Treatment may not be needed unless the tremors interfere with your daily activities or cause embarrassment.
For tremors made worse by stress, try techniques that help you relax. For tremors of any cause, avoid caffeine and get enough sleep.
For tremors caused or made worse by a medication, talk to your doctor about stopping the drug, reducing the dosage, or switching. Do not change or stop medications on your own.
Severe tremors make it harder to do daily activities. You may need help with these activities. Things that can help include:
- Buying clothes with Velcro fasteners, or using button hooks
- Cooking or eating with utensils that have a larger handle
- Using straws to drink
- Wearing slip-on shoes and using shoehorns
MEDICINES FOR TREMOR
Medicines may help relieve symptoms. The most commonly used drugs include:
- Propranolol, a beta blocker
- Primidone, a drug used to treat seizures
These drugs can have side effects.
- Propranolol may cause fatigue, stuffy nose, or slow heartbeat, and it may make asthma worse.
- Primidone may cause drowsiness, problems concentrating, nausea, and problems with walking, balance, and coordination.
Other medications that may reduce tremors include:
- Antiseizure drugs
- Mild tranquilizers
- Blood pressure drugs called calcium-channel blockers
Botox injections given in the hand may be tried to reduce tremors.
In severe cases, surgery may be tried. This may include:
- Focusing high-powered x-rays on a small area of the brain (stereotactic radiosurgery)
- Implanting a stimulating device in the brain to signal the area that controls movement