Essential tremor - management
Essential tremor foundation
https://essentialtremor.org/
- Propranolol
> propranolol IR 10 mg BID; inc 10 mg weak
> when propranolol IR 30 mg BID, can be converted to propranolol ER 60 mg/daily
Devices
- Weighted utensil, pen, gloves
- Cala KiQ
> TAPS system, modulating sensory pathway of tremor
> refractory tremor
> 45 min 2x/d; not all the time; max 5 session/day 2/2 skin irritation
> efficacy 50%
> not covered by private; but, Medicare cover
> avoid if any implantable device (DBS, PPM, or spinal stimulator)
> 10 min per hand, 3x/d
> can be used continuously
> avoid if implantable devices 2/2 magnetic field