Major withdrawal symptoms usually appear 2-3 days after the last drink and can include delirium tremens (DT’s). Symptoms of DT’s include elevation in heart rate, blood pressure and temperature noted above with the addition of confusion, disorientation, agitation, visual and auditory hallucinations and seizures. These symptoms usually last for 3-5 days but can be of longer duration (Kneisl, 2009). Major alcohol withdrawal can be fatal.