How is essential tremor treated?

Essential tremor is divided into drugs and surgery, and the principle is: mild tremor is not required; Patients with mild to moderate disease may choose to take the medication half an hour earlier to reduce symptoms intermittently due to work or social needs; Moderate to severe tremor that interferes with daily life and work, requiring medication**; Surgery may be considered in patients with severe disease refractory to medication**; Botulinum toxin type A injections are an option for patients with head or voice tremors**. 1) First-line recommended medication:

Propranolol propranolol is a non-selective adrenergic receptor blocker and is the classic first-line drug. Efficacy: It can effectively reduce the amplitude of limb tremor by 50% (the frequency of tremor does not decrease), but the effect on axial tremor (such as head, voice, etc.) is not good.

Adverse reactions: Decreased heart rate and blood pressure are common, but patients with a heart rate of 60 beats can tolerate it. During the medication, the changes in heart rate and blood pressure should be closely observed, such as the heart rate can be reduced when the heart rate is 60 beats, and the drug should be stopped when the heart rate is 55 beats; The use of this drug is prohibited in patients with unstable cardiac insufficiency, severe atrioventricular block, asthma, insulin-dependent diabetes mellitus, etc.; Other uncommon side effects include fatigue, nausea, diarrhea, rash, impotence, and depression.

PrimidonePrimamidone is a commonly used antiepileptic drug. Efficacy: It is effective for hand tremor, reducing tremor amplitude by 50%.

Adverse reactions: In the early stage of medication, the incidence of acute reactions (including dizziness, nausea, vomiting, unsteady walking, drowsiness, acute toxic reactions, etc.) is relatively high, and most of the adverse reactions will gradually decrease or reach tolerance after a few days. Arolol efficacy:

It can reduce the amplitude of postural tremor and action tremor, and the efficacy is similar to that of propranolol. Alolol has 4-5 times more receptor blocking activity than propranolol, and does not easily cross the blood-brain barrier and does not produce the central nervous system like propranolol***. Therefore, it may be considered in patients who cannot tolerate propranolol**.

Adverse reactions: bradycardia, dizziness, hypotension, etc. Heart rate and blood pressure changes should be closely observed during the medication, and if the heart rate is 60 beats or there is significant hypotension, the dose should be reduced or stopped.

The main ones are nadolol, nimodipine, clozapine, botulinum toxin type A, etc. Botulinum toxin type A has more advantages in head and voice tremors, and can also be used for limb tremors. A single dose (40 400 IU) of botulinum toxin type A given intramuscularly reduces tremor amplitude in the upper extremities.

The most common adverse effects are finger weakness and limb stiffness. Botulinum toxin type A injected with IU in the soft palate may cause voice tremor, but hoarseness and dysphagia may occur***. Botulinum toxin type A**Refractory tremor is symptomatic**, usually with a single injection lasting 3 to 6 months, and repeated injections are required to maintain efficacy.

Regarding the ** method of essential tremor, it is mainly through drugs ** or surgery ** to achieve a relief. In terms of drugs**, patients can be given propranolol or Almar, etc., which have a quick effect, but if the patient has symptoms of slow heart rate, it is not suitable to use such drugs. If the drug is not relieved, surgery is required.

Be sure to go to a regular hospital to consult a professional doctor and take the best plan according to the doctor's advice.

Essential tremor** is usually treated with a number of medications. Patients with sudden fibrillation are usually due to the decline of spleen and stomach function after middle age, and the body's circulatory endocrine imbalance leads to sudden symptoms. Patients suffering from essential tremor can be relieved and suppressed by taking many drugs, and they must also stabilize their survival and greatly improve their quality of life in order to be able to allocate treatment.

It is necessary to pay attention to eating more light and easily digestible foods, as well as some foods rich in protein.

Essential tremor is common in middle-aged and elderly people, and occasionally in young people, the most common reason is family inheritance, probably more than 70% of people have a family history, and a very few are sporadic. Essential tremor is characterized by a long onset time, which will last for a long time, and may not necessarily affect life. If the tremor worsens and affects life, there are two ways to do it**

Clause. 1. Drink red wine, because red wine has the effect of relieving tremors, drink a small cup at each meal. Clause.

Second, take receptor blockers for **, of which Almar is a better drug for essential tremor**, but this medicine works, and it doesn't work if you don't take it, so for very serious essential tremor, patients who have affected their lives need to take it for a long time, once a day in the morning and evening, one tablet at a time.

Essential tremor is a typical movement disorder, many patients have a clear family history, usually postural tremor, which occurs at a young age. For essential tremor**, the main methods are as follows:

First, we must eliminate the fear of this disease, realize that this disease is a benign disease, and the prognosis is good, so do not be too anxious and nervous.

Second, it is necessary to ensure adequate sleep, many patients sleep improve, and tremor will be reduced.

Third, it is generally applied to patients with receptor blockers**, and the effect is good. Some people may be given a little sedative or antiepileptic medication.

Essential tremor has extremely serious harm, especially many reasons cause the emergence of the disease, resulting in the patient's heart is affected, and will be accompanied by obvious discomfort, every friend to understand essential tremor thoroughly, need to pay attention to the work of the disease, master some of the first measures of the disease, first of all, the drug, such as - receptor blockers, commonly used drugs have propranolol, patients should take it from time to time, in addition to Almar, the effect of the drug is better, and the production of *** is smaller, In particular, it is commonly used in clinical practice, and patients need to have an electrocardiogram (ECG) before taking the drug, so as to rule out slow heart rhythm and conduction block.

It can also be combined with the patient's condition, using traditional Chinese medicine prescriptions, which can play a role in invigorating qi, activating blood and removing blood stasis, such as tonifying yang and returning five decoctions, the prescription uses astragalus to invigorate qi and replenish deficiency, using Chuanxiong, Dilong, peach kernel, angelica, red peony, safflower and other drugs, which can play the role of invigorating blood, removing blood stasis and channeling, and then use Dading Fengzhu to nourish the liver and kidney essence and blood, and the combination of various drugs can be effective**Essential tremor, patients must pay attention to their own body changes, and master the relevant ** drugs, In particular, it is necessary to work quickly after the onset of the body.

Essential tremor is benign tremor. In general, progress is very slow, and it can be 10-20 years with shaky hands, without serious consequences. Some people have a family history of inheritance, parents have it, and children are also prone to it.

Patients with essential tremor generally do not need ** if it does not affect their lives, and observation is sufficient. If hand tremors affect your life, such as shaking a little when you hold a bowl or chopsticks, you can have two options: one is to drink red wine to see if it can be relieved; In addition, there is a medicine called Almar, which patients can take for observation.

Essential tremor may not be complete**, but it can relieve symptoms.

The main treatment of essential tremor is to control and alleviate: 1. Oral propranolol, Almar and other drugs to reduce tremor. 2. Botulinum toxin to reduce the degree of essential tremor. 3. Tremor can be improved by cell knife surgery or brain pacemaker surgery.

Essential tremor requires the individual to go to the hospital for a good examination, and then according to the doctor's diagnosis**, in order to have a better ** result.

Essential tremor is not possible at present, but the symptoms can be alleviated by the corresponding **.

Generally, the commonly used drugs in the world are propranolol and primidone. In the case of poor effect, some use the two drugs together.

The drug must start with a small dose and gradually increase the dose, and it is necessary to pay attention to *** and contraindications at all times.

This is just a reference, be sure to go to the hospital for a special examination and symptomatic**.