How Long Does Detox Take? A Breakdown of the Timeline for Different Substances

Detox is the first crucial step in overcoming substance use disorder, but how long does detox take? The duration varies depending on the substance used, the severity of addiction, and individual health factors. At Evoke Wellness, we provide medically supervised detox programs to help individuals safely manage withdrawal and transition into long-term treatment.

After detox, ongoing treatment is essential to maintain sobriety. Many individuals benefit from mental health treatment programs or an intensive inpatient treatment program, which address the psychological aspects of addiction and provide support for lasting recovery.

This guide explores the detox timeline for different substances, explains what to expect during withdrawal, and highlights the importance of continued treatment.

What Is Detox and Why Is It Important?

Detox is the process of removing drugs or alcohol from the body while managing withdrawal symptoms. When a person is dependent on a substance, stopping its use can lead to withdrawal, which can range from mild discomfort to severe medical complications.

The safest way to detox is under medical supervision, where healthcare professionals can monitor symptoms, provide medications if necessary, and offer emotional support. Attempting to detox alone can be dangerous, particularly for substances like alcohol, benzodiazepines, and opioids. At Evoke Wellness, we offer comprehensive medical detox programs that prioritize patient safety and comfort.

Detox Timelines for Different Substances

Alcohol Detox (3–7 Days)

Alcohol withdrawal can be dangerous and, in some cases, life-threatening. Symptoms typically begin within 6–12 hours after the last drink and progress as follows:

• First 24 Hours: Anxiety, nausea, headaches, and shaking.
• 24–72 Hours: Peak withdrawal symptoms, including increased heart rate, confusion, and seizures in severe cases.
• 4–7 Days: Symptoms gradually subside, though psychological effects such as cravings and anxiety may persist.

Because of the risks associated with delirium tremens (DTs) and seizures, medical supervision is critical during alcohol detox.

Opioid Detox (4–10 Days)

Opioid withdrawal is intense but usually not life-threatening. Symptoms begin within 8–24 hours for short-acting opioids (like heroin and oxycodone) and within 24–48 hours for longer-acting opioids (like methadone).

• Day 1–3: Flu-like symptoms, muscle aches, nausea, insomnia, and anxiety.
• Day 3–7: Peak withdrawal period with intense cravings, diarrhea, vomiting, chills, and body pain.
• Day 7–10: Symptoms begin to fade, though lingering psychological effects and cravings may persist.

Medication-assisted treatment (MAT), using buprenorphine or methadone, can help manage symptoms and reduce the risk of relapse.

Benzodiazepine Detox (Weeks to Months)

Benzodiazepine withdrawal is one of the most dangerous and requires a slow, medically supervised taper. Stopping benzodiazepines abruptly can cause severe anxiety, panic attacks, and seizures.

• First Week: Initial withdrawal symptoms, including restlessness, irritability, and insomnia.
• First Month: Peak withdrawal symptoms such as severe anxiety, tremors, and in some cases, seizures.
• Months After: Some individuals experience protracted withdrawal symptoms, including ongoing anxiety and sleep disturbances.

A gradual tapering schedule is the safest way to detox from benzodiazepines.

Stimulant Detox (5–10 Days)

Stimulants such as cocaine, methamphetamine, and Adderall primarily cause psychological withdrawal symptoms rather than physical ones.

• First 48 Hours: Fatigue, depression, and mood swings.
• 2–5 Days: Peak withdrawal with intense cravings, irritability, and sleep disturbances.
• 5–10 Days: Symptoms gradually improve, though psychological effects may persist.

Since there are no FDA-approved medications for stimulant withdrawal, behavioral therapy and mental health treatment programs play a crucial role in recovery.

Marijuana Detox (7–14 Days)

Frequent marijuana use can lead to withdrawal symptoms, particularly in those with long-term dependency.

• First 48 Hours: Irritability, restlessness, and decreased appetite.
• 2–4 Days: Peak withdrawal with anxiety, sweating, and sleep disturbances.
• 7–14 Days: Symptoms gradually subside, though cravings and mood swings may continue.

Therapy and behavioral support are essential in managing marijuana withdrawal and long-term recovery.

What Happens After Detox?

Detox is only the beginning of the recovery process. Without proper follow-up care, individuals are at high risk of relapse. That is why continued treatment is essential after completing detox.

Recommended Next Steps After Detox

• Intensive Inpatient Treatment Program: A structured, 24/7 residential treatment program that provides therapy, medical care, and relapse prevention strategies.
• Mental Health Treatment Programs: Address underlying mental health conditions such as depression, anxiety, or PTSD that may contribute to substance use.
• Outpatient or Partial Hospitalization Programs (PHPs): Provide therapy and support while allowing individuals to return home at the end of the day.

At Evoke Wellness, we offer comprehensive treatment options to help individuals transition smoothly from detox into long-term recovery.

Why Choose Evoke Wellness for Detox and Treatment?

At Evoke Wellness, we are committed to providing high-quality, patient-centered care to individuals struggling with substance use disorder. Our detox and treatment programs are designed to ensure safety, comfort, and long-term success.

Expert Medical Supervision

Our highly trained medical team monitors patients 24/7, ensuring that withdrawal symptoms are managed safely and effectively.

Personalized Treatment Plans

We recognize that each person’s recovery journey is unique. Our treatment plans are customized based on individual needs, medical history, and mental health conditions.

Comprehensive Therapy Options

We offer individual therapy, group counseling, and holistic treatments to address both the physical and psychological aspects of addiction.

Supportive and Healing Environment

Our treatment centers provide a comfortable, serene environment where patients can focus on healing without distractions.

Seamless Transition to Long-Term Treatment

After detox, patients can easily transition into intensive inpatient treatment programs or mental health treatment programs, ensuring continued support for long-term sobriety.