welcome to Healthcare Magic.
Bad shakes (tremors) and increase heart rate
) are symptoms of anxiety. In the start of treatment, symptoms of anxiety can occur off and on as medicines show full effect after 3-4 weeks. Due to that at the start of treatment medicines with immediate effect on anxiety (like temazepam
in your case) are given to control anxiety symptoms.
If you are taking treatment for long time, then there need to reevaluate your case for poor treatment response, in such case it is better to visit your psychiatrist
Wish you all the best.
Dr Ashish Kumar Mittal