The crack withdrawal timeline can vary widely, depending on individual factors such as personal physiology, the extent of the crack addiction and whether you have any co-occurring mental health conditions. However, there are general phases that most people will experience during the crack withdrawal process:
Early crack withdrawal (First few hours – three days)
The onset of crack detox symptoms typically starts within hours of the last crack cocaine use. This period is also referred to as the “crash” phase and is often marked by a sudden swing from extreme excitement to intense dysphoria (general distress, unease or discomfort).
- First few hours after the last use: Feelings of discontent, agitation and restlessness usually start setting in within a few hours as the body craves another dose of crack.
- Days one to three: Usually, this is the phase when crack withdrawal symptoms become most acute. Extreme cravings for crack may occur, often paired with dysphoria and agitation. There may also be physical crack withdrawal symptoms such as exhaustion, increased appetite and disturbed sleep. These symptoms can create a strong desire to use crack again to alleviate the discomfort.
Peak crack withdrawal (one to two weeks)
The ‘peak’ withdrawal phase often starts a few days after the last use and can last up to two weeks.
- Days four to seven: Crack withdrawal symptoms typically peak in intensity during this time. Depression, anxiety and intense cravings are common, as are ongoing sleep disturbances such as vivid, unpleasant dreams or insomnia.
- Week two: While the intensity of cravings may start to subside slightly, they can still be strong and persistent. Emotional crack withdrawal symptoms like depression and anxiety can also continue, although the severity of these symptoms usually starts to decrease gradually.
Late crack withdrawal (Several weeks – months)
The late crack withdrawal phase, also referred to as the ‘extinction’ phase, is marked by a gradual decrease and ultimate ending of symptoms for most people.
- Three to four weeks: The intense cravings will likely have significantly reduced by now, though occasional mild cravings may still occur. Depression and anxiety levels also usually decrease during this time.
- One to three months: While most acute crack withdrawal symptoms should have subsided after the first month or so, psychological symptoms like occasional cravings or mood swings can persist, potentially leading to Post-Acute Withdrawal Syndrome (PAWS).
PAWS refers to withdrawal symptoms that persist or appear weeks or months after acute withdrawal. It usually involves ongoing mood swings, anxiety, trouble with cognitive tasks, sleep disturbances and ongoing cravings. These symptoms can pose challenges to recovery, potentially leading to relapse if not adequately managed. Treatment options include medication, therapy and supportive counselling, all of which are available through drug rehab at Oasis Runcorn.
