Table of ContentsView AllTable of ContentsEssential Tremor MedicationsBeta-BlockersAnti-Seizure MedicationsBenzodiazepinesBotulinum ToxinsSurgery for Essential TremorNutritionWhat Can Make It Worse?Frequently Asked Questions

Table of ContentsView All

View All

Table of Contents

Essential Tremor Medications

Beta-Blockers

Anti-Seizure Medications

Benzodiazepines

Botulinum Toxins

Surgery for Essential Tremor

Nutrition

What Can Make It Worse?

Frequently Asked Questions

Essential tremoris a disorder that causes various parts of your body to shake involuntarily, such as the head, hands, legs, or even your voice. Essentialtremoris a progressive disease, meaning it generally worsens over time, but it varies from person to person.

While there isn’t a medication that cures essential tremor, the following treatments are available to control symptoms:

Nondrug treatment approaches can also be helpful for those living with essential tremor.

A healthcare provider can help determine the best treatment options for you. Keep reading to learn more about essential tremor and different medications to treat it.

Young male spilling multiple pills in his hand.Malorny / Getty Images

Young male spilling multiple pills in his hand.

Malorny / Getty Images

What Medications Are Available for Essential Tremor?

Essential tremor can significantly affect your daily activities, such as feeding yourself or even signing your name.

However, there are several medication options that can help control and reduce the symptoms and improve quality of life.

The main medications prescribed for essential tremor include the following:

Experts recommend beta-blockers as a first-line option for treating essential tremor.

Propranolol

The most commonly recognized FDA-approved beta-blocker for essential tremor is propranolol. Brand names are Innopran XL and Inderal LA.

However, propranolol may not be effective for everyone with essential tremor. While propranolol is used as a first-line treatment option for essential tremor, a 2022 review states that it may only be effective in roughly 40% of patients.

Accordingly, providers may recommend switching to or adding a different medication.

Off-Label Beta-Blockers

To treat essential tumor, the following beta-blockers have been used off-label, meaning for a use or at a dosage for which it was not FDA-approved:

Beta-Blocker Safety

Some side effects of beta-blockers may include the following:

Beta-blockers may not be suitable for you if you have any of the following health conditions:

A healthcare provider can determine an appropriate treatment based on your health history and needs.

If a beta-blocker isn’t working for your essential tremor or if you can’t take a beta-blocker, your healthcare provider may prescribe an anti-seizure medication.

Treatment guidelines recommend Mysoline (primidone) as a first-line anti-seizure medication for essential tremor.Other options may include topiramate or gabapentin.

Primidone

Primidone may also be prescribed in combination with propranolol if either medication is not effective enough alone.

However, unlike propranolol, primidone’s use for essential tremor is off-label; its FDA-approved indication is specific types ofseizures.

Primidone is not safe for everyone. Primidone should be avoided if any of the following apply to you:

Anti-Seizure Medication Safety

Side effects of anti-seizure medications generally include the following:

Topiramate

Topiramate (sold as a generic and under the brand names Topamax and Topiragen) is FDA-approved to help treatmigrainesor epilepsy.

Topiramate is sometimes prescribed off-label for essential tremor if first-line medications like primidone or propranolol do not work well enough.

Avoid topiramate if you:

Gabapentin

Like topiramate, gabapentin (sold as a generic and under the brand name Neurontin) is typically prescribed off-label if primidone and/or propranolol don’t work adequately for essential tremor.

Some evidence supports gabapentin for reducing handtremors. However, more studies are needed to confirm its effectiveness.

People with the following should avoid taking gabapentin as it may increase risk:

A healthcare provider may prescribe alprazolam or clonazepam off-label for essential tremor.

Benzodiazepines have a risk of abuse and dependence, so they should be taken with caution and are typically not first-line medications.

Alprazolam

Alprazolam(sold as a generic and under the brand name Xanax) may be particularly useful to reduce essential tremor affecting your arms or legs, but more studies are necessary to confirm this.

One study found a 69% to 76% reduction in tremor 40 to 80 minutes after taking a dose of alprazolam.

Clonazepam

Clonazepam(sold as a generic and under the brand name Klonopin) has limited evidence behind its effectiveness for essential tremor.

Two small studies in the 1980s had conflicting results, with one study showing significantly reduced tremor with clonazepam and the other showing no benefit with the drug.

Benzodiazepine Safety

Side effects of benzodiazepines include the following:

People with the following should avoid taking benzodiazepines:

Botulinum toxins, such asBotox, are not FDA-approved for essential tremor. However, they are indicated for treatingspasticity(stiff orrigid muscles).

Healthcare providers do not commonly prescribe botulinum toxin injections for essential tremor.

However, they may be an option when other medications aren’t helpful or for people who cannot take oral medications.

Current evidence suggests that botulinum toxins may help reduce hand, head, and voice tremors in people with essential tremor.

Botulinum Toxin Safety

Common side effects of botulinum toxin injections include:

Botulinum toxin injections may interact with the following medications:

People with currenturinary tract infectionsshould avoid botulinum toxin injections.

Some people are eligible forsurgeryfor essential tremor.

The following procedures may be options for people with severe essential tremor that doesn’t respond to medications:

Little is known about the potential pros and cons of taking herbs or dietary supplements for essential tremor. Results from studies are somewhat limited or conflicting.

Examples include the following:

Note that some herbs and supplements may interact with prescription drugs. Before starting a dietary supplement, consult a healthcare provider or pharmacist to check for any precautions or interactions with any over-the-counter (OTC) or prescription medications you take.

Other factors may also impact the risk ofdevelopingessential tremor. Nutrition or dietary factors that may be linked to developing essential tremor include the consumption of:

Beta-carboline alkaloidsare found in meat and are thought to contribute to essential tremor.

Also, environmental exposure to lead or pesticides may put you at a greater risk of developing essential tremor.

More research is needed to confirm the connection between essential tremor and lifestyle factors, including diet and environmental exposure.

What Can Make Essential Tremor Worse?

Some factors can make essential tremor worse. Examples include the following:

A healthcare provider can advise you on what to do if you suspect a medication is causing or worsening your essential tremor.

You shouldn’t stop your medication without professional guidance. A healthcare provider can also support you in any lifestyle modifications that are challenging for you, such as quitting smoking and getting better sleep.

Summary

If essential tremor interferes with your daily activities, various medications can help manage it. The two most common are propranolol and primidone, though they may not work for everyone. Surgery may also be an option for some people.

More research is needed regarding the safety and effectiveness of dietary supplements for essential tremor. However, nutrition and lifestyle factors like diets high in vegetables may be preventive.

Speak with a healthcare provider to determine if trying a medication for essential tremor is an option for you.

Keep in mind that beta-blockers and anticonvulsants can interact with other medications. For your safety, be sure to tell your pharmacist and healthcare providers about all prescription drugs, over-the-counter medications, and supplements you take.

Essential tremor is aneurological conditioncausing involuntary movements and shaking of the body. Essential tremor can cause shaking of the head, hands, legs, abdomen, and even your voice. Essential tremor can be mild and may not require treatment, although the condition can get worsen over time.

Thecauseof essential tremor is unknown, though some factors can bring it about or make it worse. These include taking certain medications, exposure to heavy metals or toxins, caffeine, having a thyroid disorder, diabetes, liver or kidney failure, stress, anxiety, or fatigue.

29 SourcesVerywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.National Institute of Neurological Disorders and Stroke.Tremor.Rincon F, Louis ED.Benefits and risks of pharmacological and surgical treatments for essential tremor: disease mechanisms and current management.Expert Opin Drug Saf.2005;4(5):899-913. doi: 10.1517/14740338.4.5.899Sáenz-Farret M, Tijssen MA, Eliashiv D, et al.Antiseizure drugs and movement disorders.CNS drugs. 2022 Aug;36(8):859-76. doi: 10.1007/s40263-022-00937-xLima AR, Soares-Weiser K, Bacaltchuk J, Barnes TR.Benzodiazepines for neuroleptic-induced acute akathisia.Cochrane Database Syst Rev. 2002;1999(1):CD001950. doi:10.1002/14651858.CD001950Liao YH, Hong CT, Huang TW.botulinum toxin for essential tremor and hands tremor in the neurological diseases: a meta-analysis of randomized controlled trials.Toxins (Basel). 2022;14(3):203. Published 2022 Mar 10. doi:10.3390/toxins14030203Rajput AH, Rajput A.Medical treatment of essential tremor.J Cent Nerv Syst Dis. 2014;6:29-39. doi:10.4137/JCNSD.S13570DailyMed.Propranolol hydrochloride tablet label.Zesiewicz TA, Elble R, Louis ED, et al.Practice parameter: therapies for essential tremor: report of the quality standards subcommittee of the american academy of neurology.Neurology. 2005;64(12):2008-2020.Shah C, Jackson GR, Sarwar AI, Mandava P, Jamal F.Treatment patterns in essential tremor: A retrospective analysis.Tremor Other Hyperkinet Mov (N Y). 2022;12:10. Published 2022 Mar 23. doi:10.5334/tohm.682DailyMed.Metoprolol succinate tablet, extended release label.Food and Drug Administration.Orange book: approved drug products with therapeutic equivalence evaluations.DailyMed.Atenolol- atenolol tablet label.DailyMed.Primidone tablet label.Koller WC, Vetere-Overfield B.Acute and chronic effects of propranolol and primidone in essential tremor.Neurology. 1989;39(12):1587-1588. doi:10.1212/wnl.39.12.1587Welton T, Cardoso F, Carr JA, et al.Essential tremor.Nat Rev Dis Primers.2021;7(1):83. doi: 10.1038/s41572-021-00314-wDailyMed.Topiramate tablet label.Gironell A, Kulisevsky J, Barbanoj M, López-Villegas D, Hernández G, Pascual-Sedano B.A randomized placebo-controlled comparative trial of gabapentin and propranolol in essential tremor.Arch Neurol. 1999;56(4):475-480. doi:10.1001/archneur.56.4.475DailyMed.Gabapentin capsule label.Ibáñez J, González de la Aleja J, Gallego JA, et al.Effects of alprazolam on cortical activity and tremors in patients with essential tremor.PLoS One. 2014;9(3):e93159. Published 2014 Mar 25. doi:10.1371/journal.pone.0093159Thompson C, Lang A, Parkes JD, Marsden CD.A double-blind trial of clonazepam in benign essential tremor.Clin Neuropharmacol.1984;7(1):83-88. doi:10.1097/00002826-198403000-00004Biary N, Koller W.Kinetic predominant essential tremor: successful treatment with clonazepam.Neurology. 1987;37(3):471-474. doi:10.1212/wnl.37.3.471DailyMed.Clonazepam tablet label.DailyMed.Xanax-alprazolam tablet label.DailyMed.Botox- onabotulinumtoxina injection, powder, lyophilized, for solution.de Alencar SS, Crippa JA, Brito MC, Pimentel ÂV, Hallak JE, Tumas V.A single oral dose of cannabidiol did not reduce upper limb tremor in patients with essential tremor.Parkinsonism Relat Disord. 2021 Feb 1;83:37-40.Haubenberger D, Nahab FB, Voller B, Hallett M.Treatment of essential tremor with long-chain alcohols: still experimental or ready for prime time?.Tremor Other Hyperkinet Mov (NY).2014;4:tre-04-211-4673-2. Published 2014 Feb 5. doi:10.7916/D8RX991RCostantini A.High-dose thiamine and essential tremor.BMJ Case Rep. 2018;2018:bcr2017223945. Published 2018 Mar 30. doi:10.1136/bcr-2017-223945Ong Y, Deng X, Tan E.Etiologic links between environmental and lifestyle factors and essential tremor.Ann Clin Transl Neurol. 2019;6(5):979-989. doi:10.1002/acn3.758Koller W, Biary N, Cone S.Disability in essential tremor: effect of treatment.Neurology. 1986;36(7):1001-1004. doi:10.1212/wnl.36.7.1001

29 Sources

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.National Institute of Neurological Disorders and Stroke.Tremor.Rincon F, Louis ED.Benefits and risks of pharmacological and surgical treatments for essential tremor: disease mechanisms and current management.Expert Opin Drug Saf.2005;4(5):899-913. doi: 10.1517/14740338.4.5.899Sáenz-Farret M, Tijssen MA, Eliashiv D, et al.Antiseizure drugs and movement disorders.CNS drugs. 2022 Aug;36(8):859-76. doi: 10.1007/s40263-022-00937-xLima AR, Soares-Weiser K, Bacaltchuk J, Barnes TR.Benzodiazepines for neuroleptic-induced acute akathisia.Cochrane Database Syst Rev. 2002;1999(1):CD001950. doi:10.1002/14651858.CD001950Liao YH, Hong CT, Huang TW.botulinum toxin for essential tremor and hands tremor in the neurological diseases: a meta-analysis of randomized controlled trials.Toxins (Basel). 2022;14(3):203. Published 2022 Mar 10. doi:10.3390/toxins14030203Rajput AH, Rajput A.Medical treatment of essential tremor.J Cent Nerv Syst Dis. 2014;6:29-39. doi:10.4137/JCNSD.S13570DailyMed.Propranolol hydrochloride tablet label.Zesiewicz TA, Elble R, Louis ED, et al.Practice parameter: therapies for essential tremor: report of the quality standards subcommittee of the american academy of neurology.Neurology. 2005;64(12):2008-2020.Shah C, Jackson GR, Sarwar AI, Mandava P, Jamal F.Treatment patterns in essential tremor: A retrospective analysis.Tremor Other Hyperkinet Mov (N Y). 2022;12:10. Published 2022 Mar 23. doi:10.5334/tohm.682DailyMed.Metoprolol succinate tablet, extended release label.Food and Drug Administration.Orange book: approved drug products with therapeutic equivalence evaluations.DailyMed.Atenolol- atenolol tablet label.DailyMed.Primidone tablet label.Koller WC, Vetere-Overfield B.Acute and chronic effects of propranolol and primidone in essential tremor.Neurology. 1989;39(12):1587-1588. doi:10.1212/wnl.39.12.1587Welton T, Cardoso F, Carr JA, et al.Essential tremor.Nat Rev Dis Primers.2021;7(1):83. doi: 10.1038/s41572-021-00314-wDailyMed.Topiramate tablet label.Gironell A, Kulisevsky J, Barbanoj M, López-Villegas D, Hernández G, Pascual-Sedano B.A randomized placebo-controlled comparative trial of gabapentin and propranolol in essential tremor.Arch Neurol. 1999;56(4):475-480. doi:10.1001/archneur.56.4.475DailyMed.Gabapentin capsule label.Ibáñez J, González de la Aleja J, Gallego JA, et al.Effects of alprazolam on cortical activity and tremors in patients with essential tremor.PLoS One. 2014;9(3):e93159. Published 2014 Mar 25. doi:10.1371/journal.pone.0093159Thompson C, Lang A, Parkes JD, Marsden CD.A double-blind trial of clonazepam in benign essential tremor.Clin Neuropharmacol.1984;7(1):83-88. doi:10.1097/00002826-198403000-00004Biary N, Koller W.Kinetic predominant essential tremor: successful treatment with clonazepam.Neurology. 1987;37(3):471-474. doi:10.1212/wnl.37.3.471DailyMed.Clonazepam tablet label.DailyMed.Xanax-alprazolam tablet label.DailyMed.Botox- onabotulinumtoxina injection, powder, lyophilized, for solution.de Alencar SS, Crippa JA, Brito MC, Pimentel ÂV, Hallak JE, Tumas V.A single oral dose of cannabidiol did not reduce upper limb tremor in patients with essential tremor.Parkinsonism Relat Disord. 2021 Feb 1;83:37-40.Haubenberger D, Nahab FB, Voller B, Hallett M.Treatment of essential tremor with long-chain alcohols: still experimental or ready for prime time?.Tremor Other Hyperkinet Mov (NY).2014;4:tre-04-211-4673-2. Published 2014 Feb 5. doi:10.7916/D8RX991RCostantini A.High-dose thiamine and essential tremor.BMJ Case Rep. 2018;2018:bcr2017223945. Published 2018 Mar 30. doi:10.1136/bcr-2017-223945Ong Y, Deng X, Tan E.Etiologic links between environmental and lifestyle factors and essential tremor.Ann Clin Transl Neurol. 2019;6(5):979-989. doi:10.1002/acn3.758Koller W, Biary N, Cone S.Disability in essential tremor: effect of treatment.Neurology. 1986;36(7):1001-1004. doi:10.1212/wnl.36.7.1001

Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial processto learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.

National Institute of Neurological Disorders and Stroke.Tremor.Rincon F, Louis ED.Benefits and risks of pharmacological and surgical treatments for essential tremor: disease mechanisms and current management.Expert Opin Drug Saf.2005;4(5):899-913. doi: 10.1517/14740338.4.5.899Sáenz-Farret M, Tijssen MA, Eliashiv D, et al.Antiseizure drugs and movement disorders.CNS drugs. 2022 Aug;36(8):859-76. doi: 10.1007/s40263-022-00937-xLima AR, Soares-Weiser K, Bacaltchuk J, Barnes TR.Benzodiazepines for neuroleptic-induced acute akathisia.Cochrane Database Syst Rev. 2002;1999(1):CD001950. doi:10.1002/14651858.CD001950Liao YH, Hong CT, Huang TW.botulinum toxin for essential tremor and hands tremor in the neurological diseases: a meta-analysis of randomized controlled trials.Toxins (Basel). 2022;14(3):203. Published 2022 Mar 10. doi:10.3390/toxins14030203Rajput AH, Rajput A.Medical treatment of essential tremor.J Cent Nerv Syst Dis. 2014;6:29-39. doi:10.4137/JCNSD.S13570DailyMed.Propranolol hydrochloride tablet label.Zesiewicz TA, Elble R, Louis ED, et al.Practice parameter: therapies for essential tremor: report of the quality standards subcommittee of the american academy of neurology.Neurology. 2005;64(12):2008-2020.Shah C, Jackson GR, Sarwar AI, Mandava P, Jamal F.Treatment patterns in essential tremor: A retrospective analysis.Tremor Other Hyperkinet Mov (N Y). 2022;12:10. Published 2022 Mar 23. doi:10.5334/tohm.682DailyMed.Metoprolol succinate tablet, extended release label.Food and Drug Administration.Orange book: approved drug products with therapeutic equivalence evaluations.DailyMed.Atenolol- atenolol tablet label.DailyMed.Primidone tablet label.Koller WC, Vetere-Overfield B.Acute and chronic effects of propranolol and primidone in essential tremor.Neurology. 1989;39(12):1587-1588. doi:10.1212/wnl.39.12.1587Welton T, Cardoso F, Carr JA, et al.Essential tremor.Nat Rev Dis Primers.2021;7(1):83. doi: 10.1038/s41572-021-00314-wDailyMed.Topiramate tablet label.Gironell A, Kulisevsky J, Barbanoj M, López-Villegas D, Hernández G, Pascual-Sedano B.A randomized placebo-controlled comparative trial of gabapentin and propranolol in essential tremor.Arch Neurol. 1999;56(4):475-480. doi:10.1001/archneur.56.4.475DailyMed.Gabapentin capsule label.Ibáñez J, González de la Aleja J, Gallego JA, et al.Effects of alprazolam on cortical activity and tremors in patients with essential tremor.PLoS One. 2014;9(3):e93159. Published 2014 Mar 25. doi:10.1371/journal.pone.0093159Thompson C, Lang A, Parkes JD, Marsden CD.A double-blind trial of clonazepam in benign essential tremor.Clin Neuropharmacol.1984;7(1):83-88. doi:10.1097/00002826-198403000-00004Biary N, Koller W.Kinetic predominant essential tremor: successful treatment with clonazepam.Neurology. 1987;37(3):471-474. doi:10.1212/wnl.37.3.471DailyMed.Clonazepam tablet label.DailyMed.Xanax-alprazolam tablet label.DailyMed.Botox- onabotulinumtoxina injection, powder, lyophilized, for solution.de Alencar SS, Crippa JA, Brito MC, Pimentel ÂV, Hallak JE, Tumas V.A single oral dose of cannabidiol did not reduce upper limb tremor in patients with essential tremor.Parkinsonism Relat Disord. 2021 Feb 1;83:37-40.Haubenberger D, Nahab FB, Voller B, Hallett M.Treatment of essential tremor with long-chain alcohols: still experimental or ready for prime time?.Tremor Other Hyperkinet Mov (NY).2014;4:tre-04-211-4673-2. Published 2014 Feb 5. doi:10.7916/D8RX991RCostantini A.High-dose thiamine and essential tremor.BMJ Case Rep. 2018;2018:bcr2017223945. Published 2018 Mar 30. doi:10.1136/bcr-2017-223945Ong Y, Deng X, Tan E.Etiologic links between environmental and lifestyle factors and essential tremor.Ann Clin Transl Neurol. 2019;6(5):979-989. doi:10.1002/acn3.758Koller W, Biary N, Cone S.Disability in essential tremor: effect of treatment.Neurology. 1986;36(7):1001-1004. doi:10.1212/wnl.36.7.1001

National Institute of Neurological Disorders and Stroke.Tremor.

Rincon F, Louis ED.Benefits and risks of pharmacological and surgical treatments for essential tremor: disease mechanisms and current management.Expert Opin Drug Saf.2005;4(5):899-913. doi: 10.1517/14740338.4.5.899

Sáenz-Farret M, Tijssen MA, Eliashiv D, et al.Antiseizure drugs and movement disorders.CNS drugs. 2022 Aug;36(8):859-76. doi: 10.1007/s40263-022-00937-x

Lima AR, Soares-Weiser K, Bacaltchuk J, Barnes TR.Benzodiazepines for neuroleptic-induced acute akathisia.Cochrane Database Syst Rev. 2002;1999(1):CD001950. doi:10.1002/14651858.CD001950

Liao YH, Hong CT, Huang TW.botulinum toxin for essential tremor and hands tremor in the neurological diseases: a meta-analysis of randomized controlled trials.Toxins (Basel). 2022;14(3):203. Published 2022 Mar 10. doi:10.3390/toxins14030203

Rajput AH, Rajput A.Medical treatment of essential tremor.J Cent Nerv Syst Dis. 2014;6:29-39. doi:10.4137/JCNSD.S13570

DailyMed.Propranolol hydrochloride tablet label.

Zesiewicz TA, Elble R, Louis ED, et al.Practice parameter: therapies for essential tremor: report of the quality standards subcommittee of the american academy of neurology.Neurology. 2005;64(12):2008-2020.

Shah C, Jackson GR, Sarwar AI, Mandava P, Jamal F.Treatment patterns in essential tremor: A retrospective analysis.Tremor Other Hyperkinet Mov (N Y). 2022;12:10. Published 2022 Mar 23. doi:10.5334/tohm.682

DailyMed.Metoprolol succinate tablet, extended release label.

Food and Drug Administration.Orange book: approved drug products with therapeutic equivalence evaluations.

DailyMed.Atenolol- atenolol tablet label.

DailyMed.Primidone tablet label.

Koller WC, Vetere-Overfield B.Acute and chronic effects of propranolol and primidone in essential tremor.Neurology. 1989;39(12):1587-1588. doi:10.1212/wnl.39.12.1587

Welton T, Cardoso F, Carr JA, et al.Essential tremor.Nat Rev Dis Primers.2021;7(1):83. doi: 10.1038/s41572-021-00314-w

DailyMed.Topiramate tablet label.

Gironell A, Kulisevsky J, Barbanoj M, López-Villegas D, Hernández G, Pascual-Sedano B.A randomized placebo-controlled comparative trial of gabapentin and propranolol in essential tremor.Arch Neurol. 1999;56(4):475-480. doi:10.1001/archneur.56.4.475

DailyMed.Gabapentin capsule label.

Ibáñez J, González de la Aleja J, Gallego JA, et al.Effects of alprazolam on cortical activity and tremors in patients with essential tremor.PLoS One. 2014;9(3):e93159. Published 2014 Mar 25. doi:10.1371/journal.pone.0093159

Thompson C, Lang A, Parkes JD, Marsden CD.A double-blind trial of clonazepam in benign essential tremor.Clin Neuropharmacol.1984;7(1):83-88. doi:10.1097/00002826-198403000-00004

Biary N, Koller W.Kinetic predominant essential tremor: successful treatment with clonazepam.Neurology. 1987;37(3):471-474. doi:10.1212/wnl.37.3.471

DailyMed.Clonazepam tablet label.

DailyMed.Xanax-alprazolam tablet label.

DailyMed.Botox- onabotulinumtoxina injection, powder, lyophilized, for solution.

de Alencar SS, Crippa JA, Brito MC, Pimentel ÂV, Hallak JE, Tumas V.A single oral dose of cannabidiol did not reduce upper limb tremor in patients with essential tremor.Parkinsonism Relat Disord. 2021 Feb 1;83:37-40.

Haubenberger D, Nahab FB, Voller B, Hallett M.Treatment of essential tremor with long-chain alcohols: still experimental or ready for prime time?.Tremor Other Hyperkinet Mov (NY).2014;4:tre-04-211-4673-2. Published 2014 Feb 5. doi:10.7916/D8RX991R

Costantini A.High-dose thiamine and essential tremor.BMJ Case Rep. 2018;2018:bcr2017223945. Published 2018 Mar 30. doi:10.1136/bcr-2017-223945

Ong Y, Deng X, Tan E.Etiologic links between environmental and lifestyle factors and essential tremor.Ann Clin Transl Neurol. 2019;6(5):979-989. doi:10.1002/acn3.758

Koller W, Biary N, Cone S.Disability in essential tremor: effect of treatment.Neurology. 1986;36(7):1001-1004. doi:10.1212/wnl.36.7.1001

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