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Management

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The aim of treatment is to improve the disability that results from parkinsonian tremor. Patients may need support and reassurance as they may be distressed by the tremor.

Management includes:

  • altering / eliminating causes of tremor such as drugs
  • advise to carry a newspaper or handbag under the arm - this can reduce the tremor
  • anticholinergic drugs are more successful than L dopa when tremor is the main problem
  • dopaminergic drugs such as levodopa - when the patient also has rigidity dopaminergic drugs would normally be considered before the anticholinergics

Reference

  1. Bohlega S et al. Tremor in Parkinson's Disease: From Pathophysiology to Advanced Therapies. Tremor Other Hyperkinet Mov (NY). 2022 Sep 13:12:29.

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