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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Shaking Hands While On Citalopram For Anxiety?

Hi, My hands have started shaking. I have had this issue for a few years but lately it has become more frequent. I do have an anxiety issue that I take citalopram for but it does not help the shaking. What else could cause this and is there a way to control it? Thank you,
Mon, 22 Feb 2016
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General & Family Physician 's  Response
Brief Answer:
Switch to propranolol which will help not only in your anxiety but also improve shaky hands.

Detailed Answer:
Warm Welcome. I appreciate your trust in HCM and assure you are on best portal on the globe for expert online medical services.

I have thoroughly reviewed health query you raised, and well realize all of those concerns. Being your physician, I will take care all of them today and will extend my expertise to solve the problems.
There are some deficiencies in your information regarding your age, gender and what dose are you currently taking but I shall be able to throw some light on the condition you might be experiencing.
Citalopram is known to cause shaky hands or hand tremors and is not uncommon to see in our clinical settings. As you already been experiencing essential tremors before, citalopram can worsen these effects.
If I were your physician, I would switch the drug to propranolol. 40mg oral tablet twice a day. It is advisable to first consult with you physician about this switch. Also physician opinion is required if you have asthma or any heart disease.
It will improve your anxiety and hand tremors.
Hope I addressed all the concerns you have. Let me know if you have further questions. I will be more than happy to clear any doubts. For any disease you have, a timely follow-up is necessary regarding the treatment efficacy and to see if there is a need to change treatment options. So keep a follow up to see how you doing.


Regards!
Dr. Ali Raza
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What Causes Shaking Hands While On Citalopram For Anxiety?

Brief Answer: Switch to propranolol which will help not only in your anxiety but also improve shaky hands. Detailed Answer: Warm Welcome. I appreciate your trust in HCM and assure you are on best portal on the globe for expert online medical services. I have thoroughly reviewed health query you raised, and well realize all of those concerns. Being your physician, I will take care all of them today and will extend my expertise to solve the problems. There are some deficiencies in your information regarding your age, gender and what dose are you currently taking but I shall be able to throw some light on the condition you might be experiencing. Citalopram is known to cause shaky hands or hand tremors and is not uncommon to see in our clinical settings. As you already been experiencing essential tremors before, citalopram can worsen these effects. If I were your physician, I would switch the drug to propranolol. 40mg oral tablet twice a day. It is advisable to first consult with you physician about this switch. Also physician opinion is required if you have asthma or any heart disease. It will improve your anxiety and hand tremors. Hope I addressed all the concerns you have. Let me know if you have further questions. I will be more than happy to clear any doubts. For any disease you have, a timely follow-up is necessary regarding the treatment efficacy and to see if there is a need to change treatment options. So keep a follow up to see how you doing. Regards! Dr. Ali Raza