Essential tremor

Alternative names:

tremor - essential

Treatment:

Treatment may not be necessary unless tremors interfere with the patient's ability to perform daily activities.

Medications are variable because of individual responses to medications. Medications that may reduce tremors include propranolol, Mysoline and other anticonvulsants, and mild tranquilizers.

Caffeine (in substances such as coffee and soda) and other stimulants should be avoided because they commonly worsen tremors.

Alcoholic beverages in small quantities may markedly decrease tremors but can lead to alcohol dependence. The mechanism of how alcohol decreases an essential tremor is unknown.

Expectations (prognosis):

An essential tremor is not a dangerous condition but can be annoying and embarrassing.

Complications:

If it is severe, essential tremor can mildly interfere with activities, especially fine motor skills such as writing. Speech is occasionally involved. Medications can cause side effects.

Calling your health care provider:

Call for an appointment with your health care provider if essential tremor is interfering with ability to perform daily activities.

Call your health care provider if side effects of medications occur, including fainting, very slow heart rate, confusion or changes in alertness, and prolonged nausea/vomiting.