3 doctors weighed in:

Pat. With essential tremor not response to propranolol and primidone .What is next management?

3 doctors weighed in
Dr. Bennett Werner
Internal Medicine - Cardiology
1 doctor agrees

In brief: 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.

In brief: 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.
Dr. Bennett Werner
Dr. Bennett Werner
Thank
Dr. Ravi Chand
Psychiatry

In brief: Essential Tremor

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

In brief: Essential Tremor

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