How long does marijuana withdrawal last
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Duration and Symptoms of Marijuana Withdrawal
Onset and Peak of Marijuana Withdrawal Symptoms
Marijuana withdrawal symptoms typically begin within 24 to 48 hours after cessation of use. The onset of symptoms such as aggression, anger, anxiety, decreased appetite, irritability, restlessness, shakiness, sleep problems, and stomach pain generally occurs between Days 1-3 . These symptoms usually peak between Days 2-6 .
Duration of Withdrawal Symptoms
The majority of withdrawal symptoms last between 4 to 14 days. However, in heavy users, some symptoms can persist for up to 3 weeks or more . For instance, anxiety, irritability, and physical tension are most pronounced during the initial 10 days of abstinence but can continue for the entire 28-day withdrawal period.
Common Withdrawal Symptoms
The most frequently reported symptoms during marijuana withdrawal include anxiety, irritability, anger or aggression, disturbed sleep/dreaming, depressed mood, and loss of appetite . Physical symptoms such as chills, headaches, physical tension, sweating, and stomach pain are also observed, though they are less common.
Impact on Behavior and Mood
Withdrawal from chronic marijuana use can lead to significant increases in aggressive behavior, particularly around Days 3 and 7 of abstinence. These behavioral changes tend to return to pre-withdrawal levels after 28 days. Additionally, withdrawal is marked by negative mood changes, including increased irritability, anxiety, and depression .
Management of Withdrawal Symptoms
Supportive counseling and psychoeducation are the primary approaches for managing marijuana withdrawal symptoms. There are no medications specifically approved for medically assisted withdrawal (MAW), but some pharmacological agents have shown promise in controlled trials. For example, oral THC has been found to decrease symptoms such as anxiety, misery, and trouble sleeping during marijuana abstinence . However, other medications like divalproex and quetiapine have shown mixed results, sometimes worsening mood and cognitive performance .
Conclusion
Marijuana withdrawal symptoms typically begin within the first 24 to 48 hours after cessation, peak between Days 2-6, and can last from 4 to 14 days, with some symptoms persisting for up to 3 weeks or more in heavy users. Common symptoms include anxiety, irritability, disturbed sleep, and loss of appetite. Effective management primarily involves supportive counseling, though some pharmacological treatments may help alleviate specific symptoms.
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