Last Updated on January 2, 2026
What are alcohol shakes and tremors?
Alcohol shakes are unwanted shaking movements (tremors) that can affect the hands, arms, voice, or the whole body. They often show up when alcohol levels drop, like the morning after drinking or several hours after the last drink.
One simple way to think about it is this: alcohol slows down the brain and nerves. When you drink a lot, your body works hard to stay balanced. When alcohol wears off, that balance can swing the other way. The result can feel like jitters, sweating, a fast heartbeat, and trembling.
Two quick definitions
- A tremor is repeated shaking you cannot fully control.
- Alcohol withdrawal is the set of symptoms that can start when a person who drinks heavily stops or cuts back.
Common ways alcohol-related trembling can feel
- Shaking hands when you hold a cup, type, or try to hold still
- Feeling “wired” or restless on the inside
- Shaky voice, shaky legs, or trouble with fine hand work
- Worse shaking with stress, caffeine, or poor sleep
Not every tremor is withdrawal. Shakiness from alcohol can also be made worse by dehydration, low blood sugar, poor sleep, and anxiety, especially after binge drinking.
Why do I shake after drinking?
People ask “why am I shaking after drinking?” for a lot of reasons. In many cases, the shakes come from a mix of brain rebound and body stress after alcohol.
Common causes of shakes after drinking
- Brain rebound as alcohol wears off, which can trigger a “fight or flight” feeling
- Low blood sugar, which can leave you weak, sweaty, and shaky
- Fluid loss from frequent urination, which can cause dizziness and muscle cramps
- Poor sleep, which can make hands feel unsteady the next day
- Anxiety after drinking, which can come with trembling and a pounding heart
If you drink only once in a while, alcohol trembling is more likely to be short and mild. If you drink often, shaking hands and alcohol abuse may be linked through withdrawal and rising tolerance.
Other causes of shaking hands after drinking
Alcohol can make many health issues show up more clearly. That is why it helps to think about other causes, too, especially if the shaking does not fit a clear hangover pattern.
Situations where tremors may not be alcohol withdrawal
- High caffeine intake or nicotine use, which can raise jitters
- Not eating much, which can push blood sugar lower
- Panic attacks, which can cause full-body shaking and short breath
- Some medicines that can cause tremor as a side effect
- Health problems that can cause shaking even without alcohol
If trembling hands happen even when you have not been drinking, or they last for weeks, it is worth getting checked by a medical professional. Alcohol can be part of the picture, but it is not always the only cause.
Hangover shakes vs. alcohol withdrawal tremors
Hangover shakes and alcohol withdrawal tremors can look alike, but they are not the same problem. A hangover is your body recovering from alcohol’s short-term effects. Withdrawal is your body reacting to the sudden lack of alcohol after it has gotten used to regular use.
MedlinePlus explains that alcohol withdrawal can happen when someone who drinks heavily stops or cuts down, and symptoms can range from mild to severe. Alcohol withdrawal (MedlinePlus)
Fast self-check
- If you drank a lot one night and feel shaky the next morning, hangover effects are possible.
- If you drink most days and you shake when you delay your first drink, withdrawal is more likely.
- If your shaking gets worse over the day, or comes with sweats and a racing heart, treat it as a warning sign.
Quick comparison
- Hangover shakiness often eases as you hydrate, eat, and rest.
- Withdrawal tremors can start within hours after the last drink and may worsen before they improve.
- If a drink quickly “fixes” the shakes, that can point to dependence and a risky cycle.
Typical withdrawal timing (general guide)
- 6–12 hours: anxiety, sweating, nausea, headache, tremor, poor sleep
- 12–48 hours: worse shaking, higher blood pressure, agitation; seizures can happen in some cases
- 48–72+ hours: risk of severe withdrawal, including delirium tremens in a small percentage of people
When shaking after drinking is a detox-level warning sign
Alcohol withdrawal tremors are not just uncomfortable. In some people, withdrawal can become dangerous. Seek urgent medical care if shaking comes with any of the following symptoms.
- Seizure, fainting, or new loss of consciousness
- Confusion, severe disorientation, or inability to stay awake
- Hallucinations (seeing, hearing, or feeling things that are not there)
- Chest pain, severe shortness of breath, or very fast heart rate
- High fever, repeated vomiting, or signs of severe dehydration
Delirium tremens (DTs) is a severe form of alcohol withdrawal that involves sudden and severe nervous system changes. It is a medical emergency. Delirium tremens (MedlinePlus)
If you are not sure whether it is hangover shakiness or withdrawal, treat it as serious until a clinician says otherwise. Alcohol withdrawal can get worse fast, especially if you have had symptoms before.
Who is most at risk for alcohol withdrawal shakes?
Anyone can feel shaky after drinking, but alcohol withdrawal shakes are more likely when alcohol has become a daily need for the body.
Risk factors that raise the odds of withdrawal tremors
- Heavy drinking over time, especially daily use
- Needing a morning drink to feel “normal”
- Past withdrawal symptoms like shakes, sweats, nausea, or insomnia
- History of withdrawal seizures or severe withdrawal
- Major stress, anxiety, or other mental health symptoms
- Poor nutrition or significant weight loss
If you are not sure whether your drinking counts as heavy use, this overview can help you put patterns in context: What Is Considered a Heavy Drinker?
How to get rid of alcohol shakes safely
How to get rid of alcohol shakes depends on the cause. Mild shakiness after drinking may improve with basic self-care. Alcohol withdrawal shakes need medical support because symptoms can worsen even when you try to “push through.”
If it feels like a mild hangover
- Drink water and consider electrolytes if you have been vomiting or sweating.
- Eat a small meal with carbs and protein to support blood sugar.
- Rest in a calm space and move slowly when you stand up.
- Pause caffeine for a few hours if it makes the shaking worse.
If you think it could be alcohol withdrawal
- Do not try to manage severe symptoms alone at home.
- Avoid using alcohol as “medicine.” It may ease shakes short term but keeps the cycle going.
- Do not mix alcohol with leftover sedatives or sleep pills.
- Ask for medical care, especially if you have had withdrawal signs before.
For people with withdrawal risk, medical detox is the safest first step. If you are in Central Texas, Nova’s Austin detox program provides 24/7 monitoring and support to help you get steady and start recovery safely.
What happens after detox? Treatment that prevents relapse
Detox helps with the acute physical risk, but it does not fix the reasons drinking became hard to control. Long-term recovery often includes therapy, new coping skills, and a plan for stress, sleep, and mental health.
Common next steps after withdrawal care
- A full clinical review of drinking history, health, and goals
- Individual and group counseling
- Support for anxiety, depression, trauma, or sleep problems
- Relapse-prevention planning and daily structure
Many people benefit from a residential setting after detox, especially if drinking has been daily, severe, or tied to repeat relapse. Learn more about Austin residential inpatient rehab and what structured care can look like.
When to seek help today
If you get shakes after drinking more than once, or you notice alcohol and shaking together whenever you cut down, treat it as a health signal. Shakes can be a sign your body is under strain, and that you may need support to stop safely.
If you need a higher level of structure and support, Nova also offers Wimberley inpatient rehab for adults who need time and space to rebuild routines, coping skills, and stability.
If you or someone you love needs immediate, confidential help finding support, the federal treatment referral line is available 24/7: SAMHSA’s National Helpline. If there is an emergency, call 911.
FAQ: alcohol shakes, trembling, and withdrawal
How long do shakes after drinking last?
Hangover shakiness often improves within a day as you hydrate, eat, and rest. Withdrawal tremors may peak in the first couple of days and can take longer to settle, especially without medical care.
Can alcohol cause lasting tremors?
Some people notice less shaking while they drink, but heavy, long-term use can also harm nerves and make tremors worse over time. If shaking continues when you are sober, a medical checkup is important.
Is shaking a sign of alcohol poisoning?
Shaking alone is not enough to tell. But severe signs like repeated vomiting, confusion, slow breathing, bluish skin, or not waking up are emergencies. Call 911 if you suspect alcohol poisoning.
What if my hands shake only when I stop drinking?
If shaking hands happens when you cut down or skip alcohol, that pattern can point to alcohol withdrawal tremors. It is a strong reason to talk with a clinician or detox team before trying to quit on your own.
What is the safest way to stop the shakes from alcohol?
The safest plan depends on your drinking pattern and your symptoms. If shakes are mild and you rarely drink, rest and hydration may be enough. If shakes show up when you cut down, medical detox is the safer route.
What if I need help but cannot take time off for inpatient care?
Some people start with detox, then step into outpatient care. Nova’s outpatient rehab in Austin offers structured sessions while you live at home. The right level of care depends on withdrawal risk and home safety.
Do alcohol shakes mean I need detox?
Not always. A one-time hangover can make you feel shaky. But if you shake when you stop drinking, or you need a drink to steady your hands, it is safer to talk with a detox team. Withdrawal can be hard to predict.
Can dehydration cause a shaking hangover?
Yes. Alcohol can leave you dehydrated, and low fluids can make you feel weak and unsteady. Water, rest, and a light meal can help. If shaking is severe or you cannot keep fluids down, get medical care.
Is it safe to taper alcohol on my own?
Trying to taper at home can still be risky if you have dependence. Many people cannot judge withdrawal risk on their own, and symptoms can change quickly. If you have had shakes, sweats, or insomnia when cutting down, get medical guidance before you stop.
