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Permanent tremors?

nuttynutskin

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May 15, 2011
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Is it possible to get permanent tremors from alcoholism? I'm an alcoholic and have been through multiple withdrawal type situations and now it seems like even if I stay sober for a week or two I still feel shaky sometimes. It's worse some days than others and also seems worse in the beginning of the day. Caffeine obviously makes it worse, but there's a few things I literally won't even do unless I've had a few drinks like shave my head for instance. It's almost like I've rewired my brain to do things better with at least a few drinks in me. Also, fwiw I'm naturally a high strung anxious person. My therapist thinks I've just never fully given my system enough time sober but to me you shouldn't still have problems after a week or two. Thoughts?
 
Idk, but one time I was in inpatient rehab and I had pretended to be gay to get into the much easier "Alternatives" program on the 3rd floor :) Not only were they super easy on us, but we had the gourmet coffee too. Who wouldn't have played gay?? Anyways, the point of my post is that I had to share a room with a newly sober alcoholic who had about 25 days, but was still shaking bad. Last I saw him he was ranting and raving saying he was going to jump out the window and grab the power lines. An ambulance took him away.
 
The GABA system is very sensitive, so yes, I believe it's possible to permanently alter the GABA system, resulting in feeling more anxious, irritable, shaky, etc as a result of abstinence after a prolonged period of usage.

It is likely PAWS from alcohol use, which could last days, weeks, months, years, or for life depending on "the damage done", and how susceptible you are personally to this kind of "damage".

Hope you feel better soon! How many days do you have off of alcohol?
 
Last I saw him he was ranting and raving saying he was going to jump out the window and grab the power lines. An ambulance took him away.

Well I guess he definitely would've had the shakes then. 8o

Seriously that is pretty sad, I just got a fucked up sense of humor. Either way, I'm guessing I've just never let my body fully recover. It probably doesn't help that I'm addicted to xanax as well, albeit it legally, but that still basically makes me a poly drug addict. Both legal, and both probably the worst you could be addicted to, although I don't drink ALL the time. It's more I fall into binges which probably is equally as bad because of the withdrawals and kindling aspect.
 
The GABA system is very sensitive, so yes, I believe it's possible to permanently alter the GABA system, resulting in feeling more anxious, irritable, shaky, etc as a result of abstinence after a prolonged period of usage.

It is likely PAWS from alcohol use, which could last days, weeks, months, years, or for life depending on "the damage done", and how susceptible you are personally to this kind of "damage".

Hope you feel better soon! How many days do you have off of alcohol?


Yeah that makes a lot of sense... Isn't it ironic that the drugs that first help you NOT feel anxious, irritable and shaky end up making things worse? Either way thanks, I'm currently feeling alright. Currently I'm only about 2 days being totally sober (besides my RX), but I've gone up to probably half a month or more and still felt like what was residual affects from a multi day binge. I guess that isn't necessarily uncommon, I just always figured it should be out of the system by then. It's just annoying sometimes when it's at it's worst and you're trying to write something or people think you're nervous or something because your hands are shaky.
 
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Can you see a doctor or medical professional? This does sound like alcohol withdrawal but if you use other drugs or are addicted to them it could be from that as well, and you can't really diagnose someone via text online.
 
Can you see a doctor or medical professional? This does sound like alcohol withdrawal but if you use other drugs or are addicted to them it could be from that as well, and you can't really diagnose someone via text online.

nuttynutskin regularly sees their doctor regarding these issues.

Thank you for your concern for everyone's well being. <3
 
Benzos are making your shakes worse. While it's possible to have them permenantly, sometime it takes a while to heal. I was a heavy binge drinker (everyday) for sixteen years before I transitioned into daily drinking. I was also on Xanax for the last ten of those years as scripted for my anxiety. Not only did I have horrible shakes but I developed nasty facial ticks on my face, a couple by my eyes, two different lip ones, and my nose of all things. When I got sober they got briefly worse before they got better, but after a year everything was gone. I don't shake anymore and my hands are still enough now when I hold them out I could be a surgeon lol. The intention tremors (shaking when you activate a muscle to do something) went completely away as well, though I don't know if you get them or not. You'll probably shake to some degree until you quit the benzos. Kudos on your drinking and keep up the great work!
 
nuttynutskin regularly sees their doctor regarding these issues.

Actually that's not true, at least for my regular doctor. I did see a doctor in August but that was in the ER for you guessed it, withdrawals. I'm probably about due to have a physical because it's been way too long since I saw my gp.
 
Benzos are making your shakes worse.

That's what I don't get. I thought benzos would help, not make it worse. I would like to eventually get off the xanax, but as it is the 2mgs daily is pretty much only keeping me out of benzo withdrawal at this point. I don't know how I'm supposed to ever taper down when what I'm taking already isn't enough.

Kudos on your drinking and keep up the great work!

Thanks, but I actually haven't been doing that great lately in regards to not drinking.
 
That's what I don't get. I thought benzos would help, not make it worse. I would like to eventually get off the xanax, but as it is the 2mgs daily is pretty much only keeping me out of benzo withdrawal at this point. I don't know how I'm supposed to ever taper down when what I'm taking already isn't enough.



Thanks, but I actually haven't been doing that great lately in regards to not drinking.


I think switching to a longer acting benzo may help both issues. The half life of Xanax is so short you're constantly on the fringe of withdrawal. When I was trying to quit drinking back when I was ignorant regarding benzos I would take more Xanax which ironically made my alcohol cravings worse. My alcohol cravings were the absolute worst when I went through benzo withdrawal. I couldn't stay sober, I was able to get a year but I white knuckles it the whole time. Once the benzo withdrawal was finished and I was ready to quit drinking again I found the cravings were no where near the levels they had been, and that was even before I started Vivitrol, which eventually killed them altogether.

The only time I found benzos to help with the shaking was during acute alcohol withdrawal, like the morning after a bender, but only for a little while. Out of curiosity do you take any other medications? I think some meds also perpetuate alcoholism, though I haven't found any studies to back me up. I have read where certain SSRI's have triggered cravings in alcoholics who have been recovered for 20+ years, and personally I was always able to quit drinking on my own up until I began taking Zoloft and started drinking on that. After starting the Zoloft I could no longer quit alcohol. It's like a switch was flipped in my brain and stuck in the on position.

Also, is there anyway you can switch to diazapam? In my opinion, diazapam didn't kill the anxiety or make me feel "good" like Xanax, but it made me feel more stable physically and clear headed. I would have switched to diazapam but my doctors always said no.
 
Tremors are a sure sign of GABAergic w/d. Where does the tremor occur? In the hand, arm, and sometimes neck/head?

Does the tremor in the hand occur at all times or only when making precise movements?

But then if youre taking benzos, you shouldn't be in GABAergic w/d. I dont know :-/
 
It's totally possible to consistently take benzos and still have tremors...many people experience this. I think Xanax is the most notorious. I have to wonder if it's from neurological degregation as benzos also stop neurological tissue from regenerating so damage accumulates, particularly if other substances are involved :/

It's still also possible that withdrawal is a part of this as Xanax has a short half life, but 2mg is a high dose and as those levels fall withdrawal will set in.
 
I see - well put and perfectly logical. Well, the most important thing Nutty I forgot to mention is that it will NOT be permanent afaik. It will fade when your dependence does.

I had a minor tremor for about two weeks off a minor xanax dependence which I'm still kicking but which kept me awake for almost a whole week. The tremor is long gone by now.
 
I think switching to a longer acting benzo may help both issues. The half life of Xanax is so short you're constantly on the fringe of withdrawal.

That might be a good idea, it's something I hadn't really thought about.

Out of curiosity do you take any other medications? I think some meds also perpetuate alcoholism, though I haven't found any studies to back me up.

No I don't take anything else, although it's funny you mention how you think some meds perpetuate alcoholism because I think xanax did exactly that for me. Tbph I loved the combination of alcohol and benzos at first until I started getting a tolerance to both. Also made detox fun since they just give you more benzos lol.

Also, is there anyway you can switch to diazapam? In my opinion, diazapam didn't kill the anxiety or make me feel "good" like Xanax, but it made me feel more stable physically and clear headed. I would have switched to diazapam but my doctors always said no.

I'm not sure. I have access to a nurse practitioner through my therapist who I would probably do good to talk to. I haven't set anything up yet tho.

Tremors are a sure sign of GABAergic w/d. Where does the tremor occur? In the hand, arm, and sometimes neck/head?

Does the tremor in the hand occur at all times or only when making precise movements?

But then if youre taking benzos, you shouldn't be in GABAergic w/d. I dont know :-/

Mostly just in my hands, sometimes in my arm a little. A good example of when it's worse is when I'm trying to do something like clean and put my contacts in or things like that, so yeah I'd say it's definitely worse when trying to make precise movements.

It's still also possible that withdrawal is a part of this as Xanax has a short half life, but 2mg is a high dose and as those levels fall withdrawal will set in.

I've been taking xanax for 4 years now so I have a bit of a dependence. Knowing what I know now I regret my old doctor prescribing it to be taken daily for years on end. It should've been something I just took when my anxiety was at it's worse. I guess hindsight is 20/20 as they say.
 
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No I don't take anything else, although it's funny you mention how you think some meds perpetuate alcoholism because I think xanax did exactly that for me. Tbph I loved the combination of alcohol and benzos at first until I started getting a tolerance to both. Also made detox fun since they just give you more benzos lol.


I used to really enjoy the synergy between the two. Yes, tolerance skyrocketed as well as memory issues. It became a frequent thing where I would forget that I had taken a Xanax and then start popping them until I ended up in the hospital for the evening. Also would burn through scripts too quickly and had to have Klonopin on standby which is absolute crap compared to Xanax. I also think the Xanax caused my tolerance to alcohol to go through the roof. For years I was a light weight - pretty drunk after four beers. Around six months after taking Zoloft and Xanax I could polish off a twelve pack and not even slur my words. Toward the end of my active addiction I was drinking over a case of beer a day. Ironically, after I quit Xanax and then got some sober time from alcohol when I went back to drinking my tolerance was pretty low again, and respectively speaking, stayed that way. Four martinis would have me passing out where as prior when I was taking Zoloft and Xanax I could drink a bottle of scotch in a couple of hours and move on to wine and beer at the club.

On a bright note, I think if it weren't for the meds accelerating my alcoholism I probably wouldn't have sought help and the problem would have built up over decades. I think it forced me to deal with all my issues that otherwise would have gone unresolved so I can't complain too much. My few times in rehab I always felt bad for the older people (50's and 60's) who dealt were just now confronting thier issues, and waited because the drinking never got so bad that it had to be confronted. I feel bad for them because they probably would have had happier lives if they were aware of their issues earlier on and dealt with them. While I hate starting over at 40, I would have hated life more having to go through benzo withdrawal and alcohol withdrawal in my 50's or 60's as I would have no remaining family to help me as my parents would have passed, and the way I behaved intoxicated would have had no friends. Probably would have ended in suicide. I feel like I have a chance now, even if it is late.


Mostly just in my hands, sometimes in my arm a little. A good example of when it's worse is when I'm trying to do something like clean and put my contacts in or things like that, so yeah I'd say it's definitely worse when trying to make precise movements.


I used to call those intention tremors, meaning I would get tremors when I intended on doing something. They come on when you flex a muscle. Toward the and of my active addiction I would get them in my core and diaphragm and it was absolute hell. I'm glad to hear it's just your hands and arms, if you're able to stop the GABAergics they'll probably go away shortly after.

Out of curiosity do you have any loss of feeling in you feet, toes, hands, or fingers or pins and needles sensations there? One thing I got at the end was the palms of my hands would be really warm and itchy - it drove me nuts. Now if my hands get slightly warm I get paranoid like I relapsed or something, similar to having a using dream. I also had the beginning or neuropathy in my feet which fortunately went away in time. I figured I'd mention this stuff in case you're dealing with it. If you're not that's great, and means you haven't extensively damaged yourself so a lot of symptoms you are experiencing will stop shortly after you do.

I've been taking xanax for 4 years now so I have a bit of a dependence. Knowing what I know now I regret my old doctor prescribing it to be taken daily for years on end. It should've been something I just took when my anxiety was at it's worse. I guess hindsight is 20/20 as they say.


Yeah, I have those regrets as well. I was 24 when I began Xanax and had implicit trust in my doctor. I was a university student with no insurance so I saw the county psychiatrist. I didn't realize back the that they just assembly line process people and usually just hand out meds to keep people out of the office. He kept me on Xanax for years. I knew absolutely nothing about it or that it was dangerous. I feel blindsided.

Four years is a long time but it can be worse. If you decide to stop, get some diazapam and do a very slow taper. It should be relatively painless if it's slow. If you ever hve questions feel free to hit me up.
 
I also think the Xanax caused my tolerance to alcohol to go through the roof. For years I was a light weight - pretty drunk after four beers. Around six months after taking Zoloft and Xanax I could polish off a twelve pack and not even slur my words.

I can relate. I'm not sure if it necessarily increased my tolerance, but once I found the synergy between alcohol and benzos it was almost like I found another drug and I was hooked. Before I started xanax I had more of a take it or leave it attitude towards alcohol.

Out of curiosity do you have any loss of feeling in you feet, toes, hands, or fingers or pins and needles sensations there? One thing I got at the end was the palms of my hands would be really warm and itchy - it drove me nuts. Now if my hands get slightly warm I get paranoid like I relapsed or something, similar to having a using dream. I also had the beginning or neuropathy in my feet which fortunately went away in time. I figured I'd mention this stuff in case you're dealing with it. If you're not that's great, and means you haven't extensively damaged yourself so a lot of symptoms you are experiencing will stop shortly after you do.

Can't say that I've had any of that as far as I can remember so maybe I'm not too bad off.

Four years is a long time but it can be worse. If you decide to stop, get some diazapam and do a very slow taper. It should be relatively painless if it's slow. If you ever hve questions feel free to hit me up.

Will do... Thanks for the advice.
 
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