Does Milk Thistle Help With Alcohol Detox?

Robert Gerchalk

Robert is our health care professional reviewer of this website. He worked for many years in mental health and substance abuse facilities in Florida, as well as in home health (medical and psychiatric), and took care of people with medical and addictions problems at The Johns Hopkins Hospital in Baltimore. He has a nursing and business/technology degrees from The Johns Hopkins University.

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 Does Milk Thistle Help With Alcohol Withdrawal?

Alcohol withdrawal is a physiological process that takes place when an individual suddenly quits drinking or cuts back substantially on their alcohol consumption after days, months, or even years of heavy and prolonged use. Alcohol withdrawal arises from the body’s highly intricate adjustment to chronic drinking. It is a series of interrelated neurobiological responses that highlight how much damage alcohol does to the central nervous system. In response to alcohol’s influence, the human brain adjusts and balances its own neurotransmitter levels and how these perform their various functions. This precarious balance is disrupted if there is a sudden stop in alcohol consumption. Withdrawal symptoms result as the body seeks to realign itself with a lack of alcohol in its system.

Symptoms of Alcohol Withdrawal

Tremors

Involuntary shaking is referred to as tremors and most often affects the hands or fingers. The intensity of tremors can be mild to severe, from brief quivers to more pronounced and persistent shakes. Tremors are due to the central nervous system adjusting after suddenly being deprived of alcohol, which is a depressant. When the body adjusts to life after alcohol, the nervous system is overly active and initiates these noticeable physical tremors. Withdrawal tremors can vary widely from one person to the next, lasting a few hours in some people and several days in others.

Nausea and Vomiting

When the body is in withdrawal, the digestive and excretory systems become hyperactive. These systems attempt to eliminate the toxic substance from the body. This physiological reaction often results in feelings of nausea so intense that one may even vomit. Besides the discomfort they bring, these symptoms present even greater dangers: dehydration and electrolyte imbalance. 

Insomnia

Alcohol, which is a central nervous system depressant, may cause you to fall asleep as soon as it takes effect in your body. However, as the body attempts to adapt by reducing stimulation from alcohol sources, this often leads to an increase in neural activity and interferes with maintaining consistent sleep patterns. 

Insomnia from withdrawal is characterized by a persistent inability to fall asleep, remain sleeping, or get a good night’s sleep. Even after falling asleep, the person may continuously toss and turn for many minutes before dropping off completely. Due to the lack of restful sleep, the person will feel fatigued during waking hours, leaving them moody and irritable.

Hallucinations and Seizures

Hallucinations are strong, distorted auditory or visual perceptions. Neurons become overexcited as they try to adapt without their normal damping influence from alcohol, increasing the likelihood of hallucinations. 

Seizures, in contrast, are due to aberrant electrical activity of the brain and may carry grave medical risks. The potential seriousness of hallucinations and seizures illustrates how important it is to undergo withdrawal under a professional’s care. 

Anxiety and Irritability

Addressing anxiety and irritability during alcohol withdrawal is an essential foundation for the overall success of recovery. When the central nervous system becomes overactive as a result of withdrawal symptoms, people may feel excessive worry and agitation. They may feel like something terrible is going to happen at any moment. People may also get easily agitated and lose their tempers in minor situations. Such symptoms can seriously impair one’s ability to participate in social experiences and may further impact interpersonal relationships, highlighting the necessity of a holistic approach during recovery.

Treatment Options for Alcohol Withdrawal

Alcohol withdrawal is a complex matter because people don’t all respond the same way to stopping alcohol consumption. A personalized strategy is required to ensure people get the support and interventions they need on their journey toward recovery.

Hydration and Nutrition

A crucial part of treating the mental and physical effects of alcohol withdrawal is paying attention to hydration and nutrition. Clients going through alcohol withdrawal often develop dehydration, and intravenous fluids are frequently administered along with electrolyte replacement. Dehydration can worsen symptoms and increase health risks; therefore, fluid and electrolyte balance is an important part of the overall treatment strategy. 

In addition, nutritional deficiencies are common in those with an alcohol use disorder. Adjusting the diet to address deficiencies and prescribing supplements improve a client’s comprehensive health and put them in a better position to handle withdrawal symptoms.

Counseling

A vital part of withdrawal treatment is helping people see themselves clearly and giving them the tools they need to live without alcohol. Individual or group therapy sessions create a sanctioned environment in which to understand the causes of addiction, formulate coping mechanisms, and learn how to manage cravings. 

Cognitive behavioral therapy (CBT) is one approach used to help people identify and change harmful thought patterns about alcohol use. Motivational enhancement techniques, family therapy, or other evidence-based interventions may be incorporated into counseling sessions. The therapeutic process not only helps clients manage withdrawal symptoms but also deals with the root causes behind alcohol use.

 Medications

Prescription medications are a common and effective way of treating withdrawal symptoms while minimizing the dangers of stopping alcohol use. Benzodiazepines play an important role as potent central nervous system depressants, relieving tremors, anxiety, and seizures. Examples of benzodiazepines are diazepam (Valium), lorazepam (Ativan), and chlordiazepoxide (Librium). Benzodiazepines must be used with care and under very close medical supervision to prevent excessive use or addiction. 

Carbamazepine (Tegretol) and valproic acid (Depakote), anticonvulsants that help prevent severe seizures, are also used during alcohol withdrawal. Additionally, since enhanced nerves, elevated heart rate, and high blood pressure are common withdrawal effects, a beta-blocker like propranolol (Inderal) or atenolol (Tenormin) can be prescribed to control these.

Social Support

Contact with family, friends, or support groups can make a tremendous difference in how someone succeeds through the stages of withdrawal and remains sober for life. This emotional support cultivates a sense of understanding and compassion, giving people the psychological resources needed to combat an addiction. Groups such as Alcoholics Anonymous (AA) or other recovery communities provide a common ground where people can exchange experiences, share coping techniques, and receive advice from others who have been there. The joint power of social support boosts motivation and provides a feeling of responsibility, deepening the desire to get better.

Inpatient and Outpatient Monitoring

There are several factors involved in the decision between inpatient and outpatient treatment for alcohol withdrawal, among them being the severity of withdrawal symptoms experienced by an individual. Clients should also consider whether they have other medical or psychiatric conditions that need to be addressed while undergoing detoxification and the strength of their social support network. 

Inpatient treatment requires admission to a medical facility providing around-the-clock supervision and support. These settings are suitable for those who have severe withdrawal symptoms, a history of complications, or require enhanced supervision. Outpatient treatment permits individuals to receive the care they need while returning home at night. This method is suitable for those with milder withdrawal symptoms and a safe support environment.

Treating Alcohol Withdrawal With Milk Thistle

What Is Milk Thistle?

Silybum marianum, more commonly known as milk thistle, originated in Europe and has been used for generations in the United States. This thorny, spiny plant is known for its medicinal properties, and its history can be traced back to ancient Greece and Rome. Silymarin, a complex of flavonoids found in the seeds, is the key component in milk thistle. Silymarin is known for its antioxidant and anti-inflammation capabilities. The plant has also been studied for its possible hepatoprotective properties.

How Milk Thistle Works in the Body

Studies show that silymarin has a potent antioxidant effect that protects liver cells from the damaging effects of oxidative stress and inflammation. Further, it may increase glutathione production, a powerful antioxidant in the liver, and promote hepatic cell regeneration. It is believed that by modulating these processes, milk thistle can aid liver function and help with detoxification. Milk thistle’s exact mechanisms of action are not understood, but based on what is known, it may support alcohol withdrawal treatment.

Using Milk Thistle for Alcohol Withdrawal

Although scientific studies on the effectiveness of milk thistle in relieving alcohol withdrawal symptoms are still ongoing, practical experience takes a mixed tone. According to some, because milk thistle supposedly has hepatoprotective effects and is thought to aid liver function, it may reduce withdrawal trauma. Some have included milk thistle in their treatment regimens, working alongside traditional medications. More rigorous scientific research is required to further understand milk thistle’s role in dealing with alcohol withdrawal syndrome.

Potential Side Effects and Risks

Milk thistle is generally believed to be safe for most people, but some can suffer side effects such as mild gastrointestinal unease or allergic reactions. In rare cases, milk thistle can interfere with the effectiveness of certain medications, especially those metabolized by the liver. Compared with pharmaceutical treatments for alcohol withdrawal, milk thistle’s effectiveness is still a subject of study. It should be used instead as an adjunct to general medical care rather than a singular treatment. If you are curious about milk thistle, consult with your doctor before using it to treat alcohol withdrawal symptoms.

Overcoming alcohol addiction is a long and difficult process that involves a significant amount of personal effort. Alcohol withdrawal, treatment for an alcohol use disorder is a multifaceted undertaking that accounts for individual differences.

We at Alcohol Awareness appreciate the significance of this journey and have put together a group of experienced health professionals who deal with all aspects connected to alcohol use disorder recovery. Our aim is to help those struggling with alcoholism find the assistance they need. Connect with us for perspective, direction, and a community that appreciates the intricacies of healing. We are here to guide you on the way toward a healthier life free of alcohol.