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Suggest Treatment For Essential Head Tremor

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Posted on Tue, 17 Jun 2014
Question: I have an essential head tremor ( very slight ) i am taking 2 capsules of velvet bean daily with 120mg of L - dopa per capsule, i still have a very very slight head tremor. Can i take 750mg of Gaba at night time and could this help with the tremor, or increase the velvet bean to 4 capsules which would mean 480mg of L - dopa daily, i have no side effects. I am a 58 year old mail, non smoker, very little alcohol intake and jog every day.

Kind Regards.
doctor
Answered by Dr. Sudhir Kumar (12 hours later)
Brief Answer:
You can increase the dose of velvet bean.

Detailed Answer:
Hi,

Thank you for posting your query.

I have noted your symptoms. I feel you can increase the dose of velvet bean, as you have improved on that and there are no side effects as yet.

GABA is unlikely to help in essential tremors.

Other medications that could be helpful in essential heads tremors are Topiramate and beta blockers such as propranolol. If you do not adequately improve with velvet bean, you may try one of these two medications.

I hope it helps.

Best wishes,
Dr Sudhir Kumar MD DM (neurology) XXXXXXX Consultant Neurologist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (9 hours later)
Dear Dr. XXXXXXX

Thank you so much for the reply, it is really appreciated.
Do you think i should go to 3 capsules which will be 360mg of L- Dopa and see after that. And what is the maximum safe amount of L- Dopa i can take daily, i have read it can be up to 500mg?
Is gaba for anxiety.

Kind Regards, XXXXXXX XXXXXXX
doctor
Answered by Dr. Sudhir Kumar (8 hours later)
Brief Answer:
You can take four capsules.

Detailed Answer:
Thank you for getting back.

You can take four capsules, which would be about 480 mg of L Dopa. This is the usual upper limit of safe dose.

GABA is generally used for treating neuropathic pain.

I hope it helps.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (15 hours later)
Dear Dr. XXXXXXX

Thank you again for your sound advice.
One last question please. If i was to have side effects with the Velvet Bean,
what would they be, and would hair loss be one of them?
Thank you all for the fantastic service.

Kind Regards, XXXXXXX XXXXXXX
doctor
Answered by Dr. Sudhir Kumar (2 hours later)
Brief Answer:
Hair loss is uncommon.

Detailed Answer:
Thank you for getting back.

More common side effects with velvet bean include nausea and vomiting, fall of blood pressure on standing and confusion.

Hair loss is an uncommon side effects with L-DOPA.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sudhir Kumar (21 hours later)
Dear Dr. XXXXXXX

A very good afternoon to you. Will an essential head tremor get worse, and if yes what can i expect in the future, it is really very minimal before i started the Velvet Bean, it gets slightly worse if i am stressed.

Kind Regards, XXXXXXX XXXXXXX
doctor
Answered by Dr. Sudhir Kumar (6 minutes later)
Brief Answer:
Severe worsening is uncommon.

Detailed Answer:
Thank you for getting back.

Essential head tremors may get worse a little, very slowly over time, however, severe or significant worsening is uncommon. Mild worsening with anxiety or stress is common though.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
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Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6232 Questions

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Suggest Treatment For Essential Head Tremor

Brief Answer: You can increase the dose of velvet bean. Detailed Answer: Hi, Thank you for posting your query. I have noted your symptoms. I feel you can increase the dose of velvet bean, as you have improved on that and there are no side effects as yet. GABA is unlikely to help in essential tremors. Other medications that could be helpful in essential heads tremors are Topiramate and beta blockers such as propranolol. If you do not adequately improve with velvet bean, you may try one of these two medications. I hope it helps. Best wishes, Dr Sudhir Kumar MD DM (neurology) XXXXXXX Consultant Neurologist