A member asked:

Pat. with essential tremor not response to propranolol and primidone .what is next management?

3 doctors weighed in across 2 answers
Dr. Ravi Chand answered

Specializes in Psychiatry

Essential Tremor: Dear patient please refer to the following mayo clinic website http://www.Mayoclinic.Com/health/essential-tremor/ds00367/dsection=treatments%2dand%2ddrugs.

Answered 8/16/2013

4.9k views

Thank

Many: Propranolol can be incr to as much as 320 mg a day if hr and BP permit. Primidone can be increased to as much as 750 mg/day, limited initially by n, v, and ataxia (incoordination). Other drugs are: gabapentin, alprazolam, topiramate and finally, deep brain stimulation. Tremor that does not cause impairment or embarrassment does not require treatment.

Answered 7/29/2019

4.9k views

Thank

Related Questions