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Doctor insights on: Metoprolol Essential Tremor

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I have a tremor one doc said hyperthyroidism one said essential tremor. I'm on metoprolol but doesn't stop it. I am so mad tired of feeling this.

I have a tremor one doc said hyperthyroidism one said essential tremor. I'm on metoprolol but doesn't stop it. I am so mad tired of feeling this.

Some points: If you have uncontrolled hyperthyroidism, tremor can be secondary ; even after pharmacological control, tremor may persist for a few weeks, but endocrine system needs to be stabilized. Do not see need to term this essential tremor as that would likely be incorrect here. Your metoprolol is not a bad choice, but other beta blockers may work better. (additional choices: Primidone and alprazolam). ...Read more

Dr. Lawrence Kessler
36 doctors shared insights

Shaking Hands Or Tremor (Definition)

Shaky hands is a symptom in a person's hand or hands has a tremor (shakiness or small back and forth movements). Shakiness can be present at rest, all the time, or only when the person is trying to use his hands. Causes include, brain problems, nerve problems, muscle problems, medicine effects, drug abuse, etc. ...Read more


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I received an anwer that the botulinus toxin injection could be a more longful cure for my essential tremor. Can you give me more details please?

I received an anwer that the botulinus toxin injection could be a more longful cure for my essential tremor. Can you give me more details please?

Not a cure: But might represent a localized control measure. However, an "off-label" approach which is very unlikely to be covered by insurance. ...Read more

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Can you tell me if I could smoke cigarettes if I have essential tremor?

Can you tell me if I could smoke cigarettes if I have essential tremor?

Yes & no: Yes, that is ok- essential tremor is not influenced by cigarettes. But cigarettes are so bad for your health. They increase the risk of heart attack, stroke and lung cancer. These are good reasons not to smoke. ...Read more

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I have essential tremor. I take propranolol as medication but obviously it does not help me so much. I heard there is no cure for this. Is it true?

Other drugs may help: Other medications that are useful in treatment of essential tremor are primidone, Gabapentin and memantine. Essential tremor is also sometimes treated by botulinus toxin injections and deep brain stimulation. ...Read more

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Who gets essential tremor?

Who gets essential tremor?

Anybody: The condition is usually genetically determined but may not appear in all generations because of reduced penetrance of the gene. The tremor starts imperceptibly, often in one limb (usually upper) but almost always is bilateral. This is an action tremor, often functionally impairing. This can begin in the 20s or 30s but is most common in the 40s or later. Medications may help. But there is no cure. ...Read more

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Is essential tremor permanent?

Yes: There is no known cure so far. Only control is possible with medications and or deep brain stimulation and at times with Botox injections. ...Read more

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What does essential tremor feel like?

What does essential tremor feel like?

Shaking with use: Tremors of mainly hands which appear or intensify by attempt to use hands in activities like holding a cup or writing with a pen or use knife or a fork. Shaking subsides once the hands are rested on laps or well-supported. An alcoholic drink often relieves tremors for several hours. ...Read more

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What are the symptoms of essential tremor?

What are the symptoms of essential tremor?

Shaking alone: The hallmark of essential tremor is shaking without any other signs or symptoms that would suggest parkinsons or another cause. The shaking is typically worst with movement or sustained posture (not at rest) and is exacerbated by stress. It is usually first seen in the hands or arms, but can involve the head or other parts of the body. While there is no cure, medications can reduce symptoms. ...Read more

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What sort of disorder is an essential tremor?

Tremor: Essential tremor: is a tremor at rest. Usually on both side involving the hands, wrists, lower extremity, head, or voice.
Tend to be familiar. Propranolol(inderal) may help. ...Read more

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Can I die from essential tremor if I ignore it?

No: This is a benign but uncomfortable condition. ...Read more

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Is essential tremor curable?

Is essential tremor curable?

No but managable: Essential tremors cannot be cured in total, but managed by betablockers and similar medications. ...Read more

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Is there a cure for essential tremor?

Is there a cure for essential tremor?

No cure: Some patients require only intermittent tremor reduction, such as when attending a meeting or engaging in a social activity. For these patients, a cocktail or beer prior to the activity may be sufficient. An alternative is Propranolol (10-40 mg) approximately one half hour prior to the event. Alcohol consumption is not an appropriate maintenance therapy for patients who seek tremor reduction throu. ...Read more

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What is the best treatment for essential tremor?

Essential tremor: Possibly propanolol (dosis has to be gradually increased) or primidone. 50% pts do not response to medical treatment. Brain stimulation there is for very frustrated pts. Some tremors may improve after drinking alcoholic beverages. ...Read more

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Primidone what is the dosage for essential tremor?

Essential Tremor: Primidone (mysoline) is a structural analogue of phenobarbital. The drug reduces tremor amplitude by 60% to 70%. Although Primidone therapy reduces hand tremor, tremors of the head, voice, and other areas improve less. The starting dose of Primidone should be low (12.5-25 mg), taken at bedtime, and gradually increased until tremor reduction is achieved. The maximum dosage is 750 mg/day divide tid. ...Read more

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What are thd indications to dbs in essential tremor?

Variable: Not carved in stone, as we are assessing who would be the best candidate as time proceeds. My approach would include patients who seem not to respond well to current meds, whose tremors are so intense to be disabling, and those folks who just do not tolerate the adverse effects of their meds. ...Read more

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Any effective treatment for benign essential tremor?

Any effective treatment for benign essential tremor?

Do not have to treat: But propranolol, atenolol, primidone, remeron, (mirtazapine) topomax, botox, Klonopin can help. ...Read more

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Can a person go on dbs for both essential tremor and dystonia?

Can a person go on dbs for both essential tremor and dystonia?

Yes, not same target: Dbs is most commonly used for parkinson disease, essential tremor, and dystonia. Usually the dystonia is a generalized dystonia although it can be used for more focal dystonia ie cervical (neck) as well. The target for essential tremor is usually the thalamus, while the target for dystonia is the globus pallidus interna. If someone was having it for both disease states, a careful plan is needed. ...Read more

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Are there any promising treatments in the pipeline for essential tremor?

Already: There are few effective medication already for essential tremor. You can visit with a neurologist for the most appropriate one for your case. ...Read more

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What is the differences between essential tremor and atypical parkinsonism?

Tremor: The difference between the two ironically is tremor. Wereby essential tremor has a tremor, atypical parkinsonism such as that caused by progressive supranuclear palsy, corticobasilar degeneration and multisystem atrophy tend not to have tremor. Also, in parkinsonism the tremor is usually at rest. In essential tremor the tremor is noticeable with use. ...Read more

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Medicine prescribed for benign essential tremor (sounds like myciline) 50 mg bid?

Mysoline (primidone): Primidone is old medicine which break to phenobarbitol, it helps essential tremors, usually taken starting 50 mg. ...Read more

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Could gamma knife at the swedish radiosurgery successfully treat essential tremor?

Not standard: The more standard non-medical treatment would be a deep brain stimulator. Determining which area to irradiate by gamma knife would be a little problematic. For DBS the surgeon and neurologist try to map out the most effective place to "turn off" with the stimulator. Couldn't do that with gamma knife. ...Read more

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So I was told I have an essential tremor and alcohol will stop the shaking but it actually makes them worse any suggestions I just want them to stop?

So I was told I have an essential tremor and alcohol will stop the shaking but it actually makes them worse any suggestions I just want them to stop?

Be skeptical: Alcohol does temporarily assist tremors, and caffeine may accentuate, but your best control measures might be Primidone for drugs, and weighted bracelets for stability without drugs. If too disabling, in rare cases, deep brain stimulation has been employed, but really a very last resort. ...Read more

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What is essential tremor?

Tremor of aging: It can occur in the wrists/hands or the head and neck (think of kaltheryn hepburn). Although it can cause a lot of problems for patients, it is not associated with a disease that effects someone's lifespan (such as parkinson's). It occurs when one holds the arms out and some with movement, but goes away when resting & supported. (parkinson's tremor is mostly seen when resting & supported.). ...Read more

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What is an essential tremor?

Movement Disorder: Essential tremor is a movement disorder that is characterized by a tremor when you try to do something. This is in contrast to Parkinson's disease, in which patients have a tremor at rest. Parkinson's disease also is marked by slowness of movement and stiffness. ...Read more

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What's benign essential tremor?

What's benign essential tremor?

Action tremor: Also, called action tremor, senile tremor, or familial tremor, this is shaking, usually in the upper extremities associated with activity as opposed to a rest tremor as seen in parkinsons disease. Sometimes it is a central tremor presenting as head bobbing. "Essential" means the cause is unknown. There are various medications that can help reduce the tremor. ...Read more

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What is essential tremor please?

Essential tremor: Essential tremor is a common condition that tends to affect the hands, the head, and sometimes the voice. It tends to affect the left and right sides equally. It is apparent during movement, and it is absent at rest. A good way to observe this is to ask someone to hold their hands in front of them or to pour a glass of water from a full glass to an empty glass. ...Read more

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What is benign essential tremor?

Common type: These are tremors that occur on attempt to use hands such as eating with spoon or writing or trying to hold a cup as opposed to the tremors of parkinson which occur at rest and disappear with action. Benign is misnomer but these are not life threatening. ...Read more

Dr. Prakash Deedwania
728 doctors shared insights

Metoprolol (Definition)

Metoprolol belongs to the calss of medications know as beta-blockers. It has many functions, including lowering pulse and blood pressure. It can also be used in people who have weak heart muscles to stop/slow the progression of the disease and perhaps even ...Read more


Dr. Eric Farbman
85 doctors shared insights

Essential Tremor (Definition)

kinetic tremor = neurological disorder that ...Read more