Unfortunately, the medications that help with alcohol withdrawal are somewhat dangerous in their own right and need to be fairly tightly controlled. Delirium tremens (the shakes) from withdrawal are usually managed with benzodiazepines like Valium for emergent use and Ativan for prolonged control. The other main maintenance drug for alcohol withdrawal is Librium, and that one is also a benzodiazepine. It would be amazing if there were safe OTC options, but because of the serious damage alcohol does and the dangerous nature of withdrawal from it, it really needs to be closely medically managed. Opiate withdrawal sucks…alcohol withdrawal can very easily kill you outright.