Quit drinking, skip a pain pill, or run out of Adderall, and your body won’t react the same way. Alcohol may bring on shaky hands and night sweats; opioids can trigger bone-deep aches; benzodiazepines risk seizures; stimulants leave you exhausted and sad.
Each substance tweaks different brain chemicals, so each has its own withdrawal “fingerprint” and its dangers if you try to tough it out alone.
That’s why San Diego Detox combines 24/7 medical detox, on-site psychiatry, and holistic comforts on one secure campus. Whether you’re facing alcohol jitters or opioid chills, the team tailors medications, nutrition, and therapy to match the substance and the person, turning a frightening process into the first step toward feeling human again.
Alcohol Withdrawal Symptoms
Timeline. Trouble can start as soon as six hours after the last drink with tremors, anxiety, and a racing heart. Symptoms often peak around 24–48 hours, and in some people, they escalate by day three into delirium tremens (DT), a medical emergency marked by confusion, hallucinations, or seizures. Untreated, DT carries a mortality rate as high as 35 percent, but prompt medical care can drive that risk close to zero.
Common signs. Early clues include sweating, nausea, shaky hands, headache, and sleep disruption. As withdrawal deepens, blood pressure spikes, fever, and severe agitation can appear. Seizures often strike without warning in the first two days, making home detox risky.
Risk factors. Daily heavy drinking, past withdrawal seizures, liver disease, or older age raise the odds of severe symptoms. Mixing alcohol with benzodiazepines or sleep medications complicates the picture further.
Why medical oversight matters. At San Diego Detox, nurses monitor vital signs around the clock and administer symptom-triggered benzodiazepine protocols, along with IV fluids and vitamins that protect the brain. If hallucinations start, antipsychotic rescue meds and a quiet private suite keep you safe while the storm passes.
With medical guidance, most clients transition to residential care within three to five days, already sleeping better and thinking more clearly, proof that supervised detox saves lives and jump-starts recovery.
How San Diego Detox Manages Alcohol Withdrawal
At San Diego Detox, registered nurses track vitals around the clock and follow a symptom-triggered protocol that calms tremors before they snowball into seizures.
When cravings linger, physicians can start FDA-approved medications such as acamprosate to steady brain chemistry or disulfiram to deter relapse. As soon as blood pressure and electrolytes normalize, staff walk clients across the hall to luxurious residential suites, so momentum isn’t lost in transit.
Medical oversight seamlessly blends with chef-prepared meals and private rooms, transforming a high-risk process into a safer, more dignified first step toward recovery.
Opioid Withdrawal Symptoms (Rx & Heroin)
Early phase (6–12 hours for short-acting opioids, ~30 hours for long-acting): Yawning, runny nose, watery eyes, restlessness, gooseflesh, and insomnia signal the body’s alarm system coming online.
Peak phase (48–72 hrs for short-acting; 3–5 days for long-acting): muscle and bone pain, stomach cramps with vomiting or diarrhea, dilated pupils, sweating, rapid heartbeat, and surging blood pressure. Cravings and mood swings are intense, raising relapse risk.
Late phase (4–7 days for short-acting; up to 10 days for long-acting): lingering anxiety, fatigue, chills, and depression gradually taper off, but some people develop Post-Acute Withdrawal Syndrome (PAWS) weeks or months of low energy, sleep problems, and emotional volatility.
Why the differences?
Short-acting drugs like heroin or immediate-release oxycodone exit quickly, so withdrawal hits fast and hard but resolves sooner. Long-acting opioids like methadone or extended-release formulations leave the system slowly; symptoms start later, peak later, and can feel drawn out.
Because dehydration, electrolyte shifts, or hidden heart issues can turn “just flu-like” discomfort into a medical crisis, supervised detox with medication-assisted treatment (buprenorphine, methadone, or non-opioid comfort meds) is strongly recommended over quitting cold turkey.
Benzodiazepine Withdrawal Symptoms
Benzos calm the nervous system by boosting GABA. Take them daily for more than a few weeks, and the brain trims its own GABA supply. When pills stop, the “brakes” vanish and the body slams into overdrive.
Rebound anxiety often surfaces first, shakier than before the prescription, along with insomnia, racing pulse, and pounding ears. Within 24 hours for short-acting brands such as Xanax (48 hours for longer-acting Klonopin), many people develop sensory hypersensitivity to light and sound, pins-and-needles skin, and jerking muscles.
The most dangerous window arrives between days 2 and 5, when runaway electrical activity can trigger grand-mal seizures or hallucinations. Quitting “cold turkey” is therefore never advised.
A slow taper, typically a 5–10 percent dose reduction every one to two weeks under medical supervision, allows brain chemistry to rebalance safely. Acute symptoms fade in one to two weeks, but mild anxiety or sleep trouble (sometimes called post-acute withdrawal) can linger for months, underscoring the need for continued therapy and lifestyle support.
With patience and a structured plan, even long-term benzodiazepine dependence can unwind without life-threatening complications.
Safe Benzo Detox & Taper at San Diego Detox
Detoxification often begins with a physician-designed taper schedule that gradually replaces short-acting benzodiazepines with a longer-acting equivalent, then reduces the dosage in micro-steps.
Nurses monitor blood pressure and tremors 24/7, while doctors are ready with anti-seizure medications if EEGs indicate spiking activity. Daily psychiatric check-ins fine-tune sleep aids or non-addictive anxiolytics, preventing rebound panic.
All of this unfolds in suites, far from bright lights and sudden noises, where small details help keep adrenaline levels down and healing on track. By combining medical precision with a serene setting, San Diego Detox transforms a high-risk process into a calm and controlled return to equilibrium.
Stimulant Withdrawal Symptoms (Cocaine & Meth)
When stimulants drop out of the bloodstream, the brain’s reward system slams into reverse. First comes the “crash”: anywhere from 12 to 36 hours of heavy sleep, bottomless hunger, and a feeling of being weighed down by lead.
Over the next few days, energy fluctuates between jittery restlessness and fatigue; mood swings veer from agitation to flat-line anhedonia, as nothing feels good because dopamine stores are depleted.
For some, the emotional plunge gets dangerous. Studies show a spike in suicidal thoughts and depression during the first week off cocaine or meth, making close monitoring essential.
Long-term users may also notice the opposite of the drug’s original kick: a slowed resting heart rate (bradycardia) caused by years of stimulant-induced wear on cardiac receptors, an effect documented in chronic cocaine dependence.
Headaches, night sweats, vivid nightmares, and prickling skin sensations round out the list of symptoms. Because dehydration, electrolyte shifts, or hidden heart conditions can complicate what looks like “just a bad crash,” supervised detox is far safer than white-knuckling it at home.
Whole-Person Support for a Stimulant Crash
San Diego Detox wraps the crash phase in structure and comfort. Nurses chart sleep patterns and design a sleep-hygiene plan, such as maintaining darkened rooms, adjusting melatonin timing, and implementing gradual wake cycles to reset the circadian rhythms. A “nutrition re-feed” adds complex carbs, lean proteins, and hydration shakes that rebuild depleted neurotransmitter building blocks.
Daily mood checks catch the first hint of a downswing, and gentle fixes, such as slow-flow yoga, easy breathwork, and soothing sound healing, give your brain a natural boost. With doctors watching the medical side and these feel-good rituals working on the rest, your energy, attitude, and drive bounce back together, setting you up for lasting recovery.
Polysubstance Withdrawal & PAWS
Mixing alcohol, opioids, benzos, or stimulants may feel like “balancing” highs and lows. However, it turns detox into a moving target, one drug peaks in withdrawal while another is still crashing. Vital signs swing faster, dehydration sets in sooner, and medication choices grow more complex.
Even after the acute phase, many clients face Post-Acute Withdrawal Syndrome (PAWS): weeks or months of mood swings, foggy thinking, sleep trouble, and sudden cravings that strike without warning.
Knowing PAWS is normal and temporary helps people stick with treatment instead of mistaking these emotional aftershocks for personal failure. Integrated medical and therapeutic care is the surest path through the long tail of recovery.
When to Seek Medical Help
Certain symptoms move detox from “uncomfortable” to “call 911.” Seizures, chest pain, severe dehydration, confusion, or visual hallucinations require emergency care, especially if the person has mixed substances.
Continuous vomiting or diarrhea can crash blood pressure, while slowed or erratic breathing after opioids or benzos may signal respiratory failure. Stimulant crashes sometimes trigger suicidal thoughts within hours.
If any of these red flags appear, skip home remedies and head to the ER or a licensed medical detox unit, such as San Diego Detox. Monitored IV fluids, oxygen, heart-rate telemetry, and fast-acting medications can mean the difference between a safe withdrawal and a critical medical event.
Tailoring Treatment Plans at San Diego Detox
Healing begins with a comprehensive head-to-toe assessment, which includes a substance history, mental health screening, laboratory work, and a discussion about family dynamics and personal goals.
From there, medical providers build an individualized plan that might include buprenorphine for opioids, a slow benzo taper, or non-addictive sleep aids reviewed every morning during physician rounds. Gender-responsive groups tackle topics like parenting guilt or body-image pressure in safe company, while weekly family sessions teach loved ones boundary-setting and relapse-prevention skills.
Nutritionists, yoga instructors, and case managers round out the team, ensuring that medical stability, emotional support, and real-world planning move forward together, because recovery works best when every angle of life gets a seat at the table.
From Admission to Aftercare: Your Roadmap
Getting help shouldn’t feel complicated. At San Diego Detox, you can call at any hour, verify your insurance in minutes, and, when coverage is confirmed, arrive the same day for medical intake.
After detox and residential care, your case manager arranges a seamless transition to trusted PHP or IOP partners, ensuring therapy continues uninterrupted. Alumni stay connected through private peer-support groups, periodic on-campus events, and referrals to upscale sober-living homes that reinforce new routines.
In other words, the roadmap from first phone call to long-term support is mapped out before you pack a bag, freeing you to focus on healing, not logistics.
Helping a Loved One Start Detox
Choose a quiet moment, lead with what you’ve observed (“I’m worried because you’ve been shaking in the mornings”) and express care rather than judgment. Offer practical next steps: snap a photo of their insurance card, write down all current medications, and dial 619-655-3328 together so an admissions nurse can explain options.
Having the details on hand and staying beside them during the call shows support while removing hurdles that often derail good intentions.
Your Next Step
Whether you’re dreading tonight’s withdrawal or planning a safe transition for someone you love, relief can start with a single conversation. Call 619-655-3328, launch the live chat, or complete the Verify Benefits form on the San Diego Detox website to see how soon a private suite can be ready.
Nurses, physicians, and therapists are on-site 24/7, ready to tailor medications, meals, and counseling to your specific needs. Withdrawals don’t wait; neither should you. Reach out now and let a team that understands both comfort and clinical excellence guide you toward steady ground.