How do you approach a patient who develops a rest tremor after chemotherapy?

Like many questions in Neurology, this question can be simple or rather complex to answer.

If the patient is felt to have a drug-induced tremor, withdrawal of the offending drug or drugs should be the first choice whenever possible. In the chemotherapy setting, a common scenario would be when a dopa...

I would simply start treatment like we would for any other essential tremor patient. If those drugs are ineffective, then the decisions need to begin to be made. But let’s wait and see how it goes first.

There are a variety of medications used for essential tremors. I would use propranolol, if the tremor persisted, add primidone. Topamax is another possibility.