Delirium tremens vs milder withdrawal: which statement is true about timing?

• A. Delirium tremens occurs 48-72 hours after cessation and includes severe confusion.
• B. Delirium tremens occurs immediately after cessation.
• C. Delirium tremens occurs after weeks.
• D. Delirium tremens timing is random.

Answer: (A)

Delirium tremens shows up after a specific window in alcohol withdrawal: it usually begins about 2 to 3 days after the last drink, roughly 48–72 hours, and it is marked by severe confusion or delirium along with strong autonomic signs. This timing reflects the progression from milder withdrawal symptoms (like tremors and anxiety) that start earlier, to a more dangerous, brain-wide agitation that peaks around this 2–3 day mark. It wouldn’t be immediate after cessation, nor delayed by weeks, nor random. So the statement that delirium tremens occurs 48–72 hours after cessation and includes severe confusion best captures the true pattern.