However, if Botox is used to treat hand tremors, it can cause weakness in the fingers. Botox injections can improve tremors for up to three months at a time. Botox injections might be useful in treating some types of tremors, especially head and voice tremors. ![]() These medications should be used with caution because they can be habit-forming. Side effects can include fatigue or mild sedation. Doctors may use benzodiazepine drugs such as clonazepam (Klonopin) to treat people for whom tension or anxiety worsens tremors. Side effects include drowsiness and nausea, which usually disappear within a short time. Other medications that might be prescribed include gabapentin (Gralise, Neurontin, Horizant) and topiramate (Topamax, Qudexy XR, others). Epilepsy drugs, such as primidone (Mysoline), may be effective in people who don't respond to beta blockers. Side effects may include fatigue, lightheadedness or heart problems. ![]() Beta blockers may not be an option if you have asthma or certain heart problems. Typically used to treat high blood pressure, beta blockers such as propranolol (Inderal, InnoPran XL, Hemangeol) help relieve tremors in some people. ![]() But if your essential tremor is making it difficult to work or perform daily activities, discuss treatment options with your doctor. Some people with essential tremor don't require treatment if their symptoms are mild.
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