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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Issues With Balance And Tremors That Worsen With Stress And Anxiety. Could Dilantin Add To This Problem ?

My mother has been taking dilantin for several years 100mg am 200mg HS. She has had issues with balance that have been attributed to what the DRs think is Parkinsons, but the tremor is not constant in her arm but seems to worsen with stress and fatigue. Most recently she has had severe balance problems (bending drastically at the waist) and her arm involuntarily moving from her side. Her last Dilantin level was July. What are your thoughts?
Thu, 2 Jan 2014
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  User's Response
HI
Thank for asking to HCM
I really appreciate your concern for your mother, your mother is taking Phenytoin this drug mainly given for seizures, if the doctor is thinking that the tremor your mother is have is could be Parkinson then they should stop the phenytoin, but I would advise you that, It could be essential tremor and not the Parkinson, and in my opinion "Propranolol" should be tried, it is better to stop the phenytoin if she does not have any history of seizure, take a good care of your mother, have nice day.
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Issues With Balance And Tremors That Worsen With Stress And Anxiety. Could Dilantin Add To This Problem ?

HI Thank for asking to HCM I really appreciate your concern for your mother, your mother is taking Phenytoin this drug mainly given for seizures, if the doctor is thinking that the tremor your mother is have is could be Parkinson then they should stop the phenytoin, but I would advise you that, It could be essential tremor and not the Parkinson, and in my opinion Propranolol should be tried, it is better to stop the phenytoin if she does not have any history of seizure, take a good care of your mother, have nice day.