Kayla holds over 6 years of experience in the rehab space, including in-house content management at a leading treatment center. She believes addiction and mental health issues are universal human experiences that can serve as important entry points onto a path toward self-realization and well-being.
Kayla holds over 6 years of experience in the rehab space, including in-house content management at a leading treatment center. She believes addiction and mental health issues are universal human experiences that can serve as important entry points onto a path toward self-realization and well-being.
If you’re considering detox, you’re probably wondering how long the process will take. The answer depends on several factors, including the substances you’ve been using and your individual health. Most detox programs last 3 to 7 days, but this timeline varies from person to person. Knowing what to expect can help you prepare for this important first step in addiction treatment.
Detox is the process of allowing substances to leave your system while managing withdrawal symptoms. When you stop using substances, your body begins to recalibrate as these chemicals clear from your system. Your nervous system, which has adapted to the presence of these substances, needs to readjust to functioning without them.
This adjustment happens in 3 main stages:1
Throughout all stages, your brain and body are working to restore their natural balance.
Medical supervision during detox helps ensure your safety and comfort. Healthcare providers can monitor your condition, use medications to ease your symptoms, and respond quickly if any complications arise. While the detoxification process can be different depending on the individual, this support drastically improves both the safety and success of the detox process.
Most people complete detox within 3–7 days,2 but this is just an average. Your timeline may be shorter or longer based on your unique situation.
Several factors influence how long detox takes. The type of substance, how long you’ve been using it, and how much you typically use all play a role. Your age, overall health, and whether you’ve gone through detox before can also affect the timeline.
It’s important to remember that everyone’s experience is different. Some people may feel better within a few days, while others need more time. This variation is completely normal and doesn’t reflect your strength or willpower.
Signs that your body is detoxing include both physical and emotional changes. You might experience symptoms like:
While these symptoms can be uncomfortable, they’re typically signs that your body is healing and adjusting.
Different substances have different detox timelines because they affect your body in unique ways.
Alcohol addiction detox typically takes 5 to 7 days.3 For most people, symptoms start within 6 hours of their last drink and can include anxiety, nausea, sweating, and tremors. It should be noted, however, that for long-term or heavy users, the process can take up to 14 days.
The most dangerous period is usually within the first 72 hours. Seizure risk4 peaks between 24 to 48 hours after the last drink, while DTs typically occur between 48 and 72 hours. This is when life-threatening complications like seizures or delirium tremens (DTs)5 can occur.
Delirium tremens is a severe stage of withdrawal marked by confusion, hallucinations, fever, and cardiovascular instability—affecting 5–20% of detox patients and carrying significant mortality risk if untreated.
Medical supervision is important for alcohol withdrawal because of these potentially fatal risks.
Even after the acute phase ends, some people experience lingering effects like sleep problems or mood changes. These typically improve over the following weeks with proper support and treatment.
Opioid detox can take up to 7 days6 for the acute phase. The timeline varies depending on whether you’ve been using short-acting opioids like heroin or long-acting ones like methadone.
With short-acting opioids, withdrawal symptoms typically begin 8–24 hours after your last use. For long-acting opioids, symptoms may not start until 12–48 hours later.
Some people develop post-acute withdrawal symptoms (PAWS) that can last weeks, months, or even longer. These might include memory issues, mood changes, or sleep problems. Ongoing treatment and support can help manage these extended symptoms.
Benzodiazepine detox often takes much longer than other substances, sometimes extending from days to several months. This extended timeline is necessary because stopping benzos suddenly can be dangerous.
Peak withdrawal symptoms typically occur 10–14 days after stopping use. However, the tapering process used to safely reduce your dose may take much longer.
Some people experience protracted withdrawal symptoms that can last for months. This is why benzodiazepine detox requires careful medical management7 and a gradual approach to ensure your safety.
Cocaine detox typically takes up to 7 days,8 though psychological symptoms like depression and intense cravings may last longer. Withdrawal from methamphetamine and other stimulants is generally more psychological than physical.
Other substances like marijuana or synthetic drugs have their own timelines. The key is working with healthcare providers who understand the specific challenges of each substance.
Using multiple substances at once, called polysubstance use, often extends detox time. Each substance may have its own withdrawal timeline, and they can interact in complex ways.
A lot of factors can affect how long your drug detox takes. Understanding these can help set realistic expectations.
The length and intensity of substance abuse9 significantly impact the detox period. Drug abuse over longer periods or in larger amounts typically requires more time to detox safely.
Your baseline health plays a major role. Younger people often process substances faster, while underlying health conditions can slow the process. Your body’s metabolism, age, and health can all affect how long detox takes.
Mental health conditions like depression or anxiety that co-occur with addiction (also called dual diagnosis) can affect your detox experience. These conditions don’t prevent successful detox, but they may require additional support and potentially longer timelines.
Previous detox experiences10 can also influence duration. Some people find subsequent detoxes easier, while others may experience more severe symptoms of withdrawal. This variation is normal, and it’s manageable with the right medical care.
Detox affects both your body and mind as it adjusts to functioning without substances. Common physical symptoms11 include:
Emotional and psychological changes are equally common. You might experience:
These feelings are temporary and part of the healing process.
Symptoms typically peak within the first few days12 and then gradually improve, but the exact pattern varies by the type of drug addiction and from person to person. Some people have mild symptoms throughout, while others experience more intense periods followed by faster improvement.
It is possible for dangerous complications to happen during detox, especially with physical dependence on alcohol and benzodiazepines. Get professional help right away if you experience:
These symptoms require immediate medical attention; they’re why supervised detox is so important.
Detox can be dangerous without the right medical support. Withdrawal from certain substances can be life-threatening.
Never attempt to detox from alcohol, opioids, or benzos at home without medical supervision. Even if you’ve successfully stopped using before, each detox experience can be different and potentially more severe. For substances that aren’t dangerous to withdraw from, your chances of success can still be higher if you undergo withdrawal in a supervised environment where you’re more comfortable and have less access to substances.
Medical supervision has important benefits. Healthcare providers can monitor your vital signs, use medication-assisted treatment to ease symptoms, and respond immediately to any complications that arise. This support dramatically improves both safety and comfort during detox.
Several types of treatment programs are available. These include inpatient hospital detox, residential detox centers, and outpatient programs with medical monitoring. Your treatment center can help you make a treatment plan based on which options are best for your individual needs.
Overcoming substance use disorder is absolutely possible, and you don’t have to go through your recovery journey alone. Medical professionals, counselors, and addiction recovery specialists are available to guide you through each step of the process.
If you’re or your loved one are ready to take the next step, consider reaching out to find a detox center near you. These facilities provide the medical supervision and support you need to detox safely and start building a foundation for long-term recovery.
A: Most detox programs last 3–7 days for the acute phase, but this varies by substance and individual factors.
A: Common signs include fatigue, mood changes, sleep disturbances, changes in appetite, and various physical symptoms as your body adjusts.
A: There’s no safe way to speed up detox. Your body needs time to process and eliminate substances safely. Medically assisted detox usually makes the process more comfortable, but not necessarily faster.
A: Rapid detox13 is a controversial procedure done under anesthesia. It’s not widely recommended due to safety concerns and limited evidence of improved outcomes.
A: Your liver begins processing substances immediately,14 but full recovery depends on the extent of damage and can take weeks to months with proper medical care.
Alicja Lerner, Michael Klein, Dependence, withdrawal and rebound of CNS drugs: an update and regulatory considerations for new drugs development, Brain Communications, Volume 1, Issue 1, 2019, fcz025, https://doi.org/10.1093/braincomms/fcz025
Diaper AM, Law FD, Melichar JK. Pharmacological strategies for detoxification. Br J Clin Pharmacol. 2014 Feb;77(2):302-14. doi: 10.1111/bcp.12245. PMID: 24118014; PMCID: PMC4014033.
Jesse S, Bråthen G, Ferrara M, Keindl M, Ben-Menachem E, Tanasescu R, Brodtkorb E, Hillbom M, Leone MA, Ludolph AC. Alcohol withdrawal syndrome: mechanisms, manifestations, and management. Acta Neurol Scand. 2017 Jan;135(1):4-16. doi: 10.1111/ane.12671. Epub 2016 Sep 1. PMID: 27586815; PMCID: PMC6084325.
“Alcohol Withdrawal.” Cleveland Clinic, https://my.clevelandclinic.org/health/diseases/alcohol-withdrawal.
Grover S, Ghosh A. Delirium Tremens: Assessment and Management. J Clin Exp Hepatol. 2018 Dec;8(4):460-470. doi: 10.1016/j.jceh.2018.04.012. Epub 2018 May 5. PMID: 30564004; PMCID: PMC6286444.
Pergolizzi, Joseph V., et al. “Opioid Withdrawal Symptoms, a Consequence of Chronic Opioid Use and Opioid Use Disorder: Current Understanding and Approaches to Management.” Journal of Clinical Pharmacy and Therapeutics, vol. 45, no. 5, Oct. 2020, pp. 892–903. DOI.org (Crossref), https://doi.org/10.1111/jcpt.13114.
Casari, Rebecca, et al. “Addiction of High Dose of Benzodiazepine: Verona Detox Approach With Flumazenil.” Frontiers in Psychiatry, vol. 13, Mar. 2022. Frontiers, https://doi.org/10.3389/fpsyt.2022.857376.
Heberle BA, Kluwe-Schiavon B, Bicca C, Melo Rothmann L, Grassi-Oliveira R, Viola TW. Examining predictors of cocaine withdrawal syndrome at the end of detoxification treatment in women with cocaine use disorder. J Psychiatr Res. 2024 Jan;169:247-256. doi: 10.1016/j.jpsychires.2023.11.043. Epub 2023 Nov 30. PMID: 38048674; PMCID: PMC10805009.
New item… Muslim, Sarah Hazem, et al. “Identifying the Factors Influencing the Completion of Institutional Detoxification Period Among Patients with Substance Use Disorder in Iraq.” Al-Rafidain Journal of Medical Sciences ( ISSN 2789-3219 ), vol. 7, no. 2, Dec. 2024, pp. 202–08. Nil, ajms.iq, https://doi.org/10.54133/ajms.v7i2.1566.
Diaper AM, Law FD, Melichar JK. Pharmacological strategies for detoxification. Br J Clin Pharmacol. 2014 Feb;77(2):302-14. doi: 10.1111/bcp.12245. PMID: 24118014; PMCID: PMC4014033.
Zhang, Zheng, et al. “Evaluating Drug Withdrawal Syndrome Risks through Food and Drug Administration Adverse Event Reporting System: A Comprehensive Disproportionality Analysis.” Frontiers in Pharmacology, vol. 15, Jul. 2024. Frontiers, https://doi.org/10.3389/fphar.2024.1385651.
Alicja Lerner, Michael Klein, Dependence, withdrawal and rebound of CNS drugs: an update and regulatory considerations for new drugs development, Brain Communications, Volume 1, Issue 1, 2019, fcz025, https://doi.org/10.1093/braincomms/fcz025
National Collaborating Centre for Mental Health (UK). Drug Misuse: Opioid Detoxification. Leicester (UK): British Psychological Society (UK); 2008. (NICE Clinical Guidelines, No. 52.) 6, PHARMACOLOGICAL AND PHYSICAL INTERVENTIONS IN OPIOID DETOXIFICATION. Available from: https://www.ncbi.nlm.nih.gov/books/NBK50618/
Zhao M, Zhao H, Deng J, Guo L, Wu B. Role of the CLOCK protein in liver detoxification. Br J Pharmacol. 2019 Dec;176(24):4639-4652. doi: 10.1111/bph.14828. Epub 2019 Dec 28. PMID: 31404943; PMCID: PMC6965678.
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