ESSENTIAL TREMOR GUIDELINES MISS A BENEFICIAL TREATMENT

The American Academy of Neurology has recently updated its 2005 guidelines on the treatment of essential tremors, as published in the journal, Neurology. Propranolol (Inderal) and primidone are recommended asa effective although a third to half of patients do not respond to these drugs. Listed as "probably effective" are alprazolam, atenolol, gabapentin (Neurontin), sotalol and topiramate. New recommendations state that Keppra and flunarizine are not beneficial.

COMMENT: As usual, the American Academy of Neurology just considers drugs. For essential tremors, I recommend trying acupuncture, which works in a majority of patients and can provide long term relief.

Posted on Tue, November 1, 2011 by Larry Altshuler, M.D. filed under

1 comment (Add your own)

1. Kim wrote:
Gosh, Howard .I am so glad that you recognized that spot of grace , that clear inner knonwig and faith in you that you trusted when you began your journey to recovery in 2009. That faith, that inner knonwig, that spot of grace is now inspiring similar recognition in all of us . the I becoming the we the we that has the power to heal the world . I think this work, and the inner and collective trust that is involved, asks only that we be committed to the recovery program and be willing to be deeply authentic in our journey (own our fears hand them off to a higher power, live life, allow ourselves to truly feel gratitude). It requires an odd kind of courage, I think. I am so very grateful for your leadership and your selflessness in this.By the way, the words spot of grace come from the writings of one of my favorite writers, Mark Nepo he is a poet and visionary extraordinaire I think. His book, The Exquisite Risk Daring to Live an Authentic Life speaks to our journey.

Mon, May 21, 2012 @ 1:21 PM

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