A 58 year old woman reports a 5 year history of tremor that occurs when she writes checks and holds a coffee cup. The tremor improves after a small amount of wine. Her father had a similar condition. Examination shows a bilateral postural tremor of the hands without rigidity or bradykinesia. Which of the following is the most appropriate first line treatment?
- A)Trihexyphenidyl
- B)PropranololGABARITO
- C)Carbidopa levodopa
- D)Benztropine
- E)Haloperidol
Explicação
Propranolol is correct. Essential tremor is a common action and postural tremor that often runs in families and improves with alcohol. First line therapy is propranolol or primidone, which reduces tremor amplitude without treating Parkinsonian bradykinesia or ... Ver explicação completa e trilha adaptativa →