Navigation Links
New Guidelines Issued for Common Tremor Disorder

WEDNESDAY, Oct. 19 (HealthDay News) -- An antiseizure drug called primidone (Mysoline) and a high blood pressure drug called propranolol (Inderal) are the most effective medicines to treat shaking in people with essential tremor, according to an updated treatment guideline from the American Academy of Neurology.

Essential tremor, which affects about 10 million people in the United States, is the most common type of tremor disorder and is often mistaken with other movement disorders such as Parkinson's disease.

The condition usually starts after age 40 and affects the hands, head and voice. It can cause difficulties with daily activities such as eating, writing, shaving and sewing.

Along with primidone and propranolol, other helpful medicines include the antiseizure drugs gabapentin (Fanatrex, Neurontin) and topiramate (Topamax), the high blood pressure drugs atenolol (Tenormin) and sotalol (Betapace, Sorine), and the anti-anxiety drug alprazolam (Xanax), according to the guideline.

Unlike the 2005 guideline, the updated guideline does not recommend the use of the antiseizure drugs levetiracetam (Keppra) and flunarizine (Sibelium) or the drug 3,4-diaminopyridine (used for rare muscle diseases) to treat tremors of the arms and legs.

The new guideline also noted that there is insufficient evidence to support the use of the schizophrenia drug clozapine (Clozaril). There is only weak evidence to support the use of the high blood pressure drugs nadolol (Corgard) and nimodipine (Nimotop), the antiseizure drug clonazepam (Klonopin), and botulinum toxin A (Botox).

For patients who don't benefit from drug treatment, two types of brain surgery -- deep brain stimulation and thalamotomy (involving the thalamus) -- may prove helpful, the guideline stated.

The guideline, endorsed by the International Essential Tremor Foundation, is published in the Oct. 19 online edition of the journal Neurology.

More information

We Move has more about essential tremor.

-- Robert Preidt

SOURCE: American Academy of Neurology, news release, Oct. 19, 2011

Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. U.S. Cancer Groups Release Their Own Cervical Cancer Screening Guidelines
2. Health groups issue proposed cervical cancer screening guidelines
3. AAP expands guidelines for infant sleep safety and SIDS risk reduction
4. New ADHD Guidelines Include Preschoolers, Older Teens
5. Some U.S. Parents Ignoring Vaccination Guidelines
6. Experts Revise Guidelines for Whooping Cough Vaccination
7. New study proposes public health guidelines to reduce the harms from cannabis use
8. Diabetes public health: UCSF study highlights need for better guidelines
9. DMP for diabetes type 1: guidelines indicate some need for revision
10. IDSA/PIDS announce guidelines for treating pneumonia in children
11. Annual cervical cancer screening persists, despite recommended guidelines
Post Your Comments:
Related Image:
New Guidelines Issued for Common Tremor Disorder
(Date:10/13/2017)... ... October 13, 2017 , ... Many families have long-term ... long-term care insurance companies have a waiver for care if the client has a ... when the family pays for care, is often waived, so the benefits from their ...
(Date:10/13/2017)... ... ... Ellevate Network, the leading network for professional women, brought together some of ... their inaugural Summit in New York City in June. The event was livestreamed with ... 3 million. To watch the Mobilize Women video, click here . , ...
(Date:10/13/2017)... ... 13, 2017 , ... Yisrayl Hawkins, Pastor and Overseer at The House of ... popular and least understood books in the Holy Scriptures, Revelation. The Book of Revelation ... scholars for centuries. Many have tossed it off as mere rubbish, but Yisrayl Hawkins ...
(Date:10/13/2017)... , ... October 13, 2017 , ... ... and Agile Software Development, has been awarded a contract by the Center for ... Agreement (BPA) aims to accelerate the enterprise use of Agile methodologies in a ...
(Date:10/13/2017)... ... October 13, 2017 , ... “America On The Brink”: the ... “America On The Brink” is the creation of published author, William Nowers. Captain ... As a WWII veteran, he spent thirty years in the Navy. Following his ...
Breaking Medicine News(10 mins):
(Date:9/27/2017)... Sept. 27, 2017  Commended for their devotion to personalized ... Ranked as number one in the South Florida Business Journal,s ... Inc. 5000 yearly list, the national specialty pharmacy has found ... Bardisa will soon be honored by SFBJ as the ... Set to receive his award in October, Bardisa ...
(Date:9/25/2017)... 25, 2017   Montrium , an industry ... today—from the IQPC Trial Master Files & Inspection ... that EastHORN Clinical Services has selected eTMF ... TMF management. EastHORN, a leading European contract research ... increase transparency to enable greater collaboration with sponsors, ...
(Date:9/23/2017)... , Sept. 22, 2017 Janssen Biotech, Inc. ... response letter from the U.S. Food and Drug Administration ... of sirukumab for the treatment of moderately to severely ... additional clinical data are needed to further evaluate the ... severely active RA. ...
Breaking Medicine Technology: