Brief Answer: You can try non selective beta blocker drugs... Detailed Answer: Hi, The tremors that you describe may be due to essential tremor or part of parkinsonism. The later (parkinsonism) is associated with other symptoms which needs to be checked for before starting pacitane. A neurologist or your physician will be able to look for signs of parkinsonism. If parkisonism is ruled out, you will find benefits with non selective beta blocker like propronol (Inderal). This drug has simultaneous blood pressure lowering capabilities. Therefore it is necessary that you talk to your treating doctor before starting inderal. Your doctor can alternatively consider increasing dose of metoprolol (Selomax has this drug and amlodepine) after verifying blood pressure effects. Hope this helps. Let me know if you need clarifications. Regards

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Brief Answer: Complex of symptoms... Detailed Answer: Hi, Parkinsonism consists of set of symptoms primarily tremors, slowness of activities also known as bradykinesia and reduced flexibility / rigidity. Other associated symptoms noted are, impaired speech, postural disturbance, short stepping gait, masked face, slow reflex, impaired emotions, depressive state, reduced bowel habits, impaired memory and so on. Many a times we see one or more symptoms predominating while the rest are subtle; therefore the diagnosis of parkinsonism is done only after careful physical examination by experts. Moreover your doctor needs to rule out a few condition such as hyperthyroidism which may also be responsible for tremors. I am sure your doctor (neurologist or physician) will order necessary investigations before deciding to address the tremors with aforementioned list of medications. Hope this helps. Feel free to write back before closing this discussion. Regards

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