Can Medication Cure Essential Tremor? Hand Tremors - Neurology

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The issue of hand tremors?


It seems that my dad also has tremors.
I had hand tremors when I was a child.
I would like to know if medication can help treat hand tremors.
Can primary hand tremors be treated with medication?

Ke Ke, 10~19 year old female. Ask Date: 2022/09/25

Dr. Jiang Junyi reply Neurology


Hello, Mr.
Ke:
You mentioned, "Can medication cure hand tremors?" Primary tremors are those where the exact cause of the tremors cannot be identified; they may be due to a specific constitution or hereditary factors, and they typically become more pronounced when holding objects.
When treating hand tremors, it is essential to check for abnormalities in thyroid function or electrolytes.
If there is an improvement in tremor symptoms but noticeable side effects, it is advisable to reduce the dosage by half.
Propranolol, if used long-term, should not be abruptly discontinued; a tapering approach is recommended.
In daily life, physiological tremors can be managed to reduce the severity of the symptoms.
These tremors usually do not occur spontaneously but may arise in specific situations such as stress, anxiety, or anger.
Certain medications, such as bronchodilators, as well as the consumption of coffee, tea, or cola, can also contribute to physiological tremors.
I recommend discussing your concerns and treatment options with a neurologist.
Thank you for your inquiry, and feel free to reach out for further discussion on related issues! Wishing you good health and peace.
Dr.
Jiang Junyi, Taoyuan Medical Center

Reply Date: 2022/09/25

More Info


Essential tremor (ET) is a neurological condition characterized by involuntary shaking, most commonly affecting the hands. It is often mistaken for other types of tremors, such as those associated with Parkinson's disease, but it is distinct in its causes and treatment options. While there is currently no cure for essential tremor, various medications can help manage the symptoms effectively.

The primary medications used to treat essential tremor include beta-blockers, such as propranolol, and anticonvulsants like primidone. Propranolol is often the first-line treatment and has been shown to reduce tremors in many patients. Primidone, originally developed for epilepsy, can also be effective in reducing tremor severity. Some patients may find relief with other medications, such as gabapentin or topiramate, although these are not as commonly prescribed.

In addition to medication, lifestyle modifications can also play a role in managing essential tremor. For instance, reducing caffeine intake, managing stress, and using adaptive devices can help minimize the impact of tremors on daily activities. Occupational therapy may also provide strategies to cope with tremors, such as using weighted utensils or other assistive devices.

It's important to note that the effectiveness of medication can vary from person to person. Some individuals may experience significant improvement, while others may find that medications do not provide adequate relief. In cases where medication is ineffective or causes intolerable side effects, other treatment options may be considered. These can include physical therapy, deep brain stimulation (DBS), or focused ultrasound surgery, which are more invasive procedures aimed at reducing tremor severity.

If your father is experiencing tremors, it is crucial for him to consult with a healthcare professional, preferably a neurologist, who can provide a thorough evaluation and recommend an appropriate treatment plan. The neurologist will consider his medical history, the severity of the tremors, and any other underlying health conditions before prescribing medication.

In summary, while essential tremor cannot be cured, it can be effectively managed with medication and other therapeutic approaches. If you or your father are concerned about hand tremors, seeking medical advice is the best course of action to determine the most suitable treatment options.

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