Topics:
Neurology • Movement disorders
Provided no side effects, to what dose do you increase propranolol or primidone before considering them ineffective for a patient with essential tremor?
Answer from: at Community Practice
If tolerated maximum dose of 250 mg of Primidone bid would be acceptable.
This is my personal experience.
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Answer from: at Academic Institution
I’ll increase propranolol up to 30mg bid but only if patients clearly understand the expected decrease in BP and possible lightheadedness. I make sure they have access to BP cuff. It rarely requires this high a dose.
Re mysoline: it causes most patients drowsiness but I advise starting with...