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Symptoms of alcohol withdrawal can include depression, anxiety, fatigue, nervousness, nightmares, jumpiness, mood swings, insomnia, and nausea and vomiting. Other symptoms can include sweating, tremor, pallor, rapid heart rate, headache, and dilated pupils.
Alcohol withdrawal symptoms occur in a predictable pattern after your last alcohol drink. Not all symptoms develop in all patients: Tremors (shakes) â These usually begin within 5 to 10 hours after the last alcohol drink and typically peak at 24 to 48 hours.