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Alcohol withdrawal symptoms usually occur within 8 hours after the last drink, but can occur several days later. Symptoms usually peak by 24 to 72 hours but may go on for weeks.


Common withdrawal symptoms include:

  • Anxiety or nervousness

  • Depression

  • Fatigue

  • Irritability

  • Jumpiness or shakiness

  • Mood swings

  • Nightmares

  • Poor decision making


Additional, less common, withdrawal symptoms may include:

  • Clammy skin

  • Enlarged (dilated) pupils

  • Headache

  • Insomnia (sleeping difficulty)

  • Loss of appetite

  • Nausea and vomiting

  • Pallor

  • Rapid heart rate

  • Sweating

  • Tremor of the hands or other body parts


A severe form of alcohol withdrawal called Delirium Tremors can cause:

  • Agitation

  • Fever

  • Seeing or feeling things that aren't there (hallucinations)

  • Seizures

  • Severe confusion


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