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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Persisting Hand Tremors. On Pipra, Valporil, Manohexy. Suggest

I am taking following medicines pipra 30 0 -0-1
Valporil CR 300 0-0-1
Manohexy 1-0-0
seilo 0.5 mg 1/2 - 0 -1/2

all problem but hand tremors persist what to do?
Mon, 16 Sep 2013
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Neurologist 's  Response
Hi,

Thank you for posting your query.

Tremors of hands are a side effect of valprol (sodium valproate). I presume you are taking valprol for control of seizures or bipolar disorder. Please discuss with your doctor regarding this side effect. If the side effect is interfering with your daily life, there are two options.

One option is to replace valproate with another drug, such as carbamazepine.

If we can not replace the drug, then, we can use propranolol tablets to reduce the hand tremors.

I hope this helps.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
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Persisting Hand Tremors. On Pipra, Valporil, Manohexy. Suggest

Hi, Thank you for posting your query. Tremors of hands are a side effect of valprol (sodium valproate). I presume you are taking valprol for control of seizures or bipolar disorder. Please discuss with your doctor regarding this side effect. If the side effect is interfering with your daily life, there are two options. One option is to replace valproate with another drug, such as carbamazepine. If we can not replace the drug, then, we can use propranolol tablets to reduce the hand tremors. I hope this helps. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist