Alcohol Withdrawal Seizures: Symptoms, Causes, Treatment, and More

seizure from alcohol withdrawal

Chronic depressant use and withdrawal can cause hypersensitivity in your nervous system. It’s worth noting that opioids share many similarities with depressants, but they don’t work with GABA in the brain as alcohol does. If you’ve gone through opioid withdrawal before, you may need to experience the kindling effects. However, alcohol withdrawal can still be dangerous, even without kindling. While other types of alcohol are poisonous to humans, it’s thought that we developed the ability to drink ethanol because it’s naturally produced in fallen fruit.

Behavioral Treatment

seizure from alcohol withdrawal

Alcohol works as a depressant on the central nervous system and alters the function of gamma-aminobutyric acid (GABA) receptors. Inhibitory neurotransmitters prevent certain chemical messages from passing on. If you think someone is experiencing an alcohol overdose, call 911 immediately. It’s important to be honest about your alcohol use — and any other substance use — so your provider can give you the best care. Addiction can make it even harder to stop using alcohol, and it often involves or leads to chemical dependence.

seizure from alcohol withdrawal

Can alcohol trigger seizures in epilepsy?

  • These medications are proven to treat and prevent alcohol withdrawal symptoms, including lowering the risk of seizures and delirium.
  • Generalized seizures also occur in rodent models of alcohol withdrawal.
  • The aura stage can involve the early stages of a seizure or another warning sign that a seizure is coming.
  • According to the Epilepsy Foundation, some studies have linked chronic alcohol misuse to the development of epilepsy.
  • Alcohol acts by stimulating receptors in your brain that cause brain activity to be suppressed.
  • Ativan is one of the most commonly prescribed benzodiazepines for alcohol withdrawal.

Alcohol withdrawal begins within approximately 8 hours of abstinence and peaks in intensity on the second or third day; symptoms usually diminish by the fourth or fifth day. All heavy drinkers admitted to hospital should be monitored for the emergence of symptoms and signs indicating withdrawal, many hospitals using a structured withdrawal scale to monitor newly admitted patients. What causes alcohol withdrawal seizures, are there any warning signs, and how can alcohol dependence be treated safely. Learn more about alcohol withdrawal seizures and how they can be treated. Alcohol is one of the most common recreational substances in the world.

Before taking Ativan

As with BZDs, CNS respiratory center depression may emerge, especially in combination with BZDs, whose daily doses should be reduced to 15–20%. Accordingly, the combinatory intake of clomethiazole are alcohol withdrawal seizures dangerous and ethanol should be avoided due to its possible life‐threatening effects. In several studies, possible predictors for the development of a severe AWS have been investigated.

Can alcohol trigger seizures?

Other assessment tools such as the Richmond Agitation-Sedation Scale (RASS) can be used to manage withdrawal in patients who are intubated or in the intensive care setting. A recently published study also shows that a significant proportion of patients are inappropriately treated with symptom-triggered therapy for alcohol withdrawal in hospitalized patients. The authors conclude that more stringent evaluation for this treatment modality is needed [49]. The main ways to prevent alcohol withdrawal are to avoid alcohol altogether or to get professional help as soon as possible if you think you’re developing alcohol use disorder.

seizure from alcohol withdrawal

  • Some evidence suggests that the IC plays a role in alcohol withdrawal seizures in humans, as it does in rodents.
  • Heavy alcohol consumption is a common trigger for seizures in those who already have epilepsy.
  • Behavioral treatment programs are helpful for people who want to quit drinking.

Someone with epilepsy should not drink alcohol without first discussing the potential risks with a doctor who is familiar with their specific condition. Those with severe or complicated symptoms should be referred to the nearest emergency department for inpatient hospitalization. Status epilepticus is a life threatening condition in which a person has a seizure lasting longer than 5 minutes without regaining normal consciousness or has more than one seizure within 5 minutes. A person with epilepsy should speak with their doctor to determine how much alcohol, if any, is safe to consume with their condition. Barbiturates such as phenobarbital can be used to treat alcohol withdrawal but are far less commonly employed than benzodiazepines because of their narrow therapeutic index.

Despite its legal status and cultural acceptance, it is a serious psychoactive substance that can profoundly affect your health. Alcohol can be dangerous to abuse, but it can also be dangerous to quit too quickly. If you’ve been drinking heavily for a time and then quit cold turkey, you may experience some of the most dangerous withdrawal symptoms of any substance. Alcohol withdrawal can include dangerous symptoms like seizures, which can come on suddenly and lead to serious consequences. Withdrawal occurs when a person drinks large quantities of alcohol for a period of time and then suddenly stops or reduces their intake. A rare but very serious syndrome called delirium tremens can occur during alcohol withdrawal.

Drink in Moderation and Avoid Binge Drinking

However, alcohol, along with other depressants, is among the most dangerous substances during the withdrawal phase, especially if you quit cold turkey. The overstimulating effects of alcohol withdrawal can lead to increased blood pressure, heart palpitations, sleeplessness, fever, hallucinations, panic, and seizures. Alcohol withdrawal (also called alcohol withdrawal syndrome, or AWS) happens when a person suddenly stops or significantly reduces drinking after long-term heavy alcohol use. They can also help you manage any symptoms of alcohol withdrawal you experience when you stop drinking. I thank Prosper N’Gouemo for insights into the physiology of alcohol withdrawal seizures.

Why it Is Important to go to Medical Detox for Alcohol Withdrawal?

After that, many of alcohol’s effects will have faded or will begin to fade. It won’t be long after alcohol reaches its half-life that you start to experience withdrawal symptoms. The length of time you were drinking heavily, the amount you would drink regularly, and the amount you drank last. Alcohol withdrawal seizures typically aren’t deadly on their own, but they can lead to dangerous complications.

Support Groups

Alcohol withdrawal is a potentially serious complication of alcohol use disorder. It’s important to get medical help even if you have mild symptoms of withdrawal, as it’s difficult to predict in the beginning how much worse the symptoms could get. If you’ve developed alcohol use disorder in addition to alcohol dependence, detox may not be enough to address your alcohol problem. Detox alone may help you achieve sobriety, but that sobriety may be short-lived. Alcohol withdrawal can last for five to 10 days, but alcohol cravings and compulsions to use may continue for a long time.

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