If a seizure lasts longer than 5 minutes or is followed by a second seizure, immediate medical attention is required. For those at risk, benzodiazepines like diazepam or lorazepam are the first-line treatment, administered under medical supervision to prevent progression. In summary, the risk of alcohol withdrawal delirium is not solely determined by the timing of cessation but by a combination of heavy, prolonged alcohol use, prior withdrawal experiences, and underlying health issues. Recognizing these factors allows for proactive intervention, reducing the likelihood of severe complications. For anyone in this high-risk category, professional guidance is not just advisable—it’s essential.
- These seizures are characterized by a sudden loss of consciousness, followed by stiffening of the body (tonic phase) and rhythmic jerking movements (clonic phase), usually lasting between 1 to 3 minutes.
- Cold turkey, while faster, is best reserved for those with lower dependency levels or access to intensive medical care.
- Early recognition and medical intervention are critical, as untreated DTs can result in seizures, cardiovascular collapse, or even death.
- Out-patient treatment can be offered to patients who don’t have these risk factors and this decision relies on the withdrawal signs.
Risk for Individuals with Epilepsy

As far as drugs are concerned, only benzodiazepines, such as diazepam (Valium) and lorazepam (Ativan), have been proven to reduce the risk of the fatal complications cause by seizures and DT. Long-term alcohol use can increase your risk of developing epilepsy, a condition where you are prone to having seizures. While the reason for this is not fully understood, alcohol does create changes https://ecosoberhouse.com/ in receptors in your brain that affect your likelihood of having a seizure.
Cellular Mechanisms of Alcohol Dependence
AUD is the most common substance does alcohol cause seizures use disorder in the U.S., affecting 28.8 million adults. Medical professionals can assess your individual risk factors and recommend the appropriate level of care, whether that means outpatient monitoring or inpatient detox. Low levels of calcium, sodium, and magnesium can trigger seizures during withdrawal.
Timing of Seizures: Typically occur 6-48 hours after last drink, peak risk at 24 hours

It’s important to be honest about your alcohol use — and any other substance use — so your provider can give you the best care. Whether you’re seeking help for yourself or a loved one, we’re here to guide you every step of the way. If you or a loved one are ready to begin the journey toward a substance-free life, we’re standing by to take your call. Reach out to our Recovery Advocates to learn more about our treatment programs and find a plan that works amphetamine addiction treatment well for your specific needs and situation. Adequate sleep is vital, as sleep deprivation is a known trigger for seizures. Establishing a regular sleep schedule and creating a restful environment are key strategies.

A 25-year-old struggling with withdrawal might involve their parents in sessions to address codependency or unresolved conflicts. This collaborative approach not only strengthens support systems but also equips loved ones with tools to navigate recovery challenges. Severe symptoms usually subside within 5 to 7 days, but milder symptoms like insomnia, anxiety, and mood swings may persist for weeks.
They are proven to reduce withdrawal severity and incidence of both seizures and delirium tremens (DT) 40–42. Alcohol also acts on N-methyl-D-aspartate (NMDA) receptor as an antagonist, thereby decreasing the CNS excitatory tone. Therefore, chronic use of alcohol leads to an up regulation of glutamate to maintain CNS homeostasis. If you have a more severe chemical dependence on alcohol, you may experience more severe symptoms more quickly. Quitting cold turkey can come with some severe withdrawal symptoms, and it can be dangerous.
What are the Health Risks Associated with Alcohol?
These seizures cause loss of consciousness, falling, and violent muscle contractions or convulsions. While frightening to witness, most withdrawal seizures are brief, lasting less than five minutes. This readjustment process triggers withdrawal symptoms that can range from mild discomfort to life-threatening complications.
