People with moderate-to-severe symptoms of alcohol withdrawal may need inpatient treatment at a hospital or other facility that treats alcohol withdrawal. You will be watched closely for hallucinations and other signs of delirium tremens.
Treatment may include:
Monitoring of blood pressure, body temperature, heart rate, and blood levels of different chemicals in the body
Fluids or medications given through a vein (by IV)
Sedation using medicines until withdrawal is complete
If you have mild-to-moderate alcohol withdrawal symptoms, you can often be treated in an outpatient setting. You will need someone to stay with you during this process who can keep an eye on you. You will likely need to make daily visits to your provider until you are stable.
Treatment usually includes:
Sedative drugs to help ease withdrawal symptoms
Patient and family counseling to discuss the long-term issue of alcoholism
Testing and treatment for other medical problems linked to alcohol use
It is important to go to a living situation that helps support you in staying sober. Some areas have housing options that provide a supportive environment for those trying to stay sober.
Permanent and life-long abstinence from alcohol is the best treatment for those who have gone through withdrawal.
The following organizations are good resources for information on alcoholism:
How well a person does depends on the amount of organ damage and whether the person can stop drinking completely. Alcohol withdrawal may range from a mild and uncomfortable disorder to a serious, life-threatening condition.
Symptoms such as sleep changes, rapid changes in mood, and fatigue may last for months. People who continue to drink a lot may develop health problems such as liver, heart, and nervous system disease.
Most people who go through alcohol withdrawal make a full recovery. But, death is possible, especially if delirium tremens occurs.
When to Contact a Medical Professional
Alcohol withdrawal is a serious condition that may rapidly become life-threatening.
Call your health care provider or go the emergency room if you think you might be in alcohol withdrawal, especially if you were using alcohol often and recently stopped. Call for an appointment with your provider if symptoms persist after treatment.
Go to the emergency room or call the local emergency number (such as 911) if seizures, fever, severe confusion, hallucinations, or irregular heartbeats occur.
Reduce or avoid alcohol. If you have alcoholism, you should stop drinking completely.
Finnell JT. Alcohol-related disease. In: Marx JA, Hockberger RS, Walls RM, et al., eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 8th ed. Philadelphia, PA: Elsevier Mosby; 2014:chap 185.
Laura J. Martin, MD, MPH, ABIM Board Certified in Internal Medicine and Hospice and Palliative Medicine, Atlanta, GA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.