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Essential tremor

Also known as Physiological Tremor and Benign Essential Tremor Syndrome

Essential tremor (ET) is a degenerative disorder of the central nervous system whose most recognizable feature is a tremor of the arms or hands during voluntary movements such as eating and writing. In many respects it resembles Idiopathic Parkinson's disease. Essential tremor is commonly described as an action tremor (it intensifies when one tries to use the affected muscles) rather than a resting tremor; rigidity, such as is seen in Parkinson’s, is usually not included among its symptoms. In practice, however, there is far less difference between Essential Tremor and Parkinson's Disease than is often assumed.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with essential tremor, 95% report having abnormal involuntary movements, 35% report having problems with movement, and 30% report having dizziness. The symptoms that are highly suggestive of essential tremor are abnormal involuntary movements, problems with movement, and arm stiffness or tightness, although you may still have essential tremor without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with essential tremor often receive other diagnostic procedures (interview; evaluation; consultation), magnetic resonance imaging, physical therapy exercises, ophthalmic examination and evaluation, depression screen, other physical therapy and rehabilitation, other non-or therapeutic procedures on musculoskeletal system and psychological and psychiatric evaluation and therapy .

Common Medications

The most commonly prescribed drugs for patients with essential tremor include primidone, propranolol, gabapentin, topiramate (topamax), carbidopa / levodopa, carbidopa / entacapone / levodopa, trihexyphenidyl (artane), amantadine, aspirin / dipyridamole, torsemide, guaifenesin / pseudoephedrine, pramipexole (mirapex) and protriptyline .

Primidone
$29
(28 days)
Propranolol
$18
(28 days)
Gabapentin
$25
(28 days)
Topiramate (Topamax)
$67
(28 days)
Trihexyphenidyl (Artane)
$11
(28 days)
Amantadine
$28
(28 days)
Torsemide
$23
(28 days)
Pramipexole (Mirapex)
$121
(28 days)
Protriptyline
$142
(28 days)

Who is at risk?

Groups of people at highest risk for essential tremor include age 75+ years age 60-74 years.

Age

< 1 years
0.2x
1-4 years
0.1x
5-14 years
0.2x
15-29 years
0.3x
30-44 years
0.2x
45-59 years
1.3x
60-74 years
2.5x
75+ years
2.7x

Sex

Male
1.0x
Female
1.0x

Race/Ethnicity

Black
0.4x
Hispanic
0.6x
White
1.3x
Other
0.9x
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