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Medically Reviewed by Dr. Mohammed Saeed, MD.

Alcohol consumption is prevalent in many societies, often associated with social gatherings, celebrations, or even as a means of relaxation. However, excessive and prolonged alcohol use can lead to various health issues, including addiction and withdrawal symptoms, when an individual attempts to quit. One concern that may arise during alcohol withdrawal is high blood pressure, but the relationship between the two is complex and multifaceted. This blog will explore the connection between alcohol withdrawal and high blood pressure, its underlying mechanisms, and how to manage it effectively.

Understanding Alcohol Withdrawal

Alcohol withdrawal refers to physical and psychological symptoms that occur when someone dependent on alcohol suddenly stops or significantly reduces their consumption. These symptoms can range from mild to severe and may include anxiety, tremors, sweating, nausea, hallucinations, seizures, and, relevant to our discussion, changes in blood pressure.

Alcohol withdrawal can start as soon as a few hours after the last drink, depending on the individual’s level of alcohol dependence and the amount of alcohol regularly consumed. The timeline and severity of alcohol withdrawal symptoms can vary widely from person to person. It’s important to note that for some individuals, alcohol withdrawal can be life-threatening, so seeking medical help is crucial, especially for those with a history of heavy alcohol use.

Here is a general timeline of alcohol withdrawal symptoms:

6-12 Hours After the Last Drink:

Early symptoms often begin within the first 6-12 hours and may include anxiety, tremors (shaking), sweating, nausea, and vomiting. Some individuals may experience cravings for alcohol during this phase.

24-48 Hours After the Last Drink:

Symptoms can intensify during this period, including increased anxiety, hallucinations (visual or auditory), and more severe tremors. Some individuals may experience seizures, known as alcohol withdrawal seizures, during this stage.

48-72 Hours After the Last Drink:

The most severe symptoms, known as delirium tremens (DTs), usually occur within 48-72 hours after the last drink. DTs can include severe confusion, agitation, high blood pressure, rapid heartbeat, fever, and hallucinations that can be frightening or distressing. Delirium tremens can be life-threatening, and medical attention is urgently needed.

5-7 Days After the Last Drink:

Symptoms typically start to improve after the first few days without alcohol.

However, some individuals may continue to experience mild to moderate symptoms such as anxiety, depression, and sleep disturbances for several weeks or months.

Not everyone who quits drinking will experience severe withdrawal symptoms, and the severity can depend on various factors, including the duration and amount of alcohol consumed, individual physiology, and whether there is a history of previous withdrawal episodes.

Does Alcohol Withdrawal Cause High Blood Pressure?

Having consistently elevated blood pressure levels leads to high blood pressure (hypertension). It is a serious health concern that can lead to heart disease, stroke, and other complications. During alcohol withdrawal, some individuals may experience fluctuations in blood pressure. For some, these fluctuations may lead to high blood pressure. Here’s how.

  • Increased Stress Response. When a person quits alcohol, their body undergoes a significant change as it adapts to the absence of the substance. This can lead to increased stress levels, which can temporarily elevate blood pressure.
  • Anxiety and Agitation. Many individuals going through alcohol withdrawal experience anxiety and agitation. These emotional and psychological factors can contribute to spikes in blood pressure.
  • Dehydration. Alcohol is a diuretic that promotes bodily fluid loss. Chronic alcohol use can lead to dehydration, influencing blood pressure regulation. During withdrawal, individuals may continue dehydrating, further affecting their blood pressure.
  • Cardiovascular Changes. Chronic alcohol consumption can lead to changes in the cardiovascular system, such as increased heart rate and reduced heart muscle function. When alcohol is suddenly removed, the body may need time to readjust, potentially leading to fluctuations in blood pressure.

How To Manage High Blood Pressure During Alcohol Withdrawal

If you or someone you know is experiencing alcohol withdrawal and concerns about high blood pressure arise, seeking medical guidance is crucial. You can also manage high blood pressure by:

  • Remaining Under Medical Supervision. Alcohol withdrawal can be a serious and potentially life-threatening condition, especially for individuals with a history of heavy alcohol use. Medical supervision can help monitor and manage withdrawal symptoms, including blood pressure changes.
  • Taking Medications. Sometimes, healthcare providers prescribe medications to help stabilize blood pressure during withdrawal. These medications may include beta-blockers or antihypertensive drugs.
  • Staying Hydrated. Rehydrating the body is crucial during withdrawal to counteract the effects of dehydration from chronic alcohol use. Proper hydration, achieved through drinking water and electrolyte-rich fluids, is crucial to counteract dehydration from chronic alcohol use, which can contribute to high blood pressure. Seeking medical supervision during alcohol withdrawal is essential to ensure safe symptom management — which may include medications, psychological support, and hydration — to promote a successful recovery from alcohol dependence.
  • Managing Stress. During alcohol withdrawal, managing stress and anxiety is vital to prevent potential spikes in blood pressure. Techniques such as deep breathing exercises, meditation, and counseling can help individuals cope with emotional and psychological stressors, promoting relaxation and reducing the risk of high blood pressure. Using these techniques as part of a comprehensive treatment plan under medical supervision can help maintain a safe and successful recovery from alcohol dependence.

Ready To Say Goodbye To Alcohol and its Adverse Effects For Good?

At Into Action, Houston’s leading drug rehab center, our mission is to empower individuals battling addiction to discover health and lasting peace. We understand the profound challenges accompanying alcohol withdrawal, including the potential impact on blood pressure. The good news is our comprehensive and compassionate approach to addiction treatment provides individuals with the necessary tools and support for a successful recovery journey. With a commitment to medical supervision, therapy, stress management techniques, and personalized care, we help individuals overcome alcohol addiction and its effects for good. Contact us today to learn more.


Dr. Mohammed Saeed, MD.

Dr. Saeed is a psychiatry specialist with over 40 years of experience in the medical field. He received training in General Psychiatry at the University of Texas Medical Branch, where he was selected as the Medical Director of the Division of Child and Adolescent Psychiatry. He currently serves as the medical director at Into Action Recovery Centers. Full Bio

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