Alcohol Cravings - How Long Do They Last?

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Alcohol addiction is a pervasive and complicated issue with global ramifications. In 2017 alone, an estimated 14.5 million American adults aged 12 and older battled an alcohol use disorder. This staggering number represents 5.3% of this age demographic. With such a widespread impact, individuals looking for recovery and alcoholism treatment may ask: how long do alcohol cravings last? The answer is multifaceted. Various factors can influence the duration and intensity of desires, making understanding the intricacies of addiction and recovery essential to navigate this challenging phase effectively, whether they are dealing with severe dependency or are a functioning alcoholic.

What to Expect from Alcohol Withdrawal?

Alcohol withdrawal is the symptom that may develop when someone who has been drinking excessive alcohol regularly stops drinking suddenly. These symptoms can range from mild to severe and include:

  • Anxiety or depression: Many people experience heightened emotions or mood swings.
  • Fatigue: Physical and mental tiredness is common.
  • Irritability: There might be increased sensitivity to external stimuli.
  • Jumpiness or shakiness: Some individuals feel restless or have tremors.
  • Mood swings: Rapid emotional changes can occur.
  • Nightmares: Disturbing dreams might disrupt sleep.
  • Sweating or clammy skin: Body temperature regulation can be affected.

In extreme cases, hallucinations, fever, seizures, and severe confusion can occur. Always seek medical assistance if you or someone you know experiences severe withdrawal symptoms. One of the symptoms of excessive alcohol use can be changes in the appearance of the eyes, often referred to as alcohol eyes. This includes redness, puffiness, and bloodshot eyes, which are clear indicators of alcohol abuse.

How Long is Alcohol Withdrawal?

Understanding the timeline of alcohol withdrawal is crucial for anyone going through it or supporting someone in their recovery journey. The duration of alcohol withdrawal symptoms can vary based on several interconnected factors. These include the amount and frequency of alcohol consumption, the individual's age, overall health status, and any coexisting medical or psychiatric conditions. Let's break down the typical timeline:

6-12 hours after the last drink:

Within this timeframe, the earliest symptoms of withdrawal usually manifest. Mild symptoms might include anxiety, insomnia, nausea, or abdominal pain. Many individuals describe this period as feeling 'unsettled.'

12-24 hours after the last drink:

As the body starts to react more significantly to the absence of alcohol, more severe symptoms can arise. Notably, seizures can occur within this period. Individuals must be in a safe environment and access medical intervention if needed.

48 hours after the last drink:

By this point, the body is in full withdrawal mode. Symptoms usually peak around this time. Individuals might experience increased blood pressure, elevated body temperature, and rapid heartbeat. Delirium tremens, a severe form of withdrawal that includes hallucinations and profound confusion, can start within 48-72 hours. This condition is considered a medical emergency and requires immediate medical attention.

5-7 days after the last drink:

As the week progresses, the body adjusts to the absence of alcohol. Most symptoms tend to decrease in severity. However, some might persist, and individuals could still experience mood disturbances, fatigue, and cravings. It's essential to continue monitoring for any lingering or emerging symptoms.

Understanding this timeline can prepare individuals and their support networks for withdrawal challenges. It also underscores the importance of seeking medical supervision or intervention when necessary.

Alcohol Post-Acute Withdrawal (PAWS)

After the initial withdrawal symptoms, some people might experience prolonged effects, known as Post-Acute Withdrawal Syndrome (PAWS). PAWS can last for weeks or even months after stopping alcohol. Symptoms include:

  • Mood swings: Emotional ups and downs can persist.
  • Anxiety: Lingering feelings of unease or worry are common.
  • Trouble sleeping: Insomnia or interrupted sleep might continue.
  • Reduced energy: Chronic fatigue or lack of motivation can occur.
  • Difficulty with cognitive tasks: Problems with memory, concentration, or decision-making might persist.

How Long Will My Alcohol Cravings Last?

To directly address the question of how long alcohol cravings last, it's essential to understand that desires vary significantly among individuals. Some might experience intense cravings for weeks or months, while others might have sporadic urges that diminish over time.

Factors that influence the duration and intensity of cravings include:

  • Duration of addiction: Those addicted for extended periods may experience prolonged cravings.
  • Personal triggers: Specific situations, people, or emotions might trigger cravings.
  • Mental health: Coexisting mental health disorders can intensify or prolong cravings.
  • Support systems: Strong support systems can help reduce the duration and intensity of cravings.

Options for Treatment & Detox for Alcoholism


Detoxification is the process of safely removing alcohol from the system, often under medical supervision. This is particularly important for those considering quitting alcohol cold turkey, as abrupt cessation can lead to severe withdrawal symptoms like seizures, hallucinations, and delirium tremens. At Pathways Recovery Center, our supervised detox programs provide the medical support needed to ensure a safe and effective detox process.

Behavioral Counseling

Behavioral counseling, including therapies like Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT), is essential for addressing the psychological aspects of addiction. These therapies help individuals identify triggers, develop coping strategies, and change negative thought patterns. This is especially beneficial for those who might be a functioning alcoholic, as they learn to manage their addiction while maintaining their daily responsibilities.


Medication can play a crucial role in recovery by helping to reduce cravings and normalize brain functions. Medications like naltrexone, acamprosate, and disulfiram are often used to support the recovery process. These medications can be particularly effective when combined with behavioral therapies, providing a comprehensive approach to treatment.

Mental Health Services

Addressing coexisting mental health disorders is vital for a successful recovery. Many individuals struggling with alcohol addiction also suffer from conditions like depression and anxiety. At Pathways Recovery Center, we provide integrated treatment for co-occurring disorders, ensuring that both the addiction and any underlying mental health issues are treated simultaneously.

Long-Term Follow-Up

Long-term follow-up and ongoing support are critical components of a successful recovery journey. Continuous care helps prevent relapse and promotes long-term sobriety. Support groups, outpatient programs, and regular therapy sessions provide the ongoing assistance needed to maintain recovery. Understanding how long alcohol cravings last can help individuals prepare for and manage these challenges effectively.

By combining these treatment options, Pathways Recovery Center offers a holistic approach to recovery, addressing all aspects of alcohol addiction. Suppose you or a loved one is struggling with the combination of trazodone and alcohol or any other substance abuse issues. In that case, our comprehensive programs are here to provide the support and guidance needed for a successful recovery journey.

Alcohol Addiction Treatment & Detox - Pathways Recovery Center

At Pathways Recovery Center in Azusa, CA, we understand the challenges of alcohol addiction and the subsequent recovery journey. We offer both detox and residential treatment for individuals grappling with addiction. Our dedicated team of professionals provides comprehensive care tailored to each individual's unique needs. Through medical supervision, therapy, and support, we strive to create a nurturing environment where individuals can embark on their path to recovery.

If you or a loved one is struggling with alcohol addiction, Pathways Recovery Center is here to help. Contact us today to learn more about our programs, including what we treat and how we can support your journey to a brighter, alcohol-free future. Understanding the dynamics of alcohol cravings and how long they last is integral for those on the road to recovery. With the proper support, guidance, and treatment options, individuals can successfully navigate the challenges of withdrawal and cravings, laying the foundation for a healthier, alcohol-free life.

Clinically reviewed by 

Moses Nasser
Dr. Moses Nasser, a double board-certified physician in Family Medicine and Addiction Medicine, with expertise in holistic healing, addiction medicine, and psychiatric care, holds an X-waiver to prescribe buprenorphine and has extensive experience in mindfulness-based customer service and medication-assisted treatment.

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