Alcoholic Shaking: Causes, Symptoms, and Effective Treatments
- Andrew Collett
- Aug 23, 2025
- 9 min read
Alcoholic shaking, often referred to as alcohol tremors, usually occurs due to alcohol withdrawal. When someone who regularly consumes alcohol stops or reduces their intake, their body reacts with involuntary shaking. This article will explore the causes of alcoholic shaking, its symptoms, how long it lasts, and effective treatments for managing this condition.
Key Takeaways
Alcoholic shaking, a result of withdrawal symptoms, occurs due to an imbalance of neurotransmitters when alcohol consumption is reduced or stopped.
Managing alcoholic shaking requires medical supervision and may involve medications, nutritional support, and professional care to ensure safety and effective recovery.
Self-care strategies such as hydration and relaxation techniques can help mitigate mild symptoms, but severe cases necessitate professional intervention.
What Causes Alcoholic Shaking?

Alcoholic shaking primarily results from alcohol withdrawal symptoms that occur when alcohol consumption is reduced or stopped. This involuntary shaking, often referred to as alcohol shakes or alcohol tremors, is the body’s reaction to the sudden absence of alcohol, to which it has become accustomed. The nervous system, which has adapted to the presence of alcohol, becomes overactive when alcohol intake is abruptly stopped, leading to tremors and other withdrawal symptoms. To effectively stop alcohol shakes, it is essential to manage alcohol withdrawal properly.
The underlying mechanism involves an imbalance of neurotransmitters such as GABA (gamma-aminobutyric acid) and glutamate. During chronic alcohol consumption, GABA, an inhibitory neurotransmitter, is enhanced, while glutamate, an excitatory neurotransmitter, is suppressed. When alcohol is removed, the suppressed glutamate rebounds, causing overactivity in the central nervous system, which manifests as shaking. This overactivity is the body’s reaction to adjusting to the absence of alcohol, reflecting a physical dependence that has developed over time. Alcohol acts as a central nervous system depressant.
Several factors can influence the severity and onset of alcoholic shaking. These include:
The individual’s drinking history
Overall health
Genetic predisposition
The presence of other medical conditions
Chronic alcohol exposure can lead to more severe shaking symptoms, and poor nutritional habits and lack of support can exacerbate the condition.
Understanding these factors is crucial in managing and mitigating the effects of alcohol withdrawal.
Symptoms of Alcoholic Shaking

Tremors are a common symptom experienced during alcohol withdrawal, and they can vary in intensity and location:
Intensity ranges from fine to coarse.
They often affect different parts of the body, most noticeably the hands.
Other affected areas can include the arms, legs, and even the head.
Severity ranges from mild, barely noticeable tremors to severe tremors that can significantly impact daily activities.
In addition to shaking, individuals experiencing acute alcohol withdrawal may face a host of other symptoms, including alcohol withdrawal syndrome:
Anxiety, which is often heightened during these episodes
Sweating
Insomnia
Elevated heart rate
These symptoms can contribute to a general sense of discomfort and unease, making the process of experiencing withdrawal symptoms and withdrawal syndrome even more challenging.
The intensity and range of these symptoms can vary greatly among individuals. Factors such as the duration and amount of alcohol consumption, the presence of co-occurring mental health conditions, and overall physical health can all influence the severity of the withdrawal symptoms. Recognizing these symptoms early and understanding their potential variability is essential for effective management and treatment.
Duration of Alcoholic Shakes
Alcoholic shakes can begin within hours after the last drink, with their intensity typically peaking between 24 to 48 hours later. This initial period can be particularly distressing as the body reacts to the sudden absence of alcohol. In rare instances, shakes may manifest seven to ten days after the cessation of alcohol consumption, though this is less common.
Generally, tremors start to subside around five to seven days post last drink, but the duration can vary significantly depending on individual factors. In most cases, alcoholic shakes last from a few hours to several days, though severe cases can last a week or more. In some instances, the shakes can persist for weeks or even months, especially in individuals with severe alcohol dependence or chronic alcoholism.
Factors influencing the duration of alcoholic shakes include the severity of the individual’s alcohol dependence, the amount of alcohol consumed, and overall health. Those with a longer history of heavy drinking or chronic alcohol use may experience more prolonged and intense tremors. Understanding these factors can help in anticipating the course of withdrawal and planning appropriate treatment and support strategies.
Can Drinking More Alcohol Stop the Shakes?

Yes, consuming alcohol can provide temporary relief from shaking. This occurs because alcohol suppresses overactivity in the nervous system, which can calm tremors. When the body receives alcohol, the suppressed excitatory neurotransmitters like glutamate are once again balanced, providing a temporary sense of relief from the symptoms of withdrawal.
However, using alcohol to manage withdrawal symptoms is a short-term and risky solution. While it may provide immediate relief, it perpetuates the cycle of dependence and can lead to further complications. Continuously using alcohol to alleviate withdrawal symptoms can worsen long-term dependence, making it even more challenging to quit in the future. This approach also increases the risk of severe health issues associated with chronic alcoholism and excessive alcohol consumption.
It is crucial to seek long-term solutions rather than relying on temporary fixes. Effective treatment for alcohol withdrawal involves medical supervision and support, which can help manage symptoms safely and reduce the risk of complications. Addressing the root cause of the shaking and providing comprehensive care allows individuals to achieve lasting recovery and improve overall health.
Recognizing Alcohol Use Disorder (AUD)

Alcohol Use Disorder (AUD) is characterized by an inability to control or stop drinking despite negative consequences. Shaking or tremors can be a clear indicator of alcohol addiction and are a recognized sign of withdrawal symptoms. These withdrawal tremors serve as a strong signal that the body has developed a physical dependence on alcohol, necessitating intervention and treatment.
Several risk factors contribute to the development of AUD:
A family history of alcoholism significantly elevates an individual’s risk.
Mental health issues such as anxiety or depression frequently accompany AUD, complicating the condition and making it harder to manage.
Early onset of alcohol use is another significant risk factor, as individuals who start drinking at a young age are more likely to develop AUD later in life.
Recognizing the signs of alcohol addiction is crucial for seeking appropriate treatment and managing symptoms. Drinking behaviors to avoid withdrawal symptoms, such as shaking, is a common behavior among individuals with AUD when a person drinks. Understanding these signs and behaviors can help individuals and their loved ones identify the need for professional help and take the necessary steps towards recovery.
Severe Withdrawal Symptoms
Delirium tremens (DTs) is a life-threatening stage of alcohol withdrawal characterized by severe symptoms. The symptoms include:
Severe shaking
Hallucinations Additional signs are:
Agitation
High blood pressure
Fever
Seizures DTs occur in the most severe cases of alcohol withdrawal and require immediate medical attention to mitigate risks and complications.
In severe withdrawal cases, individuals may experience confusion and disorientation, alongside other symptoms such as tremors and agitation. A history of a similar event is the most robust predictor for an incident occurrence of delirium tremens or seizures. These severe symptoms highlight the critical need for medical supervision during withdrawal to ensure safety and effective management of the condition.
Attempting detoxification on your own can lead to severe complications and worsening withdrawal symptoms. Medical intervention and support are often required for severe cases of alcoholic shaking. Ensuring that individuals receive appropriate care during this critical period can prevent life-threatening complications and support their journey towards recovery.
Medical Treatments for Alcoholic Shaking
Medical treatments play a crucial role in managing alcoholic shaking and withdrawal symptoms. The effectiveness of medical treatment can significantly reduce the intensity and duration of withdrawal symptoms, including shakes.
Decades of research delivering effective treatment demonstrate the goal of recovery programs in supporting individuals during withdrawal.
Medications
Medications are a cornerstone of medical treatment for alcohol withdrawal. Commonly used medications include:
Benzodiazepines (such as diazepam, lorazepam, and chlordiazepoxide), which are particularly effective in reducing the risk of seizures and managing withdrawal symptoms.
Carbamazepine
Valproate
Gabapentin
Levetiracetam
In severe cases, phenobarbital, a barbiturate, may be used to control symptoms.
Carbamazepine has also been shown to reduce withdrawal symptoms, although its impact on preventing seizures or delirium tremens is uncertain. During symptom-triggered therapy, assessments should be repeated every hour, and then every 4-8 hours once the patient is stable. The recommended ceiling dose of diazepam for alcohol withdrawal is 60 mg.
These medications help manage the body’s reaction to the absence of alcohol by controlling excitatory neurotransmitters and prevent seizures. Medical supervision is essential to ensure the appropriate use of these medications and to monitor the patient’s progress throughout the withdrawal process.
Nutritional Support
Nutritional support is a vital component of managing alcohol withdrawal. Key elements include:
Intravenous fluids to restore electrolyte balance and prevent dehydration.
Nutritional supplements to provide essential nutrients.
Early thiamine supplementation to improve recovery outcomes.
Addressing nutritional deficiencies in vitamins and minerals caused by alcohol use, particularly magnesium and potassium, which are critical for health.
Hydration is crucial during alcohol withdrawal to prevent dehydration and support overall recovery. Providing the body with essential nutrients helps mitigate the effects of alcohol-related brain damage and supports the nervous system’s function. Nutritional support, combined with medical treatment, can significantly enhance the recovery process and improve the individual’s overall health.
Professional Care
Professional care is essential during alcohol withdrawal for safety and effective treatment. Medical professionals provide treatment plans and monitor the progress of individuals undergoing withdrawal. Emotional support and counseling can be highly beneficial during this process, helping individuals cope with the psychological aspects of withdrawal.
A quiet and comfortable environment can help reduce anxiety during alcohol withdrawal. Providing a supportive setting can aid in managing symptoms and promoting a sense of calm.
To manage and mitigate withdrawal symptoms, seek medical professional assistance is essential. Professional care ensures that individuals receive the comprehensive support they need to navigate the challenges of withdrawal and achieve lasting recovery through mental health services administration.
Self-Care Strategies to Manage Shaking
Managing shaking during alcohol withdrawal can include effective self-care strategies such as:
Hydration
Rest
Relaxation techniques
Deep breathing
Managing stress
Combining these self-care strategies with medical treatment and support can enhance recovery from withdrawal symptoms.
If self-care strategies are not effective, it is essential to seek professional help for comprehensive treatment. While self-care can provide relief for mild symptoms, severe tremors and other withdrawal symptoms may require medical intervention. Ensuring a balanced approach that includes both self-care and professional support can significantly improve outcomes during the withdrawal process.
Getting Help for Alcohol Dependence

Support is available for those struggling with alcohol addiction. It is crucial to understand that using alcohol to alleviate withdrawal symptoms can worsen long-term dependence and complicate the recovery process. Recognizing the need for professional help is the first step towards effective treatment and sustainable recovery.
Individuals struggling with alcohol addiction should seek professional help to manage withdrawal symptoms and address the underlying causes of their dependence. Treatment options include:
Medical supervision
Counseling
Support groups All of these can provide the necessary tools and support for overcoming addiction. Engaging with mental health services and an addiction specialist can significantly improve the chances of achieving lasting recovery.
Encouraging loved ones to seek help and providing a supportive environment can make a substantial difference in their recovery journey. Understanding the complexities of alcohol dependence and the available treatment options empowers individuals to take control of their health and work towards a brighter future free from the constraints of addiction.
Summary
In summary, alcoholic shaking is a significant symptom of alcohol withdrawal that indicates the body’s physical dependence on alcohol. Understanding the causes, symptoms, and duration of these shakes is crucial for effective management and recovery. While temporary relief from shaking can be achieved by consuming alcohol, this approach is risky and perpetuates the cycle of dependence.
Medical treatments, including medications and nutritional support, play a vital role in managing withdrawal symptoms and ensuring safety during the detoxification process. Professional care and emotional support are essential for comprehensive treatment, providing individuals with the tools and guidance needed to navigate the challenges of withdrawal.
Emphasizing self-care strategies and encouraging individuals to seek professional help are critical components of the recovery process. By addressing both the physical and psychological aspects of alcohol dependence, individuals can achieve lasting recovery and improve their overall well-being. Let this guide serve as a beacon of hope and a roadmap to a healthier, more stable future.
Frequently Asked Questions
What causes alcoholic shaking?
Alcoholic shaking is primarily caused by withdrawal symptoms due to decreased alcohol consumption, as the nervous system reacts to the absence of alcohol, resulting in tremors.
How long do alcoholic shakes last?
Alcoholic shakes typically peak in intensity between 24 to 48 hours after the last drink and usually subside within five to seven days, though they can persist for weeks or even months in some cases.
Can drinking more alcohol stop the shakes?
Consuming more alcohol may temporarily alleviate shaking by soothing the nervous system; however, this approach poses significant risks, potentially leading to increased dependence in the long run.
What are the severe withdrawal symptoms?
Severe withdrawal symptoms can manifest as delirium tremens, marked by severe shaking, hallucinations, agitation, high blood pressure, fever, and seizures. It is crucial to seek medical supervision during this process.
What treatments are available for alcoholic shaking?
Medical treatments for alcoholic shaking include benzodiazepines, nutritional support, and professional care, while self-care strategies such as hydration and relaxation techniques can aid in managing mild symptoms. Consider seeking medical advice for the best treatment options.



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