Tremor - essential; Familial tremor; Tremor - familial
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 may make it harder to do daily activities. You may need help with these activities. Devices may help with everyday activities, such as:
Buying clothes with Velcro fasteners, 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:
The drugs can have side effects.
Other medications that may reduce tremors include:
Botox injections, given in the hand, have been used to reduce tremors by weakening local muscles.
In severe cases, surgery may be tried. This may include:
An essential tremor is not a dangerous problem, but some patients find the tremors annoying and embarrassing. In some cases, it may be dramatic enough to interfere with work, writing, eating, or drinking.
Sometimes the tremors affect the voice box, which occasionally leads to speech problems.
Call for your health care provider if
Deuschl G, Raethjen J, Hellriegel H, Elble R. Treatment of patients with essential tremor. Lancet Neurol. 2011 Feb;10(2):148-61.
© 2011 University of Maryland Medical Center (UMMC). All rights reserved.
UMMC is a member of the University of Maryland Medical System,
22 S. Greene Street, Baltimore, MD 21201. TDD: 1-800-735-2258 or 1.866.408.6885