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 long opiate withdrawal lasts.
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 withdrawal can be defined in two ways:
- You experience typical withdrawal symptoms for the substance you stopped taking
- 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 drugs impact 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 that dependence does not mean addiction. For example, a doctor may prescribe an antidepressant to treat depression. 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.
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
- Opioid or heroin 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 last for weeks
- Benzodiazepine withdrawal symptoms: may last for weeks or months
- Opioid or heroin withdrawal symptoms: may last for anywhere from four to 20 days, depending on the opioid. Short-acting opioids like Percocet may cause withdrawal that lasts from four to 10 days. However, longer-acting opioids like methadone may cause withdrawal that lasts for almost three weeks.
- Cocaine withdrawal symptoms: may last for 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:
Withdrawal from chronic, heavy alcohol use can be deadly. Even if you feel only mild alcohol withdrawal symptoms at first, they can rapidly worsen and become dangerous. The alcohol withdrawal timeline can also vary from 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 under medical supervision.
Withdrawal from other substances may not be as dangerous. For example, withdrawal from stimulants like cocaine often 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 and heroin withdrawal can be very uncomfortable, it is rarely dangerous. For adults and teens, the dangers of opioid withdrawal are mainly related to the risk of relapse. If you are in opioid 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 of overdose 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 opioids or heroin while pregnant often need to be weaned from the drugs to avoid withdrawal symptoms.