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A low-dose therapy (50 mg/day) is just as good as a high-dose therapy (750 mg/day). The usual dose range is 120 to 250 mg/day in two divided doses or as one single dose. [22] [15] Primidone is not the only anticonvulsant used for essential tremor; the others include topiramate and gabapentin.
This medication has shown the same beneficial effects in reducing tremors as propranolol and is recommended for use based on guidelines from the American Academy of Neurology and the MDS Task Force on Tremor. The initial dose of primidone is recommended at 25 mg per day and should be increased up to the maximum dose of 250 mg per day.
Tremor and Other Hyperkinetic Movements is a peer-reviewed open access medical journal covering neurology with a focus on hyperkinetic movement disorders including ...
A tremor is an involuntary, [1] somewhat rhythmic muscle contraction and relaxation involving oscillations or twitching movements of one or more body parts. It is the most common of all involuntary movements and can affect the hands, arms, eyes, face, head, vocal folds, trunk, and legs.
Treatment can be problematic: Barbiturates and primidone must be avoided as they commonly precipitate symptoms. [28] Some benzodiazepines are safe, and, when used in conjunction with newer anti-seizure medications such as gabapentin , offer a possible regimen for seizure control.
Physiologic tremor is a tremor or trembling of a limb or other body part. The recorded frequency is in the range of 8-12Hz. The recorded frequency is in the range of 8-12Hz. It occurs in normal individuals, especially when they are stressed by anxiety or fatigue .
Intention tremors that are caused by normal, everyday activities, such as stress, anxiety, fear, anger, caffeine, and fatigue, do not seem to result from damage to any part of the brain. These tremors, instead, seem to be a temporary worsening of a small tremor that is present in every human being. These tremors generally go away with time. [5]
Here are links to possibly useful sources of information about Primidone. PubMed provides review articles from the past five years (limit to free review articles ) The TRIP database provides clinical publications about evidence-based medicine .
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