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Is It Safe to Quit Drinking Cold Turkey?

Quitting alcohol cold turkey can be dangerous, especially for heavy or long-term drinkers. Alcohol withdrawal symptoms range from tremors and nausea to severe complications like seizures and delirium tremens (DTs), which can be life-threatening. Factors such as age, overall health, history of previous withdrawals, and polysubstance use can increase the risks. Because withdrawal experiences vary widely, it’s safest to get evaluated by a medical professional or at a detox facility before stopping. This article explains the dangers of alcohol withdrawal, high-risk symptoms, and why medically supervised detox is often the safest way to quit drinking.

If your drinking has become unmanageable and you want to stop, you might be tempted to quit drinking cold turkey. While ending an unhealthy relationship with alcohol is a great idea, stopping completely and all of a sudden can be risky. This is especially true for chronic heavy drinkers, individuals in poor health, and those with a history of problematic alcohol withdrawal symptoms.

Alcohol withdrawal symptoms can potentially be life-threatening. Of course, everyone’s experience with withdrawal is different — always consult a medical professional.

Alcohol Use Disorder: From Risk to Diagnosis to Recovery | National Institute on Alcohol Abuse and Alcoholism (NIAAA)

Not everyone who stops drinking will experience severe withdrawal symptoms. Those who are lighter drinkers and who have not been drinking for a long time are less likely to develop risky withdrawal symptoms. However, because there is potential for life-threatening alcohol withdrawal symptoms, anyone planning to stop drinking should be evaluated at a detox facility or consult a medical provider. The detox facility or medical provider will assess you to determine whether you require inpatient medically monitored detox.

High Risk Withdrawal Symptoms

There are several types of withdrawal symptoms that can occur when a person stops drinking alcohol, all of which involve potential health risks. Not everyone experiences these symptoms, but heavy long-term drinkers are at greater risk. Those who have experienced these symptoms during previous withdrawal episodes are also at risk of experiencing them again when they stop drinking.

The Most Dangerous Withdrawal Symptom

One of the riskiest withdrawal symptoms is delirium tremens, or “DTs,” which is a life-threatening condition. DTs can decrease blood flow to the brain, cause severe dehydration, and lead to a dangerous increase in blood pressure and heart rate.

A person experiencing DTs may appear disoriented, confused, or agitated, with erratic mood swings and severe sweating. They may hallucinate or lose consciousness. DTs can be fatal.

Other Withdrawal Symptoms

Another risky withdrawal symptom is alcohol withdrawal seizures, which may occur between six and 48 hours after a person stops drinking. In some cases, alcohol withdrawal seizures can be fatal.

Tremors, also called “shakes,” are another common symptom and may be accompanied by increased blood pressure, an elevated pulse rate, nausea, and vomiting. Those experiencing tremors may also have nightmares and difficulty sleeping.

Alcohol withdrawal can also result in hallucinations, which may be quite detailed and vivid.

Alcohol Withdrawal — Harvard Health

Factors Which Increase Risk

As discussed previously, chronic heavy drinkers are at increased risk of severe alcohol withdrawal symptoms. There are also several other factors that increase a person’s risk of potentially dangerous withdrawal.

People over the age of 65 are more likely to experience withdrawal symptoms. Those who are addicted to barbiturates (an older class of drugs used to treat anxiety, seizures, or insomnia) or to benzodiazepines (fast-acting anti-anxiety medications such as Xanax) are also at greater risk.

Individuals with a traumatic brain injury, as well as those with other severe medical conditions, also face an increased risk.

Source: ASAM Clinical Practice Guideline on Alcohol Withdrawal Management

A person who is addicted to more than one substance is also at increased risk of life-threatening withdrawal symptoms. Those with a severe psychiatric diagnosis are also at greater risk.

If you experience a seizure when you stop drinking, you are at very high risk for dangerous withdrawal symptoms. Patients with cardiovascular disorders or impaired liver function will generally require very careful medical oversight during alcohol withdrawal. Pregnant women also require close medical supervision.

Source: ASAM Clinical Practice Guideline on Alcohol Withdrawal Management

You should be commended for your decision to stop drinking. This is an excellent step toward improved health and recovery. However, be sure to do so safely with medical guidance. Contact Believe Detox Center to create a detox plan that meets your needs.

This article is for informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Alcohol Detox FAQ

Debbie Shepard, D. O
About the Author

Debbie Shepard, D. O

Licensed Clinical Social Worker, Addiction and Dual-Diagnosis Specialist Psychotherapist

Debbie Shepard is a licensed clinical social worker (LCSW) and registered dual disorder professional (RDDP) with extensive experience in addiction treatment and mental health services. Holding a Juris Doctor (JD), she has worked in detox and residential treatment programs, helping individuals and families navigate substance use disorders, withdrawal management, and long-term recovery. Her expertise includes evidence-based addiction treatment, patient education, dual diagnosis (co-occurring mental health and substance use disorders), trauma-informed care, and improving access to safe detox and rehabilitation services. She has held roles such as program director for substance abuse treatment at Catholic Charities in Chicago, managed outpatient clinics, and worked in psychiatric hospitals and emergency departments. Currently in private practice in the Greater Chicago Area as a psychotherapist and freelance writer, she also serves as an adjunct instructor and contributes to publications on topics like recovery capital, trauma, and substance use.

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