How long does opioid withdrawal last?

Hours 8–24: yawning, restlessness, sweating, muscle aches, anxiety. Days 1–3: nausea, vomiting, diarrhea, severe muscle pain, insomnia. Days 3–7: symptoms gradually resolve.

Opioid withdrawal is severe but not usually medically dangerous by itself. MAT (buprenorphine) shortens and softens the window significantly.

Post-acute withdrawal (sleep, mood, cravings) can last months. Outpatient care manages this.

Sources & further reading

Medically reviewed by our clinical team

Dr. Dhiren Patel, DO — Staff Psychiatrist, Real Deal Recovery
Dr. Dhiren Patel, DO Staff Psychiatrist · Real Deal Recovery Board-certified psychiatric care for adults in outpatient treatment.
Sharaya Gallozzi, M.A., LMFT-S — Chief Clinical Officer, Real Deal Recovery
Sharaya Gallozzi, M.A., LMFT-S Chief Clinical Officer · EMDR-Trained · Meet Sharaya Leads the Real Deal clinical team; supervises therapists across all three rehab centers.

Last reviewed September 2026. This article is educational and is not medical advice. In an emergency call 911 or the 988 Suicide & Crisis Lifeline.

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