remains in the bloodstream until it is metabolized by the liver, therefore damaging liver tissue; however, it is highly diffusible through cell membranes and is metabolized by most tissues. Thus, its toxicity affects most organs.

Regular consumption significantly increases the risk of developing chronic diseases1, such as liver cirrhosis, cardiovascular diseases, and certain forms of cancer. 

Alcohol dependence, known as alcoholism, is a particularly dire health consequence that involves a preoccupation with alcohol, compulsive drinking, and high tolerance and withdrawal symptoms. This disease not only deteriorates physical health but also mental well-being, contributing to conditions such as depression and anxiety.

Short Term Effects of Alcohol

Immediately after consumption, alcohol begins to alter mind and body functions8. Physical effects can include slurred speech, impaired motor skills, and a delayed reaction time, which can be particularly dangerous when operating vehicles or machinery. Alcohol is a diuretic, meaning it increases urine production and can lead to dehydration. It can irritate the stomach lining, leading to nausea and vomiting. Additionally, drinking too much can weaken your immune system9, making the body a much easier target for disease after a single occasion of drinking. 

Drinking also produces cognitive side effects, such as reduced inhibitions and poor judgment, increasing the likelihood of making decisions that can have serious repercussions. Alcohol can also affect short-term memory, and in higher amounts, it can lead to blackouts, where the drinker cannot remember what happened while under the influence.

Long Term Effects of Alcohol

Chronic alcohol use wreaks havoc on the body. The long-term effects of alcohol on the body can be severe and wide-ranging, affecting virtually every organ system. Prominently, it damages the liver, heart, brain, stomach, and kidneys.

Liver

The liver is particularly vulnerable, as it’s the primary site for alcohol metabolism.  Unhealthy alcohol consumption levels can cause hepatic lesions in the liver10, leading to alcoholic fatty liver, alcoholic hepatitis, fibrosis, and, ultimately, cirrhosis. A liver with cirrhosis has permanent damage and scar tissue that can cause liver failure.

In advanced stages, liver damage from alcohol can be irreversible and may necessitate a liver transplant. Chronic alcohol consumption also increases the risk of developing liver cancer, particularly hepatocellular carcinoma, the most common type of liver cancer. This risk is especially high in individuals with alcoholic cirrhosis.

The liver is crucial to metabolizing and detoxifying all substances. Maintaining liver health is vital to prevent serious complications and health risks. 

Heart

Long-term effects on the heart can suddenly manifest as severe health events with long-lasting consequences11. Alcohol misuse can lead to: 

  • Hypertension: Alcohol activates the central nervous system and parasympathetic nervous system12 in a way that causes blood vessel muscles to constrict, leading to high blood pressure.
  • Cardiomyopathy: Alcoholic cardiomyopathy, damaging the hearts’ muscles, can be caused by the substance’s inflammatory effects. 
  • Arrhythmias: Chronic heavy drinking and binge drinking can lead to irregular heartbeats, known as arrhythmias. The most common type associated with alcohol is atrial fibrillation, where the upper chambers of the heart experience chaotic electrical signals, leading to an irregular heartbeat. This can increase the risk of stroke, heart failure, and other heart-related complications.
  • Stroke: Excessive alcohol intake is linked to an increased risk of both ischemic and hemorrhagic strokes. Ischemic stroke occurs when a blood clot blocks or narrows an artery leading to the brain, while a hemorrhagic stroke is caused by a blood vessel in the brain bursting.

Brain

Alcohol can lead to neurodegeneration13, or neuron destruction, and permanent brain damage. As heavy drinking alters neurons and their pathways, the brain’s neural networks cannot properly communicate and function with itself and the body. Without healthy networks, brain health can severely decline, resulting in problems with cognition, memory, and coordination. 

Chronic abuse can also increase the risk of developing mental health disorders14, including depression and anxiety. Alcohol can act as self-medication for uncomfortable emotions associated with these mental disorders, leading to dependency. Chemical changes in the brain from alcohol, such as the disruption of neurotransmitters crucial in maintaining good mental health, also contribute to and worsen existing symptoms. 

Stomach

Both acute and chronic alcohol consumption can interfere with stomach functioning15. For example, alcohol—even in relatively small amounts—can alter gastric acid secretion, injure gastric muscles, and interfere with gastric and intestinal motility (how easily food travels through the system). Therefore, alcohol’s toxic and inflammatory effects can not only hinder digestion, but also cause long-term issues such as gastritis (irritated and inflamed stomach lining) and ulcers. 

Kidneys

Drinking can compromise the kidneys’ ability to regulate the volume and composition of fluid and electrolytes in the body16. In addition to their role in regulating the body’s fluid composition, the kidneys produce hormones that influence a host of physiological processes, including blood pressure regulation, red blood cell production, and calcium metabolism. Alcohol’s toxic effects can completely alter how kidney cells function.

Harming these systems can lead to an increased risk of kidney stones and kidney disease. Over time, an imbalance of water, hormone levels, and bodily waste can negatively impact overall health.

Immune System

High amounts of alcohol consumption can leave the body susceptible to infections and slower recovery from illness16. 

Alcohol can damage the protective epithelial cells lining the gut, skin, and lungs, reducing the body’s first line of defense against pathogens. This damage can increase the likelihood of bacterial infections and bacteria entering the bloodstream from the gut. 

Alcohol consumption can also reduce the production and function of lymphocytes, including T-cells and B-cells, weakening the body’s ability to develop long-term immunity and produce antibodies in response to infections. 

Chronic alcohol use can lead to prolonged inflammation, which can itself cause tissue damage and lead to a variety of chronic diseases.

Is There a Safe Amount of Alcohol?

While moderate alcohol consumption might fit into a healthy lifestyle for some, defining ‘safe’ levels of consumption is complex. Guidelines can vary significantly, taking into account factors such as gender, age, medical history, and medications. 

The idea of a universally ‘safe’ amount of alcohol is increasingly scrutinized, and the best recommendation often comes from someone’s healthcare providers. The most effective way to avoid negative health consequences is to not drink at all. 

Find Treatment For Alcohol

If you’re experiencing the damaging effects of alcohol, you can choose to break the cycle. Professional support is available, designed to help people with struggles exactly like yours. Getting help can place you on the path to a fulfilling, sober life.
Explore alcohol addiction treatment centers to learn about their programs, pricing, insurance coverage, and more.

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How to Use Naloxone: What Is Narcan and Where to Find It

If someone is overdosing, immediately call 911 or local emergency services.

Narcan, or naloxone, is used to reverse opioid overdose. Opioids, such as heroin, opium, morphine, codeine, and fentanyl, can be legal prescription medications or illegal substances. 

Overdose occurs when an opioid’s depressant effects on the central nervous system cause life-threatening reactions. Narcan reverses an overdose by binding to the same brain receptors as opioids, thereby blocking the opioids from attaching to the receptors. This helps restore normal breathing and consciousness.

Narcan is usually administered through a nasal spray, and it can also be injected.

When to Use Narcan

It’s possible for opioid users to accidentally ingest too much at once and overdose. Other substances like MDMA can be cut with opioids, such as fentanyl, to lower production costs. If someone is displaying the signs of overdose, even if they didn’t knowingly take an opioid, you can still administer narcan—narcan won’t harm someone who didn’t ingest opioids1.

Overdoses usually include respiratory failure, where breathing becomes slow, shallow, or even stops completely. Other signs of overdose1 include:

  • Unconsciousness 
  • Very small pupils
  • Vomiting
  • Inability to speak
  • Faint heartbeat
  • Limp arms and legs
  • Pale skin
  • Purple lips and fingernails

Without immediate medical intervention, an opioid overdose can be fatal. In addition to using narcan in the event of an overdose, immediately call 911 or local emergency services.

Until emergency services arrive, you can help someone who’s overdosing2 by assisting them to sit or lay down in an open space. You can administer CPR if you are qualified, and if their skin is blue, perform mouth-to-mouth resuscitation. Additionally, use Narcan.

How to Administer Narcan

The American Medical Association created instructions showing how to administer Narcan3. You can also watch in video format:

If you are using NARCAN nasal spray, follow these steps:

  1. Peel back the package and remove the device. Put your thumb on the bottom of the plunger and two fingers on the nozzle.
  2. Place and hold the tip of the nozzle in either nostril until your fingers touch the bottom of the patient’s nose.
  3. Press the plunger firmly to release the dose into the patient’s nose.

Tip: When administering a nasal spray, help the patient gently tip their chin upward. This helps open their airways so the spray can better reach the bloodstream.

If you are using EVZIO auto-injector, follow these steps:

  1. Pull the auto-injector from the outer case.
  2. Firmly pull off the red safety guard; do not touch the black base (this is where the needle comes out).
  3. Place the black end of the auto-injector against the outer thigh, through clothing if necessary.
  4. Press firmly and hold in place for 5 seconds. (There will be a distinct “hiss” and “click” sound when working properly. The needle will not be visible after use.)

If you are using yellow cap nasal spray, follow these steps:

  1. Pry off the syringe’s yellow caps (both sides).
  2. Pry off the purple cap on the naloxone capsule. 
  3. Grip the clear plastic wings on the spray nozzle.
  4. Thread the spray nozzle on the syringe.
  5. Gently screw the naloxone capsule into the barrel of the syringe.  
  6. Insert white spray nozzle into the patient’s nostril. Give a short, firm push on the end of the naloxone capsule to spray.
  7. Administer half of the capsule into each nostril.

If you are using an intramuscular syringe needle, follow these steps:

  1. Inject 1 cc of naloxone straight into a muscle, such as the thigh, outer side of the glute, and shoulder.

Administer another dose of Narcan if the patient doesn’t respond/wake up after 2-3 minutes.

Where to Find Narcan

Fortunately, Narcan is becoming more widely available. You can purchase Narcan over the counter in many pharmacies. Local health clinics and community health centers may offer naloxone training and distribution. 

You can also order it online from websites like Narcan.com4. Some states will even send it to you for free—search “free Narcan _(your state or city)_” to find an organization.

How to Care for Someone After You Give Narcan

After you administer Narcan to someone, stay with the person. Emergency services should already be dialed and on their way, but don’t leave the person’s side until medical professionals assist them.

If the person is not breathing or has a weak pulse, continue with CPR if you are trained to do so. Otherwise, ensure the person is lying comfortably on their side with their airways clear to avoid choking on vomit. Once medical professionals arrive, discuss all relevant details to the overdose and what you have done to assist the person (including the type of Narcan you administered and how many doses).

How to Become Trained to Administer Narcan

You can become a trained Narcan administrator through online courses or in-person events. Websites such as Overdose Lifeline5, The Center for Disease Control6, End Overdose7, and American Red Cross8 provide virtual training. You can typically become certified in an hour or less.

Sometimes, you can receive training in person at harm reduction events. Some states may have a map showing where you can get trained, such as Colorado’s End Overdose page9.

However, even if you are not Narcan trained, you can and should still use it to save someone’s life.

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How Long Does It Take to Detox?

Detox usually lasts at least a couple of days, but many factors can affect how long detox lasts and your side effects. Getting proper care during this sensitive time is vital. Licensed professionals will help you understand how long the detox process is and safely guide you through it.

These days can provide an opportunity to start a healthier life, and detox can help lay the foundation for success. Residential or outpatient treatment can further equip you with necessary skills to maintain sobriety. To begin your journey towards a healthier life, explore the various detox services available.

Factors Affecting Detox Duration

Here are 4 things to consider when talking with a doctor about what your detox process will look like:

  • How long you’ve been using the substance
  • To what extent you’ve been using the substance
  • If you’ve been using just one substance vs multiple substances
  • Individual factors, such as overall health, mental health conditions, and metabolism
detox timeline

Detox Timeline for Common Substances

Every substance, and every person, is different, but this is what you can expect to encounter during detox for each substance. 

Alcohol

Alcohol detox usually lasts 2 – 10 days1. Symptoms appear within 6 – 24 hours after quitting drinking and are most severe during the 36 – 72 hour period. Symptoms include:

  • Anxiety
  • Sweating
  • Tremors
  • Dehydration
  • Increased heart rate and blood pressure
  • Insomnia
  • Nausea and vomiting

Severe withdrawal may involve complications like:

  • Seizures
  • Hallucinations
  • Delirium tremens
  • Extreme agitation

Alcohol detox can be life threatening, so doing this with medical care is vital.

Opioids/Heroin

Opioids are drugs such as heroin, opium, morphine, codeine, and methadone. Detox can last 4 – 20 days, depending on the opioid used1. Quick-acting opioids like heroin typically have a shorter duration than long-acting opioids like fentanyl. Withdrawal symptoms usually appear in 8 – 12 hours after quitting. Symptoms include:

  • Nausea and vomiting
  • Anxiety
  • Insomnia
  • Hot and cold flashes
  • Sweating
  • Muscle cramps
  • Diarrhea

Opioid withdrawal can be safely worked through as long as you are detoxing with medical supervision. 

Benzodiazepines

Benzodiazepines are psychoactive drugs that act as central nervous system depressants. Doctors prescribe them to treat anxiety and sleeping disorders. This drug is relatively easy to become addicted to, so if you are prescribed benzodiazepines, you should use them with caution.

Detox typically lasts 2 – 8 weeks, depending on the benzodiazepine. Quick acting benzodiazepines, like oxazepam, have a shorter detox period1, while clonazepam and other long acting ones have longer detox periods. Symptoms include:

  • Anxiety
  • Insomnia
  • Restlessness
  • Agitation
  • Poor concentration and memory
  • Muscle pains

Benzodiazepine withdrawal could be fatal, so it’s important to taper off these with guidance from medical professionals.

Meth/Stimulants

Stimulants are drugs such as methamphetamine, amphetamine, and cocaine. Detox usually lasts 3 – 5 days1, and symptoms begin within 24 hours of quitting. Symptoms include:

  • Agitation and irritability
  • Depression
  • Increased sleeping and appetite
  • Muscle aches

Particularly those who use methamphetamine can develop hallucinations, paranoia, or depressed thoughts during detox.

Meth and stimulant withdrawal can be safely worked through as long as you detox with medical support. 

Barbiturates

Barbiturates are depressant drugs prescribed for sleep aid, muscle spasms, anxiety relief, and seizure prevention. Detox usually lasts around 2 weeks, and symptoms appear 2 – 4 days after stopping the medication2. Symptoms include:

Barbiturate detox can be life-threatening, so it’s vital to do so under medical supervision.

Marijuana

Marijuana detox typically lasts 1 – 2 weeks1, and the symptoms are relatively mild compared to other detoxification processes. However, this can still be an uncomfortable experience. Symptoms include:

  • Anxiety 
  • Feelings of fear or dissociation
  • Restlessness
  • Irritability
  • Poor appetite
  • Disturbed sleep
  • Gastrointestinal upsets
  • Night sweats
  • Tremors

Marijuana withdrawal can be safely worked through as long as you detox with medical supervision. 

Your Unique Experience Detoxing

Taking all of this into account, detox duration and experience can vary from person to person.

The detox process can negatively affect your co-occurring disorder(s)4 or vice versa. This could apply to medical disorders or mental disorders. Agitation, depression, or hallucinations can appear during detox, so if your mental health issues include these, they may be heightened during this process.

Be sure to tell your doctor about any medical conditions you have. It’s very important that they take these into account when deciding what medication to give you, your tapering timeline, etc.

Medical Detox vs. Other Forms of Detox

Detox is a broad term, and the general definition is to rid the body of toxic things. When we hear “detox,” we may first think of using dandelion tea to cleanse our bodies, or holistically-based cellular detox. 

Medical detox, what we’ve been covering in this article, involves ridding the body of drugs or alcohol under the supervision of licensed medical professionals. Often, this involves using medication to assist the detoxification, like methadone and diazepam. 

Coming off of any substance could have negative or life threatening effects, so this process shouldn’t be taken lightly. Your detox beyond dandelion tea needs to be medically monitored for your own safety and well being.  

Detoxing Safely With Professional Guidance

Substance detox is a complicated process that requires professional guidance 24/71. Doctors can help you safely rid yourself of the substance. You could risk harming yourself if you detox without proper care. You might also relapse without the guidance of a doctor. Having professionals there helps make this uncomfortable experience as comfortable as possible. 

Post-Detox Transition and Treatment

Detox is a great start to recovery, but most of the time people will relapse if that’s the only care they receive1. The next part of your journey can include attending a residential or outpatient program to build your recovery toolkit with essential coping skills. In fact, SAMHSA emphasizes this as their 3rd pillar of detoxification5. These 3 components are 

  • Evaluation: testing how substance use has affected your body and creating a plan
  • Stabilization: medically assisted detox to get you to a stable, substance-free state
  • Fostering the patient’s entry into treatment: emphasizing the importance that you follow through with a substance abuse program to maintain your sobriety

During detox, you usually won’t participate in talk therapy because you’re in a susceptible, healing state. The real work and self growth comes after detox. During residential or outpatient care, you’ll work in individual and group therapy sessions using a variety of methods, including cognitive behavioral therapy (CBT). CBT is a highly effective treatment for addiction6. This is because it targets the thoughts, feelings, and behavior patterns that are common in substance use disorder.

You can build a support network with your therapists, peers, and family. You’ll learn to identify the early warning signs of relapse. You can even participate in relapse prevention groups. And in treatment, you’ll have more time to solidify your new coping skills. 

Addiction is more than just using substances, and recovery is more than just detoxing from those substances. It’s impacted your perspective and how you think. Treatment can guide you back to a better place by shifting how you view yourself, your surroundings, and your future. 

 A Step Forward You can try your best to plan for what your detox may look like, but the bottom line is that there are a lot of variables. Detoxing safely with medical professionals ensures that the bumps along the road during this process can be molehills instead of mountains. Explore where your new journey will take you by starting with detox.

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How Long Does it Take to Detox From Alcohol?

When you’re ready to recover from alcohol addiction, detox is an important first step. Most people detox from alcohol in a week or less. During that process, you’ll likely experience withdrawal symptoms. These can be uncomfortable or even life-threatening—but they’re temporary. And in a medical detox program, your care team will keep you safe from any serious side effects. Proper treatment can set you up for success when you move on to the next phase of recovery.

Symptoms of Alcohol Withdrawal

Everyone’s alcohol withdrawal symptoms are a little different. Your experience will depend on a few factors, including how long and how much you’ve been drinking. About 50% of people with alcohol addiction1 have withdrawal symptoms when they start recovery. Within that group, 3-5% have severe symptoms that could be fatal. The first symptoms of withdrawal2 usually appear about 8 hours after your last drink:

  • Alcohol cravings
  • Irritability
  • Anxiety
  • Insomnia
  • Nightmares
  • Tremors
  • Headaches
  • Nausea and vomiting

Even mild alcohol withdrawal symptoms can be uncomfortable. Perhaps as a result, withdrawal symptoms can lead to relapse.3 Medically assisted detox provides a more comfortable withdrawal experience. You may still have symptoms, but your care team will help you manage them. Most programs include non-addictive medications, talk therapy, and some complementary treatments. 

Delirium Tremens

Withdrawal from severe alcohol addiction sometimes leads to delirium tremens4 (DTs, also referred to as DT), also called alcohol withdrawal delirium. While it’s not very common, this tends to affect people with chronically excessive drinking habits. This condition presents with a few key symptoms:

  • Hallucinations
  • Confusion
  • Elevated blood pressure
  • Elevated body temperature
  • Agitation or aggressive behavior
  • Seizures 

Without proper treatment, these symptoms can be fatal. Certain people are more at risk for DTs than others. If you have multiple addictions, abnormal liver function, a history of DTs, or a history of seizures, this condition is more likely. Certain short-term health issues can also increase your risk, like dehydration and low potassium levels.

Medical detox is extremely important for anyone with a risk of DTs—even a low one. In these programs, you’ll work with a team of doctors, nurses, and other experts. They can manage your symptoms with medication and offer round-the-clock care in case of emergency.

Post-Acute Withdrawal Syndrome (PAWS)

For some people, withdrawal-like symptoms last for weeks or even months after detox. This is called post-acute withdrawal syndrome, or PAWS. People experience PAWS differently, but the symptoms are often more psychological5 and less physical than those of acute withdrawal:

  • Mood swings
  • Brain fog
  • Anxiety
  • Depression
  • Lack of motivation
  • Decreased sex drive
  • Memory or concentration issues

PAWS is often triggered by stress. Because PAWS can cause relapse,6 it’s important to have a treatment plan in place. With the right approach, you can manage your symptoms and continue to focus on recovery. 

Stages of Alcohol Withdrawal

Most symptoms of alcohol withdrawal7 appear during the first few days after your last drink. However, the precise timeline for alcohol withdrawal is different for everyone. Depending on the severity of your addiction, your symptoms may be mild or more intense.

6-12 Hours

Withdrawal symptoms normally start within 6-8 hours after your last drink. You might have a headache or start sweating. You may also feel nauseous or nervous. For people with a long history of heavy drinking, it’s possible to have a seizure in the first 6-12 hours of withdrawal.

12-24 Hours

Mild symptoms continue to build in the first 24 hours of withdrawal. You might have tremors, particularly in your hands. Some people experience insomnia. For those with more severe withdrawal symptoms, hallucinations may start to occur in the first 24 hours. These can be visual, auditory, or tactile hallucinations.

24-48 Hours

If you have only mild withdrawal symptoms, they may peak 24-48 hours after you stop drinking. From then on, symptoms like headaches, tremors, rapid heart rate, and nausea could decrease. 

People with more severe symptoms might have seizures 48 hours into the detox process. 

48-96 Hours

If your symptoms are more severe, they may also last longer. For some people, peak withdrawal occurs within 72 hours of quitting alcohol. After that point, you’ll probably start to feel better.

Other people are at risk for developing delirium tremens on the 3rd day of withdrawal, starting around 72 hours into detox. You might not know in advance whether this is a risk for you. This is why it’s so important to get proper care during alcohol detox. Your team can stand by during this crucial time, ready to help you if new symptoms develop. 

96 Hours and Beyond

Most people start to feel completely better around day 4 or 5 of detox. At this point, your body stops compensating for the lack of alcohol in your system. You’ll reach a new equilibrium as tremors, nausea, anxiety, and other symptoms subside. Most people complete withdrawal sometime between days 5-7.

If you experience delirium tremens, you may need more time to detox. Delirium tremens symptoms usually last 7 days, and sometimes longer.

Treatments for Alcohol Withdrawal

You’ve got a few options for alcohol withdrawal treatment, including hospitals, medical detox centers, and rehab. Most detox programs follow similar treatment plans, though some provide more therapeutic support than others. 

Treatment typically begins with a thorough physical exam. Doctors will ask about any pre-existing conditions that might impact your withdrawal experience. From there, you’ll begin detox. 

Over the first few days, your medical team will monitor you closely. They might provide medication if you need it. If you don’t show any signs of withdrawal symptoms after 48-72 hours, you might be released to outpatient care or residential rehab. If you’re detoxing in rehab, you might progress to the next stage of treatment. 

Risk Factors for Detoxing From Alcohol at Home

While it’s a vital part of recovery, detox is dangerous without medical care. In particular, withdrawal from alcohol8 can be fatal. 5-15%of people with delirium tremens die9 from their symptoms. 

For some people, the fear of alcohol withdrawal symptoms10 is a barrier to treatment. Medical detox programs can keep you safe and as comfortable as possible while you detox.

How Long Will It Take to Detox from Alcohol?

How long alcohol stays in your system is unique for everyone. In most cases, acute withdrawal symptoms end after 5-7 days. You can go through this process in an onsite or offsite detox program. Most care plans include medical treatment, non-addictive prescriptions, and psychotherapy. 

Onsite Detox

Some inpatient rehabs offer onsite detox. This approach lets you move seamlessly from initial detox into longer-term treatment. You can get medical and therapeutic support in the same place, instead of moving to a new center in the middle of treatment. 

For example, at Noosa Confidential in Australia, clients stay in a waterfront retreat with 24-hour access to staff. Here, you’ll work with the same clinicians throughout detox and residential treatment.11 This consistency makes it easier to build trust with your care team.

Off-site Detox

In a program with offsite detox, you’ll go through withdrawal in a separate facility before you start inpatient care. For people with more severe withdrawal symptoms, more complex medical treatment might be necessary. With offsite detox, you can still transition smoothly into rehab when you’re ready.

The Beekeeper House in Thailand is an inpatient rehab with an offsite detox program. They work with their partner facility, The Warm, to determine the best plan of action for your detox.12 Many patients go through detox at The Warm before they start residential treatment. If you have more complex medical needs, you can transfer to their partner hospital in Chiang Mai before returning for rehab.

New Jersey’s Enlightened Recovery also has offsite detox as part of their flexible detox options.13 You can detox in their inpatient rehab, at one of their partner facilities, or an independent detox center before you start longer-term treatment. 

Will Health Insurance Cover the Cost of Alcohol Detox?

Many detox centers accept insurance, including Medicaid. The cost of detox varies depending on the facility and the level of care you receive. Check with your insurance provider in advance to see what you plan will cover. Your treatment program’s admissions team can also offer guidance. There are options for everyone, even if you don’t have insurance. If you’re interested, you can learn more about alcohol detox and inpatient rehab programs that accept insurance.

Detox is an essential step in the healing process. Medical detox programs can help you start recovery as safely as possible. When you’re ready to start addiction treatment, you can find a rehab that offers alcohol detox. 

Frequently Asked Questions About Alcohol Detox

How long does alcohol detox last?

The duration of alcohol detox varies for each person. In general, most people complete alcohol detox within a week or less.

What are the symptoms of alcohol withdrawal?

Alcohol withdrawal symptoms can vary depending on factors like the duration and amount of alcohol you consumed. About 50% of people with alcohol addiction experience withdrawal symptoms when starting recovery, with 3-5% facing severe symptoms that can be life-threatening. Common early withdrawal symptoms (which start about 8 hours after the last drink) include intense cravings, irritability, anxiety, insomnia, nightmares, tremors, headaches, and nausea/vomiting. Even mild symptoms can be uncomfortable and increase the risk of relapse. Medically assisted detox programs provide a safer and more comfortable experience.

What are delirium tremens (DTs), and who is at risk?

Delirium tremens (DTs) can happen during withdrawal from severe alcohol addiction, although it’s relatively uncommon and typically affects people with chronic excessive drinking habits. DT symptoms include hallucinations, confusion, elevated blood pressure, elevated body temperature, agitation or aggressive behavior, and seizures. Without proper treatment, DTs can be fatal. Certain factors increase the risk of developing DTs, including multiple addictions, abnormal liver function, a previous history of DTs or seizures, and short-term health issues like dehydration and low potassium levels.
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Can Withdrawal Kill You?

Without proper care, the withdrawal symptoms from certain substances could kill you. A symptom this extreme depends on what you’ve been taking, how much, and how long you’ve been taking it. 

Not every drug has dangerous withdrawal symptoms. Some, though extremely uncomfortable, won’t hurt you. But alcohol, benzodiazepines, and opiates have the potential to be deadly.

After discussing your situation with your doctor or care team, you might decide to detox in a licensed, medically monitored detox environment. Many rehab centers with detox offer just this. 

What Causes Withdrawal Symptoms?

Your brain and body get used to drugs or alcohol and adapt to work around them. Once you stop taking substances, your body has to adjust to life without them. So, you experience withdrawal symptoms as your body returns to homeostasis1. Though the change is arguably good, your body still has to adjust—which might not feel good at all. 

If you’ve become highly dependent, stopping becomes dangerous. In those cases, you can seek treatment in a detox center or a residential rehab with detox. Detox centers treat non-life-threatening withdrawal symptoms too. Your comfort and safety both matter. 

Withdrawals vary across the different types of drugs and substances. Some pose no threat. Others require careful supervision. 

Alcohol Withdrawal

Detoxing from alcohol2 could be dangerous. The level of danger, and general symptom intensity, depends on how much you drink and how long you’ve been drinking. 

Alcohol withdrawal symptoms2 could include 

  • Rapid heartbeat
  • Shaking
  • Delirium tremens (DT)
  • Insomnia
  • Hallucinations
  • Extreme confusion
  • Nausea or vomiting
  • Excessive, purposeless activity (getting in and out of bed, wandering around)
  • Anxiety
  • Grand mal seizures

Delirium tremens commonly affect those with a long history of drinking. DT’s symptoms3 include “profound confusion, autonomic hyperactivity, and cardiovascular collapse.” It’s rare, but needs to be caught as soon as possible to avoid danger. 

The other symptoms of alcohol detox may feel gross, but don’t tend to be life-threatening—especially under the supervision of doctors and nurses. Then, medications like Antabuse can help you stay sober4 in recovery.

Opiate Withdrawal

Opioid withdrawals can feel like a bad flu5, or the sickest you’ve felt in your entire life. Typically, though, it’s not one of the withdrawals that can kill you. The severity of symptoms depends on your dose and how long you’ve been taking opioids. 

The discomfort of opiate withdrawals can make you crave opioids even more. For many, temptations to alleviate the pain can cause a relapse5. Detoxing in a residential setting could help you avoid this in your early days of recovery.

During your opioid detox period, you might experience

  • Diarrhea
  • Dysphoria
  • Goosebumps
  • Restless legs
  • Muscle pains
  • Dizziness
  • Insomnia
  • Malaise
  • High heart rate

You can die from dehydration during opioid withdrawals6, caused by excessive vomiting and diarrhea. This catastrophic effect usually happens in jails, where prompt (and sufficient) medical care isn’t as common. 

Medications can curb the effects of opioid withdrawals7. For opioid detox, your doctor may prescribe methadone, buprenorphine, clonidine, and lofexidine. Each operates in different ways to diminish cravings and make withdrawals more comfortable. You can continue to take these medications to maintain your sobriety.

Heroin Withdrawal

As a short-acting opioid, heroin’s withdrawals typically set in 8-24 hours after your last dose7. They can last 4-10 days. 

Heroin’s withdrawal symptoms mimic a very bad flu. Turning to opioid-agonists, like methadone, can help you taper off high doses and maintain sobriety. Methadone relieves cravings and discomfort without the euphoric rush of heroin and other opioids8, making it non-addictive at the proper dose. 

And, using a maintenance medication like methadone reduces the risk of relapse by satisfying cravings8. This can also prevent HIV and infections caused by needle sharing—and, largely, relapse in general. 

Benzodiazepine Withdrawal

Depending on your dose and length of use, benzodiazepine withdrawals can be life threatening. Benzos treat anxiety and sleep disorders5 but could become addictive if used too long. Detoxing from benzos presents several dangers.

Benzo withdrawals resemble alcohol withdrawals5, which have a death risk. For that reason, you’ll likely need to detox in a medically monitored setting, like a hospital or residential rehab. Here’s what you might experience during benzodiazepine detox9:

  • Seizures
  • Muscle pains
  • Insomnia
  • Anxiety
  • Restlessness
  • Agitation
  • Difficulty concentrating
  • Hand tremors
  • Excessive sweating
  • Heart palpitations
  • Catatonia
  • Death

Withdrawal symptoms usually begin 2-10 days after your last dose and can last 2-8 weeks. You can manage the symptoms by gradually weaning off benzodiazepines5, which gives your body time to adjust to lower doses. Going cold turkey, or stopping all at once, could cause psychosis, death, seizures, and convulsions10.  

Withdrawing From Multiple Substances

There’s limited research on detoxing from multiple substances. But, the available research shows each drug needs its own attention during detox11. For example, detoxing from a stimulant and a depressant at the same time requires a more nuanced approach. So, physicians may prescribe 2 withdrawal medications to combat the effects of multiple substances. 

Withdrawing from multiple substances has its challenges, but it’s not uncommon. A study found 71% of patients in detox were withdrawing from 2 or more substances11. Your care provider will make the ultimate decision regarding any medications you’ll need during detox and how the process might look for you. 

Getting Treatment for Withdrawal Symptoms

At best, detoxing might feel uncomfortable. At worst, it could kill you. But for each end of the detoxing spectrum, you have treatment options. 

For many withdrawal symptoms, you may need the help and care of a detox center. Or, a residential rehab with a detox program. In a center like this, you can begin therapeutic residential treatment right after detoxing.
To see your options, you can browse our list of rehabs with detox that includes pricing, photos, insurance information, and more.

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Alcohol Detox and Withdrawal: What to Expect During Treatment

Deciding to heal from alcohol addiction is exciting. You’re finally ready to reclaim control of your life and start reaping the benefits of sobriety. But it’s important to start your recovery safely. Detoxing and going through withdrawal are important first steps, but suddenly stopping or decreasing your drinking can be dangerous—even life-threatening.

Rehabs with detox programs offer a safe and more comfortable experience that can set you up for long-term success in your recovery.

Treatment for Alcohol Withdrawal During Detox

Each year, more than 1.5 million people in the U.S. go through alcohol withdrawal ((Saitz, Richard. “Introduction to Alcohol Withdrawal.” Alcohol Health and Research World, vol. 22, no. 1, 1998, pp. 5–12. PubMed Central, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761824/.)) in a rehab or a medical setting. And while even more people withdraw at home, alcohol withdrawal can be very dangerous, and in some cases lethal. It’s a good idea to detox with medical supervision so you can stay healthy, safe, and as comfortable as possible.

Where Can You Detox?

Options for detox include hospitals, inpatient rehabs, or outpatient programs. Which option is the best for you depends on your health history, severity of symptoms, and personal needs. For example, people who are more likely to develop severe symptoms like seizures may require hospitalization. People with co-occurring disorders may also need a higher level of care to protect their health. But others who experience less severe symptoms may be able to detox through an outpatient program that offers regular check-ins with a medical professional to ensure they’re staying safe.

Some residential rehabs offer medical detox onsite, which allows you to immediately move into a residential addiction treatment program afterwards. This can provide you with stability in early recovery by easing your transition into inpatient care.

How Long Does It Take To Detox From Alcohol?

Everyone’s detox and withdrawal timeline ((“Detox.” Recovery Research Institute, 8 Nov. 2018, https://www.recoveryanswers.org/resource/alcohol-and-drug-detox/.)) is different and depends on several factors:

  • How long and how much you drank
  • Family history of addiction and other health issues
  • Co-occurring disorders like depression, anxiety, or physical health conditions

Withdrawal can start just hours after stopping or reducing your drinking. ((Alcohol Withdrawal: MedlinePlus Medical Encyclopedia. https://medlineplus.gov/ency/article/000764.htm. Accessed 7 Mar. 2023.)) But it can also take up to 48 hours for symptoms to set in. It’s most common for symptoms to peak between 24-72 hours after you begin detoxing. However, some symptoms may linger for weeks.

Alcohol detox programs usually last 3-7 days depending on your symptoms. It usually begins with an evaluation ((“Detox.” Recovery Research Institute, 8 Nov. 2018, https://www.recoveryanswers.org/resource/alcohol-and-drug-detox/.)) to get a better picture of your overall health and any pre-existing conditions that may cause complications, like high blood pressure.

Then, your treatment team will address your alcohol dependence, usually by using a stabilizing medication that’s tapered down over the course of your detox. This process minimizes withdrawal symptoms and lessens your risk of complications. Staff will closely monitor you, especially in the first 48 hours after you begin to detox as that’s when most symptoms set in. They’ll check your vitals, ask how you’re feeling, and may perform blood tests as necessary to check your hydration levels.

If you don’t develop any withdrawal symptoms after about 48 hours, you may be released into outpatient services. If you’re detoxing in a rehab, you may instead move to their inpatient center to begin their treatment program.

The goal of alcohol detox ((Hayashida, Motoi. “An Overview of Outpatient and Inpatient Detoxification.” Alcohol Health and Research World, vol. 22, no. 1, 1998, pp. 44–46. PubMed Central, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761814/.)) is to help you reach an alcohol-free state, relieve your symptoms, and address any co-occurring conditions to prepare you to enter addiction treatment.

Managing Withdrawal Symptoms

While withdrawal is typically uncomfortable, there are certain things you and your team can do to manage the symptoms and reduce your discomfort. When you detox in a facility, they’ll monitor your symptoms and adjust your conditions to relieve pain.

Medications

In many cases of alcohol detox, a doctor will prescribe certain medications to lessen withdrawal symptoms ((Shivanand Kattimani and Balaji Bharadwaj. “Clinical management of alcohol withdrawal: A systematic review.” Industrial Psychiatry Journal. v.22(2); Jul-Dec 2013
)) and prevent complications. Benzodiazepines are the most common medication for managing alcohol withdrawals.

Depending on your detox program and health history, your doctor may give you medication right away. People with physical health conditions or a history of severe withdrawal symptoms may take a single dose of a benzodiazepine prior to detoxing. Or, you might take medication only after presenting certain symptoms like seizures, high body temperature or blood pressure, or agitation.

Comfortable and Safe Conditions

Detox centers consciously design their spaces to make the experience more comfortable. The ideal environment for alcohol withdrawal is quiet with low lighting ((Shivanand Kattimani and Balaji Bharadwaj. “Clinical management of alcohol withdrawal: A systematic review.” Industrial Psychiatry Journal. v.22(2); Jul-Dec 2013
)) and minimal stimulation to keep you calm. To ensure patient safety, they will also not have any potentially dangerous substances or items in the room.

You may also have access to a therapist to talk through your feelings ((2 Settings, Levels of Care, and Patient Placement. Substance Abuse and Mental Health Services Administration (US), 2006. www.ncbi.nlm.nih.gov, https://www.ncbi.nlm.nih.gov/books/NBK64109/.)) and cravings during this vulnerable time. And depending on the center, you may interact with others in the program for peer support.

Nutrition and Hydration

Your diet and hydration levels affect the severity of your symptoms ((Shivanand Kattimani and Balaji Bharadwaj. “Clinical management of alcohol withdrawal: A systematic review.” Industrial Psychiatry Journal. v.22(2); Jul-Dec 2013
)) and the development of complications. This is partly because alcohol addiction causes nutritional deficiencies that may prolong detox. ((Center for Substance Abuse Treatment.Detoxification and Substance Abuse Treatment. Treatment Improvement Protocol (TIP) Series, No. 45. HHS Publication No.(SMA) 15-4131. Rockville, MD: Center for Substance Abuse Treatment, 2006.)) And because detox is hard enough on your body, supporting it with healthy foods that may bring you joy is important.

Your detox center’s initial assessment may even include a nutritional evaluation. This tells your doctors exactly which nutrients you’re lacking. Depending on the results, your doctor may recommend vitamins or other supplements for the first 3-5 days of detox ((Shivanand Kattimani and Balaji Bharadwaj. “Clinical management of alcohol withdrawal: A systematic review.” Industrial Psychiatry Journal. v.22(2); Jul-Dec 2013)) to address those deficiencies.

Your medical team will also keep a close eye on your fluid and electrolyte levels. In more severe cases, you may receive fluids through an IV. Staying hydrated can alleviate some withdrawal symptoms.

Understanding Alcohol Withdrawal

Studies show that over half of people who are dependent on alcohol experience withdrawal ((Rahman, Abdul, and Manju Paul. “Delirium Tremens.” StatPearls, StatPearls Publishing, 2022. PubMed, http://www.ncbi.nlm.nih.gov/books/NBK482134/.)) when they stop or slow their drinking. And 3-10% of people experience severe alcohol withdrawal. Withdrawal looks different for everyone, but it’s safest to have medical supervision to ensure your symptoms don’t become life-threatening.

What Causes Withdrawal?

While you might assume that withdrawal only happens when you completely stop drinking, you can actually start experiencing withdrawal symptoms from just decreasing your alcohol consumption. ((Saitz, Richard. “Introduction to Alcohol Withdrawal.” Alcohol Health and Research World, vol. 22, no. 1, 1998, pp. 5–12. PubMed Central, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761824/.)) In fact, some people who are dependent on alcohol can start to experience withdrawal even at a blood alcohol level that would normally cause someone to feel very intoxicated. You may not realize how much alcohol your body is used to before you stop drinking, especially if you’ve been functioning “normally.”

Alcohol withdrawal causes imbalances in the brain, ((Saitz, Richard. “Introduction to Alcohol Withdrawal.” Alcohol Health and Research World, vol. 22, no. 1, 1998, pp. 5–12. PubMed Central, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761824/.)) which lead to your symptoms. After a certain point of heavy drinking, your body—specifically your brain and central nervous system—become used to having alcohol in your system. Your bodily systems have learned to constantly adjust their functioning to compensate for the depressive effects of alcohol. So when you suddenly stop or reduce your drinking, your body doesn’t adjust as quickly and still operates on hyperdrive, causing withdrawals.

Symptoms of Alcohol Withdrawal

Certain symptoms of alcohol withdrawal ((Saitz, Richard. “Introduction to Alcohol Withdrawal.” Alcohol Health and Research World, vol. 22, no. 1, 1998, pp. 5–12. PubMed Central, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6761824/.)) are more common:

  • Tremors
  • A strong urge to drink
  • Sleep problems, including difficulty falling or staying asleep and intense dreams
  • Anxiety
  • Hypervigilance
  • Irritability
  • Loss of appetite
  • Nausea and vomiting
  • Headaches
  • Sweating

These symptoms typically start about 6-12 hours ((Sachdeva, Ankur, et al. “Alcohol Withdrawal Syndrome: Benzodiazepines and Beyond.” Journal of Clinical and Diagnostic Research : JCDR, vol. 9, no. 9, Sept. 2015, pp. VE01–7. PubMed Central, https://doi.org/10.7860/JCDR/2015/13407.6538.)) after you begin detoxing. While they may make you uncomfortable, they’re usually not life-threatening. However, you may also experience a more severe form of alcohol withdrawal called delirium tremens, ((Rahman, Abdul, and Manju Paul. “Delirium Tremens.” StatPearls, StatPearls Publishing, 2022. PubMed, http://www.ncbi.nlm.nih.gov/books/NBK482134/.)) which is more dangerous.

Delirium Tremens (DT)

Delirium tremens is a severe form of alcohol withdrawal. It’s most common in people who have chronically used alcohol in high quantities over the years, or consistently for months. Without proper treatment, it can be deadly. Early detection and professional treatment can prevent death or serious injury.

With DT, you’ll experience common symptoms of alcohol withdrawal, plus more severe symptoms: ((Delirium Tremens: MedlinePlus Medical Encyclopedia. https://medlineplus.gov/ency/article/000766.htm. Accessed 7 Mar. 2023.))

  • Seizures
  • Deep sleep for 24 or more hours
  • Sudden and extreme confusion
  • Feeling very excited or scared
  • Hallucinations
  • Quick bursts of energy
  • Sudden changes in mood
  • Fatigue
  • Light, sound, and touch sensitivity

If you do experience DT, you’ll probably need to stay in the hospital until your symptoms subside. Your medical team will check your vitals consistently. As dehydration is very common, they’ll test your blood for electrolytes levels and body fluid levels. They’ll also likely give you medicine to help you stay calm, prevent seizures, and lessen your symptoms.

DT symptoms typically start about 48-96 hours after you suddenly stop drinking and can last up to 5 days. However, sometimes it takes 7-10 days after your last drink for DT symptoms ((Delirium Tremens: MedlinePlus Medical Encyclopedia. https://medlineplus.gov/ency/article/000766.htm. Accessed 7 Mar. 2023.
)) to begin. And some people even experience certain withdrawal symptoms like mood swings and fatigue for years after.

Post-Acute Withdrawal Syndrome (PAWS)

It’s common for people recovering from alcohol addiction to still experience withdrawal symptoms during rehab or even long after. This is called post-acute withdrawal syndrome (PAWS), or protracted withdrawal.

With PAWS, your withdrawal symptoms ebb and flow over time and may be triggered by stress. PAWS symptoms mainly resemble acute withdrawal symptoms, but there are a few additional ones to be aware of:

  • Concentration and memory issues
  • Decreased sex drive
  • Complaints of pain without a cause

PAWS can cause relapse, ((Melemis SM. Relapse Prevention and the Five Rules of Recovery. Yale J Biol Med. 2015 Sep 3;88(3):325-32. PMID: 26339217; PMCID: PMC4553654.)) so it’s important to prepare yourself for it. While you may be ready to manage immediate withdrawal symptoms, coming to terms with prolonged withdrawal may be more difficult. In rehab, you’ll learn new coping skills to help you deal with these symptoms and prevent relapse. You can even ask your clinical team to help you come up with a plan ahead of time, so if you do begin to experience PAWS, you know what to do. Successful recovery is still very possible with PAWS.

Recovery: The Light at the End of the Tunnel

Detox is just the first step in your recovery journey—long-term recovery requires follow-up care, ideally starting with residential rehab. And while detox may not be the most pleasant experience, doing so in a safe, supportive place can help you stay sober, healthy, and well.

Search our list of detox centers for information on pricing, post-detox programming, and more.

Reviewed by Rajnandini Rathod

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Why Choose Florida for Drug and Alcohol Detox: Climate, Care Options & Recovery

It’s hard to know what to expect from drug and alcohol detox. Some people need 24/7 medical attention. Others focus more on emotional recovery. But one thing’s true across the board: starting treatment in a beautiful place can make healing a little easier. That’s why so many people choose to attend detox centers in Florida. 

Sun in All Seasons

Florida’s tropical and subtropical climate boasts warm weather year round. So if your health permits, you might be able to spend time outside during detox. But the weather can make a difference even if you need to stay in your room. Data shows that just looking at a beautiful view can help you heal.1 

Thanks to the state’s 825 miles of coastline, Florida rehabs cater to people who love the beach. And even if you’re not ready to go off-site during detox, that culture has a direct impact on treatment. For instance, most centers have outdoor pools and patios where you can relax and enjoy the sunshine. With these amenities, you can stay as comfortable as possible in any stage of recovery.

chapel hill medical detox room
Experts at Chapel Hill Medical Detox in West Palm Beach say clients who attend “medically assisted detox are more likely to stay in treatment longer.”

What Happens During Detox?

Detox is often the first step in addiction treatment. And it can be overwhelming. You’ll probably experience both physical and emotional symptoms during withdrawal:2

  • Restlessness
  • Mood swings
  • Irritability
  • Depression
  • Changes to appetite
  • Nausea
  • Vomiting
  • Diarrhea
  • Sleep disturbances

These symptoms are different for everyone. And they can be more severe if you have other health issues, or if you’re healing from certain addictions. It’s especially important to get expert medical care during detox from alcohol,3 opioids,4 or benzodiazepines.5 Without proper treatment, withdrawal from these substances can be life-threatening. 

In a reputable detox program, your care team might include some or all of these specialists: 

These experts provide care during inpatient detox. They can also help you plan for what comes next.

Types of Treatment in Florida’s Detox Centers

Detox is more than a medical process. It’s also a time to prepare yourself for long-term addiction recovery. You can set yourself up for success in a program that shares your values. And Florida’s luxury detox centers support patients with a wide variety of recovery goals. 

gulf breeze recovery beach
Gulf Breeze Recovery in Gulf Breeze combines top-notch medical care with holistic detox treatments.

Medical Detox

According to the team at Chapel Hill Medical Detox in West Palm Beach, clients who attend “medically assisted detox are more likely to stay in treatment longer.”6 With this approach, doctors and nurses will support you through early recovery. You might taper off drug use instead of stopping cold turkey, or take non-addictive medications to help you stay comfortable. And when you’re ready, you’ll probably start seeing a talk therapist or other counselor. 

Programs like these are a good fit for people who need close supervision during detox. Inpatient medical detox provides round-the-clock care, keeping you safe as you adjust to life without drug use. But it’s not the only way to begin addiction treatment. 

Outpatient Detox

Sometimes, it can be better to detox in the comfort of your own home. This might be important for celebrity clients who need strict confidentiality, or people with pressing family commitments. If you’re physically healthy and you have a strong support network, you can consider outpatient detox.

In most of these programs, you’ll live independently but attend daily appointments on-site. Clients get medical and psychiatric care, and may connect with each other in group therapy. If this sounds like a good fit for you, make sure you talk to your doctor before starting treatment. While outpatient detox can make recovery more accessible, it’s not a safe option for everyone.

Holistic Treatment

Medical treatment is an essential part of detox—but it isn’t everything. Centers like Gulf Breeze Recovery combine top-notch medical care with holistic detox treatments. For example, you might get a massage between talk therapy sessions. Or you could learn to manage cravings with mindfulness techniques. This integrated approach helps you get to the root cause of your addiction, so you can heal from the inside out. 

agape detox center facility
Agape Detox Center in Port St. Lucie evaluates each client’s lifestyle, health history, and risk factors for addiction to create a unique plan of care.

Individualized Care

The healing process is different for everyone. That’s true in every stage of recovery, from withdrawal to aftercare. So some of Florida’s rehabs tailor the detox process to suit each client’s needs. 

The team at Agape Detox Center, for example, takes a “targeted, whole-health approach” to recovery. They evaluate each client’s lifestyle, health history, and risk factors for addiction. That information helps them design your unique plan of care. That plan will likely include talk therapy, medical treatment, and nutritional support. In bespoke treatment, you’ll learn more about your own needs. And with that knowledge, you can go on to build a life you love. 

Comprehensive Recovery

Compared to residential rehab, detox doesn’t last very long.7 For most types of addiction, withdrawal symptoms subside in a few days to a week. But that’s not the end of addiction recovery. 

Many detox programs require you to have a long-term treatment plan before you even arrive. Usually, that means enrolling in a residential rehab program. So when you complete detox, you can go directly to your next treatment center (in Florida or elsewhere).

Some Florida rehabs make this process much easier. Providers like Immersion Recovery Center offer both detox and residential recovery. You can still detox in one program and go to rehab in another, but you don’t have to. Instead of moving, you can focus on the transition that matters most: your healing process. 

Comprehensive Care in the Sunshine State

In many places, detoxing from drugs or alcohol can be isolating. That doesn’t have to be true in the Sunshine State. These bespoke programs could be a great fit if you love warm weather—even if you plan to enjoy it through your bedroom window. 

Some of the best rehabs in Florida known for their quality care also accept Medicaid and other state insurance options for individuals seeking treatment and recovery.

Explore Florida’s detox centers to find a program that’s right for you.

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Does IV Drip Therapy Really Help With Detox and Recovery?

IV drip therapy is a new—and controversial—way to treat addiction. Treatment is just what it sounds like: clients receive vitamins and nutrients intravenously. The goal is to speed up detox, and help with ongoing addiction recovery. And while it sounds promising, there’s some debate about whether it actually works.

Some experts say it relieves the symptoms of detox and withdrawal. It might also ease the other physical side effects of addiction. But many doctors call for more evidence, saying this treatment isn’t worth its high price. You can try IV drip therapy at several rehab centers—but make sure you understand the pros and cons before you get started.

What Is IV Drip Therapy?

During this treatment, a medical professional administers a vitamin solution through an IV.1 These solutions consist of various vitamins and minerals, like amino acids, vitamin C and B, NAD+ (nicotinamide adenine dinucleotide), and more. You’ll sit and relax for 30-60 minutes while the infusion enters your system. Different rehabs offer various types of IV drip therapy. They might even tailor each treatment to address your specific symptoms. 

Vitamin Infusions

In vitamin IV therapy, you’ll receive a specific combination of vitamins, minerals, and nutrients. Various treatments can target different physical symptoms. For example, studies show that the Myer’s Cocktail,2 a mixture of magnesium, calcium, B vitamins, and vitamin C, helps prevent migraines, fatigue, and respiratory issues. If you have more specialized concerns, FHE Health offers customized vitamin IV infusions.3 

NAD+ Treatments

NAD+ is a naturally occurring coenzyme. It heals and creates new cells, effectively boosting your energy levels. It also protects against stress. Experts say that NAD+ IV therapy alleviates detox symptoms.4

Some providers also use it to treat mental health issues. The Sanctuary at Sedona offers NAD+ therapy5 to clients with depression, PTSD, and anxiety, as well as addiction. Mary L. Deluca, psychiatrist and Medical Director, says that treatment improves clients’ cognition, energy levels, and sleep habits. 

Is IV Drip Treatment Effective?

The effectiveness of IV drip therapy1 is up for debate. People usually get enough vitamins from a balanced diet, and adding extra vitamins may not actually boost your health. On the other hand, some experts recommend it for detox and addiction recovery.

Reported Benefits of IV Drip Therapy

Some rehabs recommend IV therapy during recovery, especially during detox and withdrawal. Treatment may also help you heal from the physical impacts of addiction. Supporters of IV drip therapy cite several positive effects.

Experts Call for Evidence

Like most treatments, IV drip therapy has pros and cons.1 And some experts think it doesn’t work at all. Columbia University professor Dr. Ariel Igal calls it “the placebo effect.” Others say it has unnecessary risks. 

  • “There’s no actual data” to support IV drip therapy,10 addiction psychiatrist Emily Zarse told NPR. And any experimental treatment may have unforeseen side effects. 
  • Excessive vitamin intake can be dangerous.1 Water-soluble vitamins, like vitamins C and B, don’t stay in the body. The excess is immediately flushed from your system, making treatment a waste. But excess fat-soluble vitamins— like A, D, and E—are stored in the body for longer periods of time. And they can be harmful in large amounts. 
  • The high cost of IV treatments1 probably won’t be covered by your insurance. The FDA has yet to approve this type of therapy. And each 30-60 minute session can cost $100—or much more. 

Fitting IV Therapy Into Your Recovery Plan

As controversial as vitamin infusions are, they’re very helpful for some clients. But this treatment is just one way to approach recovery. If you’re interested in IV therapy, talk to your medical providers about whether it’s safe for you.

Use Recovery.com to compare treatment options at rehabs, including their pricing, insurance coverage, and other complementary therapies.

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Preparing for Withdrawal and Detox

When you begin healing from addiction, it’s natural to be concerned about withdrawal. This process can be uncomfortable or even dangerous without proper supervision. But no matter how long you’ve been misusing substances, healing is always possible. And there are many well-established approaches to treatment for drug and alcohol withdrawal.

Before you begin any new process—especially a medical one—it’s best to learn about what to expect. But because everyone’s body is different, everyone’s experience of withdrawal will be unique. Make sure you talk to a doctor who knows your health history before committing to any form of treatment.

What Happens During Withdrawal?

Withdrawal occurs when you stop taking a substance after a prolonged period of use. According to The American Society of Addiction Medicine, withdrawal can be defined as the onset of certain “signs and symptoms following the abrupt discontinuation of, or rapid decrease in, dosage of a psychoactive substance.”

Common Withdrawal Symptoms

These signs may vary depending on the state of your physical and mental health, which specific substances you’ve been using, and how quickly you taper off your use. However, there are a few especially common symptoms of withdrawal and detox, ((Detox. (2018, November 8). Recovery Research Institute. https://www.recoveryanswers.org/resource/alcohol-and-drug-detox/)) which include the following:

  • anxiety
  • depression
  • tremors
  • trouble sleeping
  • nausea, vomiting, and changes in appetite
  • changes in blood pressure and heart rate

In part, these symptoms are caused by the way the body adapts to habitual substance misuse. As you become accustomed to the effects of a drug, you may rely on it to make you feel a certain way. If you drink coffee every morning for years, you’ll probably be tired on days when you don’t. And if you take Xanax several times a day, you’ll probably be anxious when you stop.

Physical vs. Psychological Dependence

While some addictions are physiological, others are primarily psychological. The National Institute on Drug Abuse (NIDA) characterizes addiction as the “inability to stop using a drug,” despite its negative consequences. Addiction is distinct from physical dependence, ((Szalavitz, Maia, et al. “Drug Dependence Is Not Addiction—and It Matters.” Annals of Medicine, vol. 53, no. 1, pp. 1989–92. PubMed Central, https://doi.org/10.1080/07853890.2021.1995623. Accessed 6 Feb. 2023.)) in which your body comes to rely on a drug for certain functions. You can become physically dependent on any substance, from heroin to insulin.

Withdrawal from certain substances—such as opiates, alcohol, and benzodiazepines—can have much more serious side effects, and may even be life-threatening. If you have a history of addiction to any of these drugs, it’s extremely important to seek medical advice, instead of trying to detox on your own.

Withdrawal can be an intense experience whether or not you’re physically dependent on a drug. And because of this, many people delay starting detox. If abstinence is your ultimate goal, however, withdrawal is a necessary step toward recovery. And with the proper care, this experience lasts only a short time.

How Long Does Withdrawal Last?

The recommended length of detox treatment ((Center for Substance Abuse Treatment. Detoxification and Substance Abuse Treatment. Treatment Improvement Protocol (TIP) Series, No. 45. HHS Publication No. (SMA) 15-4131. Rockville, MD: Center for Substance Abuse Treatment, 2006. Retrieved from https://store.samhsa.gov/sites/default/files/d7/priv/sma15-4131.pdf)) depends on a number of factors. First and foremost, the withdrawal period varies between substances. And it can even vary within a single drug class. According to experts at the Substance Abuse and Mental Health Services Administration (SAMHSA), this is clearly seen among opiate users. Specifically, “heroin withdrawal typically begins 8 to 12 hours after the last heroin dose and subsides within a period of 3 to 5 days. Methadone withdrawal typically begins 36 to 48 hours after the last dose, peaks after about 3 days, and gradually subsides over a period of 3 weeks or longer.”

Your physical health may also affect the length of withdrawal. If you take prescribed medications that interact with drugs of abuse, those prescriptions may need to change when you begin recovery. This is an especially important consideration for patients with a history of abusing prescription drugs, like painkillers and benzodiazepines. After your withdrawal symptoms subside, you may find that other symptoms have returned. In order to manage these concerns, it’s important to work with a medical team throughout the process.

Planning Ahead for Recovery

Recovery might begin with detox, but it doesn’t end there. After your withdrawal symptoms subside, it’s best to continue treatment either in a residential or outpatient setting. Some inpatient rehabs also host on-site detox programs, so you can stay on the same campus when it’s time to start a new form of treatment. Other centers only offer detox services, but may ask that you make arrangements for longer-term care before you arrive.

To find a rehab that can help you navigate withdrawal symptoms, you can browse our list of detox centers here.

Reviewed by Lisa Misquith