Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

157 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for essential tremors and dizziness

Answered by
Dr.
Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 3487 Questions

default
Posted on Thu, 2 Mar 2017 in Brain and Spine
Question: I was originally put on inderal la 160mg for essential tremor but that was discontinued and I changed to the generic propanolol 160mg have been having side effects like lightheaded/dizziness frequent urinating drinking excessively do you thing my gp would be able to cut the dosage at my request and what would you recommend for dosage for essential tremor
doctor
Answered by Dr. Erion Spaho 1 hour later
Brief Answer:
Lowering the dose should be considered by your GP.

Detailed Answer:
Hello and thanks for using HCM.

I have read your question and understand your concerns.

Propranolol daily dose used to treat essential tremor varies from 60 to 240 mg/ daily, with the maximum dose of 320 mg/daily.

Since you are experiencing side effects, I think your Doctor should consider lowering the dose, since there is a possibility of control of symptoms with lower dose ( 80 mg, or 120 mg daily ).

Hope you found the answer helpful.

Kind regards.
Above answer was peer-reviewed by : Dr. Prasad
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Drug/Medication ,  

Recent questions on  Inderal

doctor1 MD

Hi! My daughter usually has migraines and Has benn on inderal, also on yaz. She has been getting pregnancy symptoms, fatigue, loss of appetite, feeling nauseous in the mornings for,several weeks. Negative urine and blood tests for hcg. She had a period which was very light. She has reduced taking the inderal lately in case she is pregnant. I have read stories on line about women who have low levels of hcg even up unto several months of pregnancy. She also has a very small tumour in the brain (assumed to be benign, approx 9mm). Today she has been up at 4 am, every time she gets up she feels faint, and dizzy and vomited twice this morning. I am very concerned. Please advise what may be wrong, what we should do next? Thanks very much!

doctor1 MD

I recently going through bad times related to my health.When I wake up my pulse rate lurks around 56 - 62 where as in day it can sumtime jump to 80+. I get panic attacks. recently death of my father triggered depression, anxiety & hypertension in me.The doctors here advised me anti-depressants & inderal but I dont use them as I want to cure myself naturaly.my BP is around 105/75 - 115(or 120)/85.I feel tingling sensations in lower left chest side, somewhere near the middle chest too.I feel dizzy at times, I sleep during the day while I cannot sleep at nights.I am a smoker. at times I feel like I will die. I get panic attacks too & I have memory loss problem. I feel like I am going crazy & insane.I avoid social activities now.my left leg & left arm sometime gets numbs & I get bad headaches all over my head.am underweight. I have kinda controlled my panic attacks with balanced diet now but these above mentioned conditions still remain.Please help anyone.

doctor1 MD

Hi, I am 43 female with prolactinomia (removed) SVT and hyatus hernia on half inderal 80 mg, omperazole 40mg and caberogoline 0. 5mg, i do suffer anxisety and i am in remission with agoraphobia but struggling my job leaves me sitting for 8 hours a day bored and my mind plays games... but I have been very sickly recently, stress is a factor, had a family crisis recently, but i have a lot of shoulder and neck pain and very fuzzy head and pressure in front of head. Ear feels blocked to right? Very nervous when out and about again. No appetite due to feeling sick and drinking not as much as I should so own worst enemy. Concerned I have cealics disease as very ill when at any white food! What do you advise please

doctor1 MD

Nagercoil, 27.06.2010. Kind Attn :Head of Cardiology,Apollo speciality hospitals,Chennai. I am S.Padmanabhan from Nagercoil,aged 45 ,no smoking,no alcohol,no drug,no moral problem,Diabatic from last year. My date of birth is 25.02.1964 ,45 years old,Residing at 75(69),Chidambara nager,Gandhi Nivas,Kottor,NAGERCOIL-629002,Kanyakumari district. Mob:0000.E-mail: YYYY@YYYY / YYYY@YYYY . The following is My Heart Problem â?? A detailed Report. (Hypertrophic Obstructive Cardiomyopathy ). When I was admitted for a Hydrocelle Operation in 1993,The duty doctors found a murmur sound from my heart and I was adviced to take a Echo.I have done my forst Echo at M/S.PRS Hospital,Trivandrum Kerala ,by Dr.Tiny Nair and the report says that â??Mild Asymetric Septal Hypertrophy,ANT Motion of AML in Systole,Mild MR,Mild Ivot Gradient amd Systolic Flutter of Ar Valve and Suggest to Mild Hypertrophic Obstructive Cardiomyopathy and suggested me Inderal 40 1-1-1 and Trika 0.25 at night 0-0-1. Sebsequently I was do echo every year.Then I had a chance to do my Check up With Amirtha Insitute of Medical Sciences,Ernakulam,Cochin on 03.11.2006 and I had taken Echo where the descriptive report as follows. Amirtha Insitute of Medical Sciences,Ernakulam ECHO Report. 5 mm fossa ovalis atrial septal defect with left and right flow.Normal pulmonary venous drainage.Normal left ventricular size. Hypertrophy of the basal anterior septum (22 mm).Severe hypertrophy of mid inferior.anterior and lateral walls.Mild midcavity resting obstruction (25 mm Hg).Grade III SAM.Significant resting LVOT gradient (85-110 mm Hg).Overall good LV systolic function(good radial,mildly impaired long axis function).The estimated left ventricular ejection fraction is 55%.No regional wall motion abnormality.E/Ve=12.The left atrium is moderately dilated.PV â??aâ?? duration is 52 ms more than mitral â??Aâ?? indicating elevated LVEDP.The aortic valve is normal.No coarctation. The Pulmonic valve is normal. The Pulmonary artery is mildly dilated.the right artial size is normal. The right ventricle is normal in size and function. The tricuspid valve is normal. RVSP=50 mm Hg.The Pericardium is normal. Hypertropic obstructive cardiomyopathy/significant resting LVOT obstruction/ Mild mid cavity obstruction/moderate mitral regurgitation/Small fossa ovalis atrial septal defect with left to right flow/Moderate PAH/Good RV function. Again ECHO was done on 19.6.2008.at JK Hospital,Nagercoil by Dr.N.Jayaseelan. ECHO Report Exteacts The Doctors Impressions are as follows. Hypertrophic Obstructive Cardiomyopathy. Asmmetric Hypertrophy of Septal Antero Septal & Anterior walls at base & mild LV levels and also Lateral wall at Apical Level. Dilated Left Atrium. Systolic Anterior Motion of Mitral valve. Severe Left ventricular outflow obstruction.(Peak Gradient 89.8 mmHg). Mitral Regurgitation â?? Mild. Normal Left Ventricular systolic Function (EF 87%). Mild left Ventricular Diastolic Dysfunction. Occasional Ventricular Premature Beats+. My Present Problems Unable to walk ,and Sleep in flat bed position.Become very tired frequently and feeling chest heaviness when ever I take full Break fast/Lunch/Supper.Heaviness starts after 15 to 20 mts of food intake.Severe pain in hand shouldes.This continues for a hour and I become to normal.Very difficult to walk in up hill areas/gradients.Just 3 months back my Blood sugar level started to 195.Now Iam able to maintain to 145. Just 2 months back, Low lipido also started.So I contacted my Cardiologist.He informed that this may due to the Intake of Inderal Tablet from 1993.After taking calaptin 120SR it is solved to some extent. When ever I take food in all times,I get pain,palpitation and heaviness till it get digest.I also frequently feel hunger.If I took meals from a function,marriage,after 15 mts i feel very much heaviness.I may not able to walk .Mentally,i am forced to take soda.If i take soda,after half an hour I will back to 75% normal within 15 mts. I was very comfortable if I take Inderal tablet,but this has Low lipido Side effect.I also browsed got this message from web sites.Now ,My Dr changed my tab from INDERAL 40 to DILZEM 30 at 1-1-1. Now I am taking Dilzem 30 at 1-1-1 and Ubi Q Plus at 1-0-0.And Amaryl 1 mg at 1-0-0 for Sugar. Again,I had a consutation with Dr.K.U Nartarajan of m/s Amirtha Hospital,Ernakulam who comes to Nagercoil every monthly and I had a chance to consult him on 9.11.2008,and he advised me to do â??Alcohol septal ablationâ?? and Angio gram at the earlist.He also informed me that when we do the Angiogram,by that time only this Alcohol septal ablation can be done.Is this Alcohol septal ablation cure my problems or we have to for Myectomy. On 9.11.2008 Dr.Natarajan changed the Medicene from DILZEM 30 to Calaptin 120SR 1-0-0 and Ditide �½ tab in 1-0-0. Then I showed with Dr.Dr.G.Vijayaraghavan,Chief KIMS,Trivandrum.He changed the following medicines. My Present Medicines are as follows. Lopressor 50: 1-0-1. Amariyal : 1 mg 1-0-0. UBI I Q Plus : 1-0-0. Rosuvas 5 : 0-0-1. Hirudaya santhi syrup given by Santhi asramam,Kerala 25 ml 1-1-1. My present Major health complaints are as follows: I am feeling the heaviness during morning walk and when ever i take food in the morning,Lunch,dinner.See after taking food say about 15 to 20 mts the heaviness starts from my chest and later transfer to shoulder and hand.When I feel more pain i star using of Soda.If i take sode then i will be comfortable with in half an hour.This soda taking is happening max of time and during marriage function,party food etc. also.I am here by forwarding my old report in a seperate attachment.Now i feel that, i may be having blocks.For this can u how can I lead a trouble free ,operation free life.I am unable to climb uphill also.If i do 128 slice scan or angiogram,wheather i get good information about heart.Is there any better medicine to shape up my life. Thank You. Yours, S.Padmanabhan, SKP Super Market,KP Road,Nagercoil. 0000.

doctor1 MD

My husband had precancerous spot s removed 2 days ago since then he is experiencing chills and low blood pressure along with sweats visited Dr the emergency room that day but was cleared to go home Right now he is chilled again and very nervous

doctor1 MD

Hello doctor, I have been recently diagnosed with very frequent premature ventricular ectopics. I have been asked to take Inderal 10mg as required by the cardiologist. I am facing some issues and have some questions with regard to this medication:...

doctor1 MD

Hello, I have been having left sided chest pains and discomfort for the past 6 months. This pain is a very dull ache only on the left side. Sometimes pain can be very prominent but not severe - other times just a dull constant ache. The pain is...