Alcohol shakes, also known as alcohol tremors or withdrawal tremors, are involuntary shaking movements that occur when someone who has been drinking heavily either reduces their alcohol intake or stops drinking altogether. These tremors are most noticeable in the hands but can also affect other parts of the body, including the arms, legs, and head.
The condition is often a symptom of alcohol withdrawal and typically begins within 6 to 12 hours after the last drink. While mild shaking may subside on its own, severe cases can indicate more serious withdrawal complications and require medical attention.
At North Star Treatment, we help individuals safely manage alcohol withdrawal symptoms and provide the support needed for lasting recovery. Understanding alcohol shakes is an important step in recognizing when it’s time to seek help.
What Causes Alcohol Shakes?
Alcohol is a depressant that affects the central nervous system. Over time, the brain adapts to the constant presence of alcohol by changing how it functions. It slows down production of certain neurotransmitters and increases others to balance the sedative effects of alcohol.
When alcohol is suddenly removed from the system, this balance is disrupted, and the brain enters a hyperactive state. This surge in activity leads to a range of withdrawal symptoms—including anxiety, restlessness, increased heart rate, and tremors.
Tremors occur because the nervous system is essentially in overdrive. The calming effect of alcohol is gone, but the brain hasn’t adjusted yet, leading to excessive nerve signaling and muscle contractions that result in shaking.
Additional contributing factors include:
- Heavy or prolonged alcohol use: The more consistently someone drinks, the more likely they are to experience withdrawal symptoms.
- Abruptly stopping drinking: Rapid cessation of alcohol after long-term use often results in more intense symptoms.
- Nutritional deficiencies: Chronic alcohol use depletes vitamins like B1 (thiamine), which support nervous system health.
- Dehydration: Alcohol is a diuretic, and lack of proper hydration can worsen withdrawal symptoms.
- Underlying health conditions: Mental health issues, liver disease, and other medical conditions can increase risk and severity.
When Do Alcohol Shakes Start and How Long Do They Last?
Alcohol shakes typically begin within 6 to 12 hours after the last drink. This is usually the first sign of withdrawal. They may start as subtle tremors and become more pronounced if not treated or if withdrawal progresses.
For most people, alcohol shakes peak within the first 24 to 48 hours. During this window, other withdrawal symptoms may also emerge, such as sweating, nausea, irritability, and insomnia. In mild cases, the tremors may begin to subside after a few days, especially with proper care.
However, in more severe cases—or for individuals with a long history of alcohol use—shakes can last for a week or more. Persistent tremors beyond the typical timeline could indicate damage to the nervous system or an underlying neurological condition.
Repeated episodes of withdrawal (known as kindling) can also worsen symptoms over time. Each withdrawal experience becomes more intense, increasing the risk of complications such as seizures or delirium tremens (DTs).
Are Alcohol Shakes Dangerous?
While mild alcohol shakes may not seem dangerous on their own, they are often a warning sign of a deeper issue—physical dependence on alcohol. Left untreated, this dependence can spiral into more serious medical emergencies.
One of the most dangerous outcomes of alcohol withdrawal is delirium tremens, a severe and potentially fatal condition that includes intense confusion, hallucinations, high blood pressure, fever, and seizures. DTs typically develop 48 to 72 hours after the last drink and require immediate medical attention.
Other complications that can arise from alcohol withdrawal include:
- Seizures: Often occurring within the first 24 hours of withdrawal.
- Cardiac issues: Elevated heart rate and blood pressure increase risk of heart-related complications.
- Respiratory distress: In some cases, breathing can become shallow or erratic.
- Injuries from falls: Tremors and loss of balance may result in accidents.
Even if shakes seem mild at first, they are a clear signal that the body is struggling to function without alcohol. That’s why supervised detox is strongly recommended for anyone experiencing withdrawal symptoms.
How to Treat Alcohol Shakes
The safest and most effective way to treat alcohol shakes is through a medically supervised detox program. At North Star Treatment, we provide 24/7 care during detox to ensure that withdrawal is managed safely and comfortably.
Treatment during detox may include:
- IV fluids and electrolytes: To rehydrate and restore essential minerals.
- Medications: Such as benzodiazepines to calm the nervous system and reduce tremors.
- Nutritional support: Including vitamin supplements, particularly thiamine and folate, to replenish nutrients lost during alcohol use.
- Sleep support: Medications or techniques to help the brain reset through rest.
In our residential setting, clients are also monitored for changes in symptoms. If a client begins to show signs of severe withdrawal, our clinical team can intervene immediately.
Beyond the physical aspects, emotional support during detox is just as important. Feelings of anxiety, depression, or fear are common during withdrawal. Our compassionate staff is trained to provide comfort, encouragement, and therapeutic interventions when needed.
Long-Term Solutions: Treating the Root Cause
Treating alcohol shakes is only the beginning. Long-term recovery involves addressing the psychological and emotional reasons behind alcohol use. After detox, North Star Treatment offers individualized residential care designed to help clients understand their addiction and build a healthier future.
Our treatment programs include:
- Individual therapy: Exploring the underlying causes of substance use, such as trauma, grief, or stress.
- Group therapy: Building peer support and practicing communication in a safe environment.
- Dual diagnosis treatment: For those with co-occurring mental health disorders like anxiety, depression, or PTSD.
- Life skills training: Helping clients reintegrate into daily life with tools for sobriety.
- Holistic therapies: Including yoga, mindfulness, and nutritional counseling to promote overall wellness.
By the time a person completes treatment, they are equipped not only to live without alcohol but to thrive in recovery.
Why Professional Detox Matters
Attempting to detox at home can be risky. Without medical supervision, people often underestimate the severity of their symptoms—or overestimate their ability to handle them. In some cases, withdrawal can escalate rapidly and lead to life-threatening complications.
Professional detox offers:
- Medical oversight: Immediate response to emerging complications.
- Symptom relief: Proper use of medications to ease discomfort.
- Structure and support: A safe environment away from triggers and temptations.
- Foundation for recovery: A seamless transition into therapy and continued care.
At North Star Treatment, we believe in treating each person with dignity, respect, and individualized care. We’re not just managing symptoms—we’re helping people rebuild their lives.
Start Healing at North Star Treatment
If you or someone you love is experiencing alcohol shakes, it may be time to consider professional help. Alcohol tremors are more than just a side effect—they’re a sign that the body is no longer functioning properly without alcohol.
At North Star Treatment in San Juan Capistrano, CA, we offer a comprehensive detox and recovery program tailored to your unique needs. From medical stabilization to emotional support and long-term planning, our team is here to walk alongside you every step of the way.
Our program is built on compassion, expertise, and a deep understanding of addiction. Whether you’re facing alcohol shakes for the first time or have been struggling with alcohol for years, there is hope—and healing is possible.
Contact us today to learn more about our detox and residential treatment programs. Take the first step toward a healthier, more stable future.
Frequently Asked Questions
What do alcohol shakes feel like?
Alcohol shakes typically feel like rhythmic, involuntary tremors in the hands, though they can also affect the arms, legs, or even the head.
Are alcohol shakes a sign of addiction?
Yes, alcohol shakes are a common withdrawal symptom and usually indicate physical dependence on alcohol.
Can alcohol shakes go away on their own?
Mild tremors may subside within a few days, but ongoing or severe shakes should be evaluated by a medical professional.
Is it safe to detox from alcohol at home?
Detoxing at home can be dangerous, especially if you’ve been drinking heavily. Medical supervision is recommended to prevent complications.
How is alcohol withdrawal treated?
Withdrawal is treated with hydration, medications, nutritional support, and medical monitoring. Inpatient detox provides the safest environment for recovery.
