Tonic-clonic movements occurring from 2-48 hours after the last drink. This may progress to delirium tremens (DT).
Visual, tactile, or auditory hallucinations from 12-48 hours after the last drink. Vital signs remain normal.
An alcohol withdrawal syndrome with hallucinations, altered mental status, and seizures accompanied by vital sign abnormalities (tachycardia, hypertension, fever). Vital sign abnormalities may be the first clue to diagnosis. DT may lead to death.
48 hours after the last drink, though may be longer
Benzodiazepines for suppression of withdrawal symptoms
Vitamins (particularly thiamine) to treat underlying vitamin deficiencies seen in long-term alcoholism Antihypertensives to suppress underlying hypertension that can be made worse by the physiologic withdrawal process
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This guide Don't Panic has tips and additional information on what you should do when you are experiencing an anxiety or panic attack. With so much going on in the world today with taking care of your family, working full time, dealing with office politics and other things, you could experience a serious meltdown. All of these things could at one point cause you to stress out and snap.