Alcohol withdrawal can lead to a range of symptoms that vary from mild discomforts to severe, life-threatening conditions. Common side effects of alcohol withdrawal include sweating, anxiety, insomnia, headaches, nausea, vomiting, and tremors. More severe complications can include hallucinations, seizures, and delirium tremens (DTs).
Delirium tremens is among the most severe and potentially deadly consequences of alcohol withdrawal, characterized by rapid heart rate, excessive sweating, confusion, vivid hallucinations, and delusions. Approximately 4-5% of individuals undergoing alcohol withdrawal experience DTs, particularly those who have been heavy drinkers over many years. Even symptoms that might seem less severe, like vomiting and sweating, can lead to dangerous dehydration, potentially resulting in fatal outcomes. Therefore, it is crucial that detoxification from alcohol is always conducted under medical supervision.
What Are Alcohol Shakes?
Alcohol shakes, or tremors, are a common symptom of alcohol withdrawal. These involuntary shaking episodes can occur in specific parts of the body or be more generalized. Alcohol shakes can arise from both the cessation of alcohol intake and from chronic alcohol consumption.
Are Alcohol Shakes Normal?
When a person stops drinking alcohol, even just for a few hours, they may experience trembling known as alcohol shakes, often noticeable in the hands. For those addicted to alcohol, these shakes might seem like a regular part of daily life, mistakenly believed to subside with the next drink. However, alcohol shakes are a serious indicator of underlying health issues and should not be overlooked.
Why Do I Get Shakes After Drinking Alcohol?
Alcohol functions as a depressant, slowing down brain activity and affecting mood-regulating chemicals. Heavy consumption accustoms the brain to a lower level of stimulation. When alcohol begins to leave the system of a heavy drinker, the brain experiences a surge of activity, leading to an overactive nervous system and resulting in tremors or shakes. These can begin as soon as 8 hours after the last drink.
Even if not identified as an alcoholic, misuse of alcohol, even recreationally, can lead to shakes. Binge drinking, or consuming a large amount of alcohol in a single session, can lead to what are sometimes called ‘hangover shakes,’ where you might feel shaking in the hands or throughout the body based on the amount consumed.
If you’re experiencing alcohol shakes along with other withdrawal symptoms, this could indicate a physical dependency on alcohol. Habitual consumption conditions the body to expect alcohol, and reducing intake can commonly trigger withdrawal symptoms like shakes.

How Long Do Alcohol Shakes Last?
The length of time alcohol shakes last can vary significantly from one individual to another, influenced by factors such as the severity of alcohol dependency.
Tremors typically start between 5 to 10 hours after the last drink. This is why individuals who regularly consume large quantities of alcohol often wake up with shakes and may feel the need for a drink to stabilize. Tremors generally peak between 24 to 78 hours after the last drink but can persist for several weeks or even longer.
What is Alcohol Withdrawal?
Alcohol shakes are often one of the initial signs of alcohol withdrawal. Other symptoms that may accompany the shakes include increased blood pressure, sweating, rapid breathing, nausea and vomiting, a fast heartbeat, and irritability.
As withdrawal progresses, other symptoms may manifest:
- Hallucinations: These can start within 12 to 24 hours after your last drink and might continue up to two days. During hallucinations, you might see or feel things that aren’t there, such as moving objects or crawling insects.
- Seizures: Seizures can occur as early as 6 to 48 hours after stopping alcohol, with the possibility of multiple seizures happening over several hours.
- Delirium Tremens (DTs): This severe withdrawal syndrome can begin two to three days after the last alcohol intake, though sometimes symptoms may appear after more than a week. DTs can cause significant changes in breathing, circulation, and body temperature regulation.
Alcohol Shakes vs. Delirium Tremens
Alcohol withdrawal symptoms range in severity, with delirium tremens representing an extreme form that can lead to seizures and can be fatal. This condition typically begins with symptoms like insomnia and tremors and can rapidly progress to confusion, disorientation, vivid hallucinations, and severe tremors. Delirium tremens requires immediate medical attention due to its rapid onset and severity.
Additionally, some individuals undergoing alcohol withdrawal might develop psychosis, experiencing symptoms such as paranoia, extreme jealousy, or chronic auditory hallucinations, all of which require medical treatment. Chronic alcohol use can also lead to significant memory issues.
Alcohol shakes might indicate the potential onset of delirium tremens, underscoring the importance of medically supervised detoxification to ensure safety and appropriate care during withdrawal.
Managing Alcohol Shakes By Yourself
If you’re experiencing alcohol shakes, it’s critical not to attempt to manage them on your own due to the potential escalation to more severe withdrawal symptoms. While some advice may suggest hydration, vitamins, or a balanced diet as remedies, these measures are insufficient for safely managing withdrawal symptoms, which can be life-threatening.
Professional supervision is essential to navigate alcohol withdrawal safely. Medical professionals can provide the necessary support and treatments to manage symptoms effectively and reduce the risk of severe complications.
Treatment for Alcohol Shakes
Alcohol withdrawal, ranging from uncomfortable to potentially fatal, necessitates detoxification under medical supervision as the safest approach. Healthcare and addiction treatment professionals are best equipped to determine the right detox strategy and subsequent treatment plans.
Alcohol Detox involves eliminating alcohol from the body and managing associated withdrawal symptoms. While alcohol itself may leave the body within a few days, symptoms such as cravings, shakes, and other withdrawal effects may persist for a longer period. Once the body is cleared of alcohol, the individual is prepared to start the addiction treatment process.
Treatment options include both inpatient and outpatient programs, which often feature individual and group therapy, family counseling, education about alcohol dependency, support from 12-step programs, and comprehensive care for any physical or psychological issues. Any co-occurring disorders are also addressed concurrently with alcohol recovery treatment.
Securing a successful, long-term recovery from alcohol dependency involves committing to an effective treatment program and making lifestyle changes that promote physical and mental health, maintaining sobriety. There are numerous strategies to take control of your sobriety and improve your quality of life, paving the way for a healthier, alcohol-free future.
Alcohol Shakes Treatment at Hope Harbor Wellness
Located in the serene suburbs of Atlanta, Hope Harbor Wellness is your ally in the fight against alcohol addiction in Atlanta. Our alcohol drug rehab centers, dedicated to holistic recovery, are ideally situated to offer you the support you need.
Our compassionate alcohol outpatient program collaborates with top-tier medical alcohol detox facilities, ensuring a safe and effective detox process. Once free from addictive substances, you can seamlessly transition into one of our specialized outpatient treatment programs at Hope Harbor Wellness, designed to address substance use disorders:
- Outpatient Rehab: A flexible program tailored to fit into your daily life.
- PHP (Partial Hospitalization Program): Offers a structured yet non-residential approach to treatment.
- IOP (Intensive Outpatient Program): Provides more intensive care while allowing you to maintain daily responsibilities.
- Dual Diagnosis Treatment Program: Caters to those with co-occurring mental health disorders.
Our alcohol treatment programs incorporate a variety of interventions:
- MAT (Medication-Assisted Treatment): Utilizes medications to ease withdrawal symptoms and cravings.
- Psychotherapy (CBT and DBT): Addresses underlying psychological aspects of addiction.
- Group Therapy: Offers peer support and shared learning experiences.
- Individual Therapy: Provides personalized guidance and support.
- Family Therapy: Helps heal and strengthen family relationships.
- Holistic Therapies: Focuses on overall well-being, including physical, emotional, and spiritual health.
- Aftercare: Ensures ongoing support post-treatment.
Embark on your journey from addiction to recovery with Hope Harbor Wellness. Trust in our dedicated team to guide you every step of the way. For more information about our alcohol shakes treatment in Atlanta or to start your journey, call our admissions team at 770-573-9546 or fill out our online contact form.