This site is intended for healthcare professionals

Sign in
Go to /sign-in page

You can view 5 more pages without signing in

Tremor in adults - NICE guidance - suspected neurological conditions - recognition and referral

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Tremor in adults

Summary points from NICE guidance relating to tremor in adults are:

Tremor suggesting Parkinson's disease

  • refer adults with suspected parkinsonian tremor, other asymmetric tremor, or tremor associated with stiffness, slowness, balance problems or gait disorders for neurological assessment before treatment

Essential tremor

Suspect essential tremor in an adult with symmetrical postural tremor and no symptoms of parkinsonism.

In adults with suspected essential tremor:

  • review regular medication
  • check thyroid function
  • assess alcohol consumption using a tool such as AUDIT (Alcohol Use Disorders Identification Test) - manage if evidence of alcohol misuse/dependence

Refer for neurological assessment only if the symptoms are disabling and first-line treatment as specified in the BNF is ineffective or not tolerated.

Consider referring adults with troublesome tremor of the head to a movement disorder clinic

Reference:

Related pages

Create an account to add page annotations

Create a free account

Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.

The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

Connect

Copyright 2024 Oxbridge Solutions Limited, a subsidiary of OmniaMed Communications Limited. All rights reserved. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions receives funding from advertising but maintains editorial independence.