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5/7/2021 How Long Can You Go Without Sleep?

Function, Hallucination, More

How Long Can You Go Without Sleep?


Function, Hallucination, and More
Medically reviewed by Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC,
CHT — Written by Carly Vandergriendt — Updated on December 18, 2018

What happens after 24 hours What happens after 36 hours


What happens after 48 hours What happens after 72 hours
Food, water, and sleep deprivation Long-term effects
Healthy sleep duration Takeaway

How long can you go?


The longest recorded time without sleep is approximately 264 hours, or
just over 11 consecutive days. Although it’s unclear exactly how long
humans can survive without sleep, it isn’t long before the effects of sleep
deprivation start to show.

After only three or four nights without sleep, you can start to hallucinate.
Prolonged sleep deprivation can lead to:

cognitive impairments
irritability
delusions

paranoia SUBSCRIBE

psychosis

Although dying from sleep deprivation is extremely rare, it can happen.

Read on to find out how staying awake for a full 24 hours or more can
affect your body, and how much sleep you actually need to function.
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5/7/2021 How Long Can You Go Without Sleep? Function, Hallucination, More

What to expect after 24 hours without sleep


Missing 24 hours of sleep isn’t uncommon. You might miss a night of
sleep to work, cram for a test, or take care of a sick child. While it might
be unpleasant to stay up all night, it won’t have a significant impact on
your overall health.

Still, missing a night of sleep does affect you. Studies have compared 24-
hour wakefulness to having a blood alcohol concentration of 0.10 percent.
This is above the legal limit to drive in most states.

Some effects of going 24 hours without sleep include:

drowsiness

irritability
impaired decision-making

impaired judgement
altered perception

memory deficits

vision and hearing impairments


decreased hand-eye coordination

increased muscle tension


tremors

increased risk of accidents or near misses



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Symptoms of 24-hour sleep deprivation usually go away once you’ve had


some shut-eye.
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5/7/2021 How Long Can You Go Without Sleep? Function, Hallucination, More

What to expect after 36 hours without sleep


Staying awake for just 36 hours can have intense effects on your body.

Your sleep-wake cycle helps regulate the release of certain hormones,


including cortisol, insulin, and human growth hormone. As a result, going
without sleep for an extended period of time can alter several bodily
functions.

This includes your:

appetite

metabolism

temperature
mood

stress level

Some effects of going 36 hours without sleep include:

extreme fatigue

hormonal imbalances
decreased motivation

risky decisions

inflexible reasoning
decreased attention

speech impairments, such as poor word choice and intonation


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5/7/2021 How Long Can You Go Without Sleep? Function, Hallucination, More

What to expect after 48 hours without sleep


After two nights of missed sleep, most people have difficulty staying
awake. They might experience periods of light sleep that can last up to 30
seconds. During these “microsleeps,” the brain is in a sleeplike state.
Microsleeps happen involuntarily. After a microsleep, you might feel
confused or disoriented.

Staying awake for 48 hours also disrupts the immune system.


Inflammatory markers, which help your body prevent and target illnesses,
start to circulate at increased levels. Some research  has shown that
natural killer (NK) cell activity decreases with sleep deprivation. NK cells
respond to immediate threats to your health, such as viruses or bacteria.

What to expect after 72 hours without sleep


After 72 hours without sleep, most people experience an overwhelming
urge to sleep. Many are unable to stay awake on their own.

Going three days without sleep profoundly limits the ability to think,
especially executive functions such as multitasking, remembering details,
and paying attention. This level of sleep deprivation can make it difficult
to see even simple tasks through to completion.

Emotions are also affected. People who have undergone this level of
sleep deprivation may be easily irritated. They may experience a
depressed mood, anxiety, or paranoia. Research has also found that
sleep deprivation makes it more difficult to process others’ emotions. In
one study, participants with 30 hours of sleep deprivation had difficulty
recognizing angry and happy facial expressions.

Finally, several days of sleep deprivation can significantly alter perception.


You might experience hallucinations, which occur when you see 
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something that isn’t there. Illusions are also common. Illusions are a

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5/7/2021 How Long Can You Go Without Sleep? Function, Hallucination, More

misinterpretation of something that’s real. An example is seeing a sign


and thinking it’s a person.
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Can food and water intake have any effect on


this?
Sleep deprivation can change both your appetite and the types of foods
you crave. Studies  suggest that sleep deprivation is associated with
both an increased appetite and an increased desire for foods associated
with weight gain. However, consuming empty calories can ultimately
leave you more tired.

Eating well may offset some of the effects of sleep deprivation, but only to
an extent. Since your body is conserving energy, opt for lean, protein-rich
foods, such as nuts and nut butters, cottage cheese, or tofu. Avoid fatty
proteins, such as steak or cheese. These will make you sleepier.

Dehydration can exacerbate the effects of sleep deprivation — such as


grogginess and difficulty concentrating — so it’s also important to drink
plenty of water.

What if sleep deprivation becomes chronic?


Chronic partial sleep deprivation is when you don’t get enough sleep on a
regular basis. It’sA Ddifferent
V E R T I S E M E Nthan
T pulling an all-nighter once in a while. It’s 

also more common  than missing one or two nights of sleep in a row, as
most people are likely to sleep for at least a few hours per night.
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5/7/2021 How Long Can You Go Without Sleep? Function, Hallucination, More

The Centers for Disease Control and Prevention (CDC) report that 35
percent  of American adults don’t get enough sleep per night. Chronic
partial sleep deprivation is associated with both short-term health risks
and long-term complications.

Not getting enough sleep over a short period, such as a week, may
cause:

anxiety
unstable mood

drowsiness

forgetfulness

difficulty concentrating

difficulty staying alert


cognitive impairments

decreased performance at work or school

increased risk of illness or injury

In the long term, not getting enough sleep can reduce immune
functioning and increase your risk of certain health conditions. These
include:

high blood pressure

heart disease

stroke

obesity

type 2 diabetes

mental illness
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How much sleep do you really need?


The amount of sleep you need per night varies according to your age  . In
general, newborns and infants need more sleep, and adults need less
sleep.

The CDC  have daily sleep recommendations based on age group:

Age Daily sleep recommendations

newborns 14-17 hours

infants 12-16 hours

toddlers 11-14 hours

preschool-age children 10-13 hours

school-age children 9-12 hours

teens 8-10 hours

adults 7-9 hours

Gender may also play a role in how much sleep you need. Studies  have
found that women tend to sleep slightly longer than men, although the
reasons for this are unclear.

Sleep quality is also important. If you’re concerned about how much sleep
you’re getting, make an appointment with your doctor.

The bottom line


It isn’t clear howAlong humans can truly survive without sleep. But it is
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clear that extreme symptoms can begin in as little as 36 hours. This

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5/7/2021 How Long Can You Go Without Sleep? Function, Hallucination, More

includes a reduced ability to think, poor decision-making, and speech


impairment.

Pulling an all-nighter once every couple of months likely won’t do any


long-term damage. But if they’re happening more often — intentionally or
not — talk to your doctor.

If you’re staying awake out of necessity, your doctor may be able to offer
advice on how to do so in the most health-conscious way. Otherwise,
your doctor can get to the root of your symptoms and help you get your
sleep schedule back on track.

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Last medically reviewed on March 16, 2018

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