Alcohol detox: what to expect
A detox helps you through withdrawal safely. It's the first step, not the whole journey.
Way 17 of 50Detox safely
A detox (sometimes called "assisted withdrawal") helps you stop drinking while your body adjusts to being without alcohol. If you're dependent, the safest way is a planned detox arranged with your GP or local alcohol service.
Where it happens
| Type | Usually for |
|---|---|
| At home, without medication | People with mild dependence and mild symptoms, with advice and support. |
| At home or in the community, with medication | People who are dependent but have no history of fits or delirium tremens, are in reasonable health, and have someone with them. You'll be checked regularly by the alcohol team or GP. |
| In hospital or a specialist unit | People with severe dependence, previous fits or DTs, serious physical or mental health problems, or no safe support at home. |
Waiting times for inpatient detox vary around the country.
What happens during a medicated detox
- You'll usually be prescribed a medicine such as chlordiazepoxide (Librium) or diazepam to ease withdrawal and prevent fits. The dose is highest at the start and reduced over about a week. Your prescriber decides the dose and checks how you're doing.
- You'll usually be given thiamine (vitamin B1) to protect your brain and nerves. Heavy drinking uses it up.
- Don't drink while taking detox medication. Alcohol and these medicines together can dangerously slow your breathing.
- Follow the instructions exactly and keep the medication safe from others.
Looking after yourself at home
- Rest, and stay at home for the first few days. Have someone with you.
- Drink plenty of fluids, about 3 litres a day, but limit tea, coffee and energy drinks, which can worsen anxiety and sleep.
- Eat little and often, even if you don't feel like it.
- Line up distractions: films, music, books, puzzles, a craft or a bath.
- Know the danger signs and when to call 999 (see stopping safely).
Preparing for detox
Detox goes better with a plan. Ideally talk these through with a counsellor or your alcohol worker beforehand:
- How will I cope without alcohol?
- What are my drinking triggers, and how will I avoid or handle them?
- How will I fill my time, especially the hours I used to drink?
- How will I look after and reward myself?
- Who will support me during and after?
After detox
Detox deals with the physical side. On its own it doesn't stop you drinking again. Most people need ongoing support afterwards: counselling, a support group, and sometimes medication to reduce cravings or help prevent relapse (see medication).
Keep as busy as you can. Physical tasks are often better than mental ones for taking your mind off drinking. And if you do slip, it doesn't mean you've failed. See way 47.
Talk to your GP
Everyone is different. Talk to your GP, pharmacist or local alcohol service before you start, stop or change any medicine, and before you stop drinking if you drink every day.