Drug & Alcohol Withdrawal Symptoms

Drug and alcohol withdrawal can lead to various symptoms that can be treated in different ways. Find out how different methods are used for common addictions.

Drug and alcohol withdrawal can be confusing and overwhelming. There are many questions and variables to consider when it comes to the withdrawal process. You may wonder what drug withdrawal is, or how to get help with withdrawal. You could also be curious about how long alcohol withdrawal lasts or how longopiate withdrawallasts.

Substance withdrawal can have various symptoms. As a general rule, both drug withdrawal and alcohol withdrawal make people uncomfortable. Sometimes withdrawal symptoms can even be dangerous. Withdrawal can even create setbacks in recovery. It is therefore essential to know what to expect so you can seek the help you need to safely get through withdrawal and recover from substance use.

What is Withdrawal?

You may be surprised to learn that withdrawalcan be definedin two ways:

1. You experience typical withdrawal symptoms for the substance you stopped taking
2. You are taking a substance to avoid symptoms that occur if you stop taking it

To understand withdrawal, you need to first understand the way alcohol and drugsimpact your brain. Your brain is full of nerve cells that send chemical messages to one another. When you drink or take drugs, the chemical signals in your brain changes in response to those substances. Sometimes your brain ends up with more of certain chemicals and sometimes it will end up with less. The exact chemicals depend on the substance consumed.

Over time, your brain gets used to the chemical signals being changed by the substances. Your body then learns to expect the substance you are taking. When your body gets used to the presence of the substance, this is called dependence. When you suddenly quit taking the substance, your brain is caught off guard. As a result, you start to feel uncomfortable symptoms. These symptoms are withdrawal symptoms. Different substances cause different chemical changes in the brain. Therefore, the exact signs of drug withdrawal depend on the substance you were using.

It is important to note thatdependence does not mean addiction. For example, a doctor may prescribe anantidepressantto treatdepression. You may need this drug, and it is a valid prescription drug. All the same, after your brain gets used to the antidepressant and starts to expect it, your brain is now dependent on the drug. If you stop taking the drug suddenly, you will likely have withdrawal symptoms. But this does not mean that you are addicted to the antidepressant.

Withdrawal Symptoms

Drug withdrawal symptoms often depend on the substance used. Since different substances impact different brain chemicals, the withdrawal process and symptoms vary. Common withdrawal symptoms include:

• Alcohol withdrawal:mood changes, tremor, hallucinations
• Benzodiazepine withdrawal:anxiety, trouble sleeping
• Opioidorheroin withdrawal:muscle aches, sweating, goosebumps
• Cocaine withdrawal:feeling restless, depressed, or tired

How Long Does Withdrawal Last?

Withdrawal symptoms can last different amounts of time depending on the substance:

• Alcohol withdrawal symptoms:may lastfor weeks
• Benzodiazepine withdrawal symptoms:may last forweeks or months
• Opioid or heroin withdrawal symptoms:may last for anywhere fromfour to 20 days, depending on the opioid. Short-acting opioids likePercocetmay causewithdrawalthat lasts from four to 10 days. However, longer-acting opioids likemethadonemay causewithdrawalthat lasts for almost three weeks.
• Cocaine withdrawal symptoms:may lastfor months

Dangers of Withdrawal

Some substances, like alcohol, can be dangerous to try to stop taking on your own without help. The dangers of alcohol withdrawal include:

• Seizure
• Hallucinations
• Delirium tremens

Withdrawal from chronic, heavy alcohol use can be deadly. Even if you feel only mildalcohol withdrawal symptomsat first, they can rapidly worsen and become dangerous. Thealcohol withdrawal timelinecan alsovaryfrom person to person, with symptoms starting within hours for some people, and not starting for days in others. For these reasons, it is important to only detox from alcohol use undermedical supervision.

Similarly,withdrawal from benzodiazepinescan be dangerous and can lead to aseizure. Therefore, it is safest to detox from benzodiazepines under medical care.

Withdrawal from other substances may not be as dangerous. For example,withdrawal from stimulants like cocaineoften leads to discomfort which is not dangerous. However, some people recovering from cocaine use may struggle with depression, which puts them at risk for suicide.

Likewise, although opioid andheroin withdrawalcan be very uncomfortable, it israrely dangerous. For adults and teens, the dangers of opioid withdrawal are mainly related to the risk of relapse. If you are inopioid withdrawal, you will likely have cravings for the drug. The problem is that during the time you’re sober, your tolerance to the drug decreased. So the amount of the drug you used to take to get high might then be a deadly dose. This occurrence is a leading cause ofoverdose deaths.

For babies whose mothers used opioids or heroin while pregnant, withdrawal itself can be more dangerous, leading to drug withdrawal seizures in some cases.Babies born to mothers who used opioidsor heroin while pregnant often need to be weaned from the drugs to avoid withdrawal symptoms.

How to Get Help with Withdrawal

Many resources are available to help you through withdrawal.The Substance Abuse and Mental Health Services Administration (SAMHSA)runs a substance abuse hotline (1-800-662-HELP) that can answer any questions you have about substance withdrawal and treatment. Additionally, professional treatment facilities,like The Recovery Villageprovide patients with medical detox and safe withdrawal spaces.

Medical Detox

Medical detoxis only thefirst stepin quitting substance use. In medical detox, your withdrawal symptoms are treated as your body gets used to functioning without the substance. However, without additional help after the withdrawal phase is over, the risk of relapse is high. Therefore, medical detox should be used with other services to provide the patient with the best chance of long-term success. These services may include therapy or social work.

Medications Used During Drug Detox

Medications, if any, used during medical detoxdepend on the substanceyou were using:

• Alcohol detox:benzodiazepinesare the standard among drugs used for alcohol withdrawal
• Benzodiazepine detox:long-acting benzodiazepines are commonly used
• Opioid and heroin detox:methadone,buprenorphine, andclonidineare commonly used drugs used for opiate withdrawal and heroin withdrawal
• Cocaine and stimulant detox:there is no standard detox medication for cocaine or stimulant withdrawal

Drug and Alcohol Tapering

In some cases,tapering off alcoholortapering off drugsmay be an option to avoid withdrawal symptoms. Tapering is usually done when the substance you are using is prescribed to you. Because prescription drugs are highly regulated, doctors can be sure of the exact substance they are prescribing and tapering. Doctors can then have confidence that the taper will be safe and effective.

Tapering may be done for prescribed drugs like opioids and benzodiazepines. However, street drugs are not usually tapered because many of them contain impurities and may have different amounts of drugs added into them. Some street drugs are even laced with other substances. Doctors often recommend you stop street drugs without a taper, and seek medical help for withdrawal and alcohol detox.

Drug and Alcohol Addiction Treatment

Substance abuse treatment ismost effectiveif it hasseveral different components. Regardless of whether you needalcohol abuse treatmentordrug addictiontreatment, the following areas should all be addressed to give you the best chance of success at sobriety:

• Therapy, eitherindividual or in a group
• Social help, for example with housing, parenting or job issues
• Medical help, for any problems like depression that might be linked to your substance use
• Medication-assisted treatment, if appropriate

Medication-Assisted Treatment

Medication-assisted treatmentis one strategy to help reduce cravings or relapse risk. The substance you used will be the main factor doctors use to determine if this is an option for you:

• Alcohol medication-assisted treatment:naltrexone, acamprosate, and disulfirammay be used.
• Benzodiazepine medication-assisted treatment:there isno standardmedication for addiction to benzodiazepines.
• Opioid and heroin medication-assisted treatment:methadone and drugs that contain buprenorphine likeSubutex, Bunavail,Suboxoneand Zubsolvmay be used.
• Cocaine and stimulant medication-assisted treatment:there isno standardmedication for drug addiction to cocaine or stimulants.

• Visit the following websites to learn about The Recovery Village’s network of drug and alcohol rehabilitation treatment facilities. Call today for admissions. Each center is ready to help people learn how to cope with their addiction and uncover the root causes for their substance use disorder.
• Orlando Recovery Center: A premier rehabilitation facility in Orlando, Florida that helps individuals recover from addiction and substance use disorders. The center also offers the opportunity to treat co-occurring disorders.
• The Recovery Village Columbus: Located in Ohio,this facility provides inpatient, outpatient and aftercare treatment for people looking to begin detox. The center provides individualized plans to help patients through recovery while addressing their unique co-occurring disorders or any setbacks that may happen during recovery.
• The Recovery Village Palmer Lake:In Colorado, this facility offers inpatient, outpatient and intensive outpatient treatment for individuals looking to kick-start their journey to recovery.
• The Recovery Village Ridgefield: Located right in southern Washington,this facility provides patients with outpatient and aftercare programs. Just 20 minutes outside of Portland, this facility assists individuals who are ready to begin treatment.
• The Recovery Village: In Umatilla, Florida,this is a rehabilitation facility that provides resources for individuals seeking drug and alcohol treatment. There are inpatient, outpatient, intensive outpatient and partial hospitalization treatment programs available for those suffering from Ambien addiction.
• IAFF Center of Excellence:Specializes in assisting firefighters who struggle with behavioral health problems and addiction. Members can enter the recovery process sooner so they can return back to work as quickly as possible. Inpatient, partial hospitalization and intensive outpatient programs are all available at this facility, where patients can address their Ambien addiction in a safe, supportive environment.
• Denver Mental Health & Counseling: Denver Mental Health and Counseling by The Recovery Village is a physician-led outpatient center specializing in evidence-based addiction and mental health treatments, offering services such as TMS, IOP, and personalized care for both ongoing and new patients, dedicated to fostering long-term recovery and overall well-being.
• The Recovery Village Palm Beach at Baptist Health: The Recovery Village Palm Beach at Baptist Health is a premier physician-led treatment center in South Florida, offering a comprehensive spectrum of services from medical detox to outpatient programs for alcohol, drug, and co-occurring mental health conditions, with a commitment to rejuvenating lives, families, and communities, and facilitating same-day admissions.
• The Recovery Village Atlanta: Located in Roswell just outside downtown Atlanta, is a 62-bed physician-led treatment facility offering a comprehensive range of services, from medical detox to outpatient care, specializing in alcohol, drug, and co-occurring mental health conditions, dedicated to transforming lives, families, and communities throughout Georgia.
• The Recovery Village Kansas City: The Recovery Village Kansas City, an 80-bed facility in Raytown just 10 miles from downtown, offers a comprehensive range of evidence-based treatments for addiction and mental health conditions, overseen by physician leaders, and is dedicated to revitalizing lives, families, and communities throughout the Midwest.
• The Recovery Village Cherry Hill at Cooper Health: The Recovery Village Cherry Hill at Cooper, situated just 20 minutes from Philadelphia, is a leading rehab facility in South Jersey providing comprehensive, evidence-based addiction and mental health treatments, ranging from medical detox to teletherapy, with a dedicated team committed to guiding adults on their path to lifelong recovery.