Which symptom is typical in alcohol withdrawal?

• A. Tremor and agitation.
• B. Slurred speech.
• C. Hypotension.
• D. Euphoria.

Answer: (A)

Recognizing alcohol withdrawal hinges on CNS hyperexcitability after stopping alcohol, which commonly produces tremors and agitation as the body rebalances neurotransmitter activity. When alcohol is suddenly removed after chronic use, GABA inhibition wanes and glutamate activity increases, leading to autonomic overactivity and heightened CNS excitability. Tremors are often the earliest sign, sometimes appearing within hours, and agitation reflects the same heightened arousal and anxiety. Slurred speech is more typical of intoxication, not withdrawal. Hypotension is not the hallmark of withdrawal—tachycardia and hypertension from sympathetic overdrive are more common. Euphoria isn’t characteristic of withdrawal either.