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Substance-using Women and Drug-exposed Infants: 
Module Two - Other Drugs
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Signs and Symptoms of Drug Withdrawal

cyan_bul.gif (1138 bytes) ALCOHOL
Early symptoms of alcohol withdrawal generally appear 6 to 48 hours after drinking has stopped but can occur up to 10 days after the last drink. Withdrawal symptoms may include:
• Restlessness
• Tachycardia
• Irritability
• Hypertension
• Anorexia
• Insomnia
• Nausea
• Nightmares
• Vomiting
• Impaired concentration
• Sweating
• Impaired memory
• Tremors
• Elevated vital signs
More severe symptoms of alcohol withdrawal may include
• Increased tremulousness
• Increased agitation
• Increased sweating
• Delirium (with confusion, disorientation,
   impaired memory and judgment)
• Hallucinations (auditory, visual, or tactile)
• Delusions (usually paranoid)
• Grand mal seizures
Note: Withdrawal symptoms do not necessarily progress from mild to severe. In some individuals, a grand mal seizure may be the first sign of withdrawal. Seizures usually occur 12 to 24 hours after cessation or reduction of drinking. One-third of all patients who have seizures develop delirium tremens.

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Page last updated May 05, 2001