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Drug Withdrawal Symptoms, Timelines, and Detox Treatment

Learn about the challenges of drug withdrawal. This includes the causes, symptoms, and why professional detox is important for safe recovery.

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Learn about the challenges of drug withdrawal. This includes the causes, symptoms, and why professional detox is important for safe recovery.

It is important to remember that many drugs can lead to physical dependence. This can occur if they are misused in large amounts for a long time. When a person stops using an addictive substance, they may face unpleasant withdrawal symptoms.

The more you know about the symptoms of withdrawal from drugs, the better you can get help. This help can be for yourself or a loved one who is struggling with substance use. The following topics are discussed here:

Table of Contents

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Understanding the Withdrawal Process

What is Withdrawal From Drugs?

After abruptly cutting back or stopping the prolonged use of a substance, withdrawal causes physical, mental, and behavioral changes. Withdrawal symptoms of drugs vary from person to person for each substance. This includes alcohol, opioids, benzodiazepines, and sedatives. These symptoms can be very severe when people try to quit.

People face serious risks when they stop using opioids, alcohol, and sedatives. They may experience mild to severe symptoms. Detoxing with medical help can be a safe way to handle withdrawal.

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Homeostasis Disruption & Neurochemical Rebalancing

Why Do Symptoms of Drug Withdrawal Occur?

Homeostasis means balance in the body. The body always tries to fix any imbalances. However, drinking and using drugs can change brain activity. This can disrupt normal homeostasis.

When the brain is often exposed to a substance, it can adapt. This helps balance the chemical effects of that substance.

If you cut back on use or stop completely, your brain may have a hard time adjusting. Many substances can cause withdrawal symptoms during this time. This occurs because the body is rebalancing chemicals known as neurotransmitters.

These changes in the brain from using drugs and alcohol lead to physical dependence. A dependent person becomes accustomed to a substance. They need it to feel normal and to function properly. If someone with drug problems tries to reduce or stop using, they will probably experience withdrawal symptoms.

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Substance-Specific Symptoms & Their Severity

What Are The Different Types of Withdrawal Symptoms

The severity of withdrawal symptoms depends on the type of substance used. The length and intensity of usage are also factors. People experiencing drug addiction withdrawal symptoms might resort to using the substance again to relieve the discomfort.

Different types of drugs can cause withdrawal symptoms. Alcohol, benzodiazepines, and opioids often lead to serious withdrawal issues.

In contrast, users of stimulants and marijuana usually experience milder withdrawal symptoms. This is less severe than those who misuse opioids, alcohol, and benzodiazepines. Keep reading to learn more about withdrawal symptoms for specific substances.

Alcohol Withdrawal

When heavy, prolonged drinking is stopped, withdrawal symptoms can begin between six and 24 hours later. In the next two to three days, symptoms usually get worse. Then, they slowly improve and are gone by about the tenth day. The following are some possible withdrawal symptoms:

  • Irritation
  • Irritation
  • Irregularity
  • Sleeplessness
  • Sleepless nights
  • A sweaty body
  • An increase in heart rate
  • An increase in blood pressure
  • Feeling nauseated or vomiting
  • The Tranquility of the hands

There is a risk of serious alcohol withdrawal during acute withdrawal. People may feel agitation, have seizures, and experience delirium tremens. This condition includes trouble with body temperature and blood pressure, sweating, hallucinations, and confusion.

You may need immediate medical help if you have certain withdrawal symptoms. During this difficult early recovery period, medical detox and withdrawal management can help people feel safe and comfortable.

Withdrawal From Benzodiazepines

The use of benzodiazepines to treat anxiety, panic disorders, and certain seizure disorders every day. Some Benzodiazepines that are used to treat anxiety, panic disorders, and seizures are:

  • Alprazolam (Xanax)
  • Diazepam (Valium)
  • Lorazepam (Ativan)

When benzodiazepines are mixed with opioids, alcohol, or other sedative drugs, it can be very dangerous. This combination can lead to high levels of sedation and breathing problems. This can lead to damaging side effects and even death.

When you stop taking short-acting benzodiazepines like Ativan, withdrawal symptoms may start within hours to days. If you stop longer-acting benzodiazepines like Valium, symptoms may begin within several days to a week.

Many symptoms of benzodiazepine withdrawal resolve within 4-5 days after peaking in intensity. For shorter-acting benzodiazepines, this may take a few days.

Withdrawal symptoms from longer-acting benzodiazepines may peak in the second week. They can often go away by the third or fourth week.

However, some people may still feel mild symptoms for up to eight weeks. Possible withdrawal symptoms of benzodiazepines include:

  • Anxiety
  • Insomnia
  • Agitation
  • Restlessness
  • Irritability
  • Difficulty concentrating or remembering
  • Achy or tense muscles
  • Rapid pulse
  • Sweating
  • Hallucinations
  • Delirium
  • Increased sensitivity to light, smells, and sounds
  • Rapid pulse
  • Sweating
  • Tremors
  • Seizures

Withdrawal From Opioids

There are several opioid drugs, including illegal drugs like heroin and prescription pain medications like morphine (Vicodin, Percocet, OxyContin). When a person stops using opioids, they may experience opioid withdrawal symptoms.

Despite its potential danger, opioid withdrawal doesn’t usually pose a life-threatening risk. When a person breathes in vomit, it can lead to an infection. If they keep vomiting and have diarrhea, they may get dehydrated and have an electrolyte imbalance. There are several signs and symptoms of opioid withdrawal, including:

  • Dysphoria
  • Anxiety
  • Insomnia
  • Dilated pupils
  • Chills
  • Goosebumps
  • A tendency to yawn excessively
  • The flu is making you run a fever
  • A watery eye
  • Achy muscles and joints
  • Feeling nauseated or vomiting
  • Diarrhea is a common complaint

Withdrawal From Stimulants

Stimulant use often includes heavy use, known as binges, followed by crashes. During crashes, people stop using stimulants and may feel withdrawal symptoms. The most common illegal stimulants are crystal meth, cocaine, and crack. People can also misuse prescription stimulants like dextroamphetamine (Adderall) and methylphenidate (Ritalin).

The symptoms from stimulants are generally not harmful. While rare, severe depression with suicidal thoughts or behaviors can develop during drug detox.

It is important to watch these symptoms carefully. Although rare, stimulant withdrawal can cause these symptoms:

  • Irritation
  • Intolerance
  • Dysphoria or depression
  • Tiredness
  • Appetit sparked
  • Sleep patterns that have changed- either excessive or insufficient sleep
  • Sleepless nights
  • Irregularities
  • Changing your pace from what you usually do
  • Muscles that ache
  • An intense desire for the drug (cravings)

Withdrawal From Marijuana

THC (tetrahydrocannabinol) and other psychoactive compounds are found in marijuana, made from dried parts of the Cannabis plant. – Stopping long-term, heavy marijuana use can lead to withdrawal symptoms.

These symptoms can last for up to two weeks. This applies to both recreational and medical marijuana use. The withdrawal symptoms include:

  • Irritation
  • Feeling angry
  • Intimidation
  • Anxiety
  • Insomnia
  • Anxiety and depression
  • Irregularity
  • The desire to smoke marijuana
  • Sleeplessness
  • A nightmare that upsets you
  • Irritable bowel syndrome
  • Pain in the abdomen
  • Kopfschmerzen
  • Perspiration
  • Feeling shaky or trembling

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The Importance of Detox for Withdrawal Symptoms

People going through withdrawal can receive medical and mental health care. This care comes from professional detoxification and withdrawal management. Support and health monitoring help with any physical, emotional, or psychological symptoms. When withdrawal is managed by doctors, medications can ease symptoms and prevent problems.

You will get different types of withdrawal management based on your substance use and symptoms. It is important to talk to a doctor or medical professional about the risks. Contact us today, and we can help you find the safest and best way to manage withdrawal before you cut down or stop using a substance.

Written By:

Geoffrey Andaria mental health writer at rolling hills recovery center
Rolling Hills Recovery Center

Mental Health Writer

About Author:

Geoffrey Andaria is an experienced mental health content writer and editor. With a B.A. in English and Journalism, Geoffrey is highly educated in freelance articles and research. Having taken courses on social work, Geoffrey is adamant about providing valuable and educational information to individuals affected by mental health and the disease of addiction.

Medically Reviewed By:

Carl Williams, medical content reviewer at rolling hills recovery center
Rolling Hills Recovery Center

Expert Contributor

About Reviewer:

Dr. Williams presently serves on the board of Directors for two non-profit service organizations. He holds a Master’s degree in Human Services from Lincoln University, Philadelphia, Pa, and a Ph.D. with a concentration in Clinical Psychology from Union Institute and University. In Cincinnati, Ohio. He is licensed to practice addictions counseling in both New Jersey and Connecticut and has a pending application as a practicing Psychologist in New Jersey.

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