When the meds stop working

DEAR DR. GOTT: A neurosurgeon told me that I have a genetic familial tremor. He prescribed Mysoline, 50 milligrams four times a day. Well, either I have become immune to it or it just doesn’t work. Your thoughts, please.

DEAR READER: Familial refers to a hereditary disease or disorder seen in some families and not in others — thus, your genetic tremor. Essential tremor affects millions of people across the United States. It is a disorder of the nervous system that causes involuntary tremor or shaking, primarily seen in the hands, head and eyelids but never the feet or legs. Other signs and symptoms are generally not observed when a person is asleep. It differs from other disorders such as Parkinson’s or disorders that are the result of head trauma.
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Anti-anxiety med for tremor?

DEAR DR. GOTT: My doctor has prescribed a light dose of Xanax for an essential tremor, which seems to help. Is this medicine doing me any harm, or is there something better?

DEAR READER: Essential tremor can be caused by several conditions, including anxiety and stress. It is often confused with Parkinson’s disease, and affects almost 15 percent of people over the age of 65.

The Xanax you have been prescribed is in a group of drugs called benzodiazepines. I can only assume your physician prescribed it because he or she believes the tremor is caused by anxiety. [Read more...]