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Suggest treatment for essential tremors and COPD

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Posted on Wed, 13 May 2015
Question: I have essential tremor saw a doctor and he prescribed Primadone, I am taking a half tab 2 times a day. It does not seem to be doing much and I have been taking it about a month now. I do have copd, and am on numerous meds.
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Answered by Dr. Ajay Panwar (52 minutes later)
Brief Answer:
Please mention in mg the dose you are taking.

Detailed Answer:
Hi Jbigle,
Thanks for being on healthcaremagic.com.
I am Dr.Ajay Panwar,a neurologist,here to answer your query.

If you would have presented to me as an outpatient, I would have asked you to mention the primidone dose you are taking in MG(milligrams) strength,rather than full tablet or half tablet.However,I can confidently presume that you are just on the starting dose of Primidone.

For Essential Tremor(ET),Primidone can safely be taken upto 750 mg once a day.So,you can probably increase the dose here.Increment is to be done in every 2-3 weeks,titrating the response to drug.

Another drug 'Propranolol' is also first line drug and very effective for ET patients.However,it is not the drug of choice for patients of pulmonary diseases,as you are having COPD.

Hope that I have answered your query.If you have some follow-up questions,I shall be glad to answer else,please close the thread-rate it and write a review as your rating will be of help to me.

Regards
Dr.Ajay Panwar,
MD,DM(Neurology)
Above answer was peer-reviewed by : Dr. Shanthi.E
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Dr. Ajay Panwar

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Practicing since :2007

Answered : 1826 Questions

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Suggest treatment for essential tremors and COPD

Brief Answer: Please mention in mg the dose you are taking. Detailed Answer: Hi Jbigle, Thanks for being on healthcaremagic.com. I am Dr.Ajay Panwar,a neurologist,here to answer your query. If you would have presented to me as an outpatient, I would have asked you to mention the primidone dose you are taking in MG(milligrams) strength,rather than full tablet or half tablet.However,I can confidently presume that you are just on the starting dose of Primidone. For Essential Tremor(ET),Primidone can safely be taken upto 750 mg once a day.So,you can probably increase the dose here.Increment is to be done in every 2-3 weeks,titrating the response to drug. Another drug 'Propranolol' is also first line drug and very effective for ET patients.However,it is not the drug of choice for patients of pulmonary diseases,as you are having COPD. Hope that I have answered your query.If you have some follow-up questions,I shall be glad to answer else,please close the thread-rate it and write a review as your rating will be of help to me. Regards Dr.Ajay Panwar, MD,DM(Neurology)