Tics, Shakes & Tremors

Submitted by Dr. JG Kaplan on Tue, 2010-04-27 08:56

For patients wuth abnormal (hyperkinetic) movements, tics, or tremors:

Many drugs such as neuroleptics used in the management of ADD, ADHD and distractibility-hyperkinesis syndromes, tamoxifen, amiodarone, and valproate, to name a few, can cause tremor, facial grimaces, etc.
The most effective drugs to use when attempting to treat intention tremor are propranolol or primidone.
Many abnormal movements can be helped by specific drug treatment or botox.
Tremor or dystonia may be due to Wilson's disease [where you cannot properly metabolize copper].
Restless leg syndrome may be due to low ferritin (iron storage) concentrations, and improve with iron therapy.

Source: Fuller G. "The Bare Essentials; Hyperkinetic Movement Disorders: Shakes, Jumps and Jolts." Practical Neurology 2010;10:114-123

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