Tremor

[snowdog1999]

I am a 38 year old  who has been developing a tremor in my dominant hand for the past 18 months. I also have been taking imipramine for the last 18 years for a panic disorder. I tried reducing my imipramine dosage about the time the tremor began but then went back up to my original dose. The tremor continued and seems to be getting worse. Ive read that imipramine can cause tremors but find it hard to believe it would start after all these years. I saw a neurologist and was diagnosed with an essential tremor. he tried me on propranolol 120mg but it didn't really help...any thoughts

[jessic30]

are you tired all the time......

[JainMD]

Hi,
How are you feeling?
Tremor is an unintentional, somewhat rhythmic, muscle movement involving to-and-fro movements (oscillations) of one or more parts of the body. It is the most common of all involuntary movements and can affect the hands, arms, head, face, vocal cords, trunk, and legs.
Most tremors occur in the hands. In some people, tremor is a symptom of another neurological disorder.
The most common form of tremor, however, occurs in otherwise healthy people. Neurological disorders or conditions that can produce tremor include multiple sclerosis, stroke, traumatic brain injury and neurodegenerative diseases that damage or destroy parts of the brainstem or the cerebellum. Other causes include the use of some drugs (such as amphetamines, caffeine, corticosteroids, and drugs used for certain psychiatric disorders), alcohol abuse or withdrawal, mercury poisoning, overactive thyroid or liver failure.
Tremors can be an indication of hypoglycemia, along with palpitations, sweating and anxiety. Some forms of tremor are inherited and run in families, while others have no known cause.
Eliminating tremor “triggers” such as caffeine and other stimulants from the diet is often recommended.
Physical therapy may help to reduce tremor and improve coordination and muscle control for some patients.
Hope this helps.
Bye.