Inderal for tremor

Discussion in 'Rx Price Comparison' started by Yakon, 24-Aug-2019.

  1. 9NEKTO9 Moderator

    Inderal for tremor


    Tremor is defined as a rhythmic, involuntary, oscillating movement of a body part occurring in isolation or as part of a clinical syndrome. In clinical practice, characterization of tremor is important for etiologic consideration and treatment. Common types include resting tremor, postural tremor, kinetic tremor, task-specific tremor, and intention tremor. Resting tremor occurs when a body part is at complete rest against gravity. Postural tremor occurs during maintenance of a position against gravity and increases with action. Tremor amplitude decreases with voluntary activity. Action or kinetic tremor occurs during voluntary movement. Box 2 lists examples of postural and action tremors. Task-specific tremor emerges during a specific activity. Intention (or terminal) tremor manifests as a marked increase in tremor amplitude during a terminal portion of targeted movement. Essential Tremor (ET) is a neurological disorder characterized by shaking of hands (and sometimes other parts of the body including the head), evoked by intentional movements. But yes, I'm on 40mg once per day and would be lost without it I think. I take the GENERIC of Inderal, which is Propranolol. The incidence is unknown, but is estimated to be as common as one person in 20, and it is the most common type of tremor and also the most commonly observed movement disorder. Propranolol also regulates the heart beat, which I also need, since my heartbeat is very irregular, so I'm killing two birds with one stone, so to speak. This treatment doesn't help with handwriting, but it does keep the tremors less noticeable. Make sure you start slow with the Inderal, and work up 10 mgs at a time. My sysmptoms don't sound anywhere near as severe as your's, but I've been on 60mg/day & have started feeling some shaking again. Not only will my hands be shaky (not good I'm a photographer by trade), but my whole upper body feels sort of like it vibrating sometimes. I've been taking inderal since I was around 12 or so. Without it, I have trouble holding glasses of water, playing guitar, writing etc.. They no longer make the time release capsules; so I am now on 60 mgs capsules (1 AM, 1 PM), with a 30 mgs tablet to take as boosters, when needed. I highly recommend asking your doc if it's right for you..be careful, because Inderal slows the Heartrate and lowers Blood Pressure; thus controlling the tremors. Where you ever ona lower dosage of Inderal than 120/day? I do take quite a large dose of Propranolol each day.... which is five 40mg tablets every day.....two, morning..at noon and one at dinner time. It seems to keep the tremor at a reasonable pace.....though it's slowly getting worse, again.

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    This medication is a beta blocker used to treat high blood pressure, irregular heartbeats, shaking tremors, and other conditions. How to use Propranolol HCL. See also Warning section. Sep 27, 2017. The beta-blocker propranolol Inderal has been used to treat essential tremor for more than 40 years. Other beta-blockers such as Lopressor. Inderal propranolol "March 22, 2017 - I took Inderal Oct - Dec 2016 for hand tremors never helped. I was prescribed 40mg but 1 month later complained of side effects & was prescribed 10mg. I was prescribed 40mg but 1 month later complained of side effects & was prescribed 10mg.

    Do not stop using this drug without first consulting your doctor. Your condition may become worse when the drug is suddenly stopped, especially if you have chest pain (angina) or heart disease (e.g., coronary artery disease, ischemic heart disease, high blood pressure). If your doctor decides you should no longer use this drug, you must gradually decrease your dose according to your doctor's instructions. When gradually stopping this medication, it is recommended that you temporarily limit physical activity to decrease strain on the heart. Seek immediate medical attention if you develop: worsening chest pain, tightness/pressure in the chest, chest pain spreading to the jaw/neck/arm, unusual sweating, trouble breathing, or fast/irregular heartbeat. Show More This medication is a beta blocker used to treat high blood pressure, irregular heartbeats, shaking (tremors), and other conditions. It is used after a heart attack to improve the chance of survival. It is also used to prevent migraine headaches and chest pain (angina). Diagnosing essential tremor involves reviewing your medical history, family history and symptoms and conducting a physical examination. There are no medical tests to diagnose essential tremor. Diagnosing it is often a matter of ruling out other conditions that could be causing your symptoms. To do this, your doctor may suggest the following tests: If your doctor is still unsure if your tremor is essential tremor or Parkinson's disease, he or she might order a dopamine transporter scan. This scan can help your doctor tell the difference between the two types of tremor. Some people with essential tremor don't require treatment if their symptoms are mild. But if your essential tremor is making it difficult to work or perform daily activities, discuss treatment options with your doctor.

    Inderal for tremor

    Frequently asked Questions - The National Tremor Foundation, Drugs Used to Treat Essential Tremor ET from Parkinson's Disease

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  6. For mild tremor, nonpharmacological strategies consist of alcohol and acute pharmacological therapy; for moderate tremor, pharmacological therapies propranolol, gabapentin, primidone, topiramate, alprazolam and other drugs; and for severe tremor, the role of functional surgery is emphasised thalamic deep brain stimulation, thalamotomy.

    • Diagnosis and Management of Essential Tremor and Dystonic Tremor.
    • Propranolol systemic User Reviews for Benign Essential Tremor at.
    • Propranolol - Wikipedia.

    Propranolol hydrochloride is a stable, white, crystalline solid which is readily soluble in water and ethanol. Its molecular weight is 295.80. Inderal propranolol is available as 10 mg, 20 mg, 40 mg, 60 mg, and 80 mg tablets for oral administration. Tremor types Some factors which tend to point to essential rather than parkinson's tremor young age, any benefit from Propranolol or beta-blockers, family history of tremor, tremor goes away during sleep, tremor is made worse with action zippers, spoons, coins but goes away when hands are at rest. Propranolol is approved by the Food and Drug Administration FDA for the treatment of hypertension high blood pressure, angina, certain types of cardiac arrhythmias, certain types of cardiac output diseases, a sympathetic nervous system disorder known as pheochromocytoma, hyperthyroid conditions, migraine, heart attack, and tremors of a variety of origins.

     
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    Edema associated with congestive heart failure (CHF), liver cirrhosis, and renal disease, including nephrotic syndrome 20-80 mg PO once daily; may be increased by 20-40 mg q6-8hr; not to exceed 600 mg/day Alternative: 20-40 mg IV/IM once; may be increased by 20 mg q2hr; individual dose not to exceed 200 mg/dose Refractory CHF may necessitate larger doses Excessive diuresis may cause dehydration and electrolyte loss in elderly; lower initial dosages and more gradual adjustments are recommended (eg, 10 mg/day PO)Increase in blood urea nitrogen (BUN) and loss of sodium may cause confusion in elderly; monitor renal function and electrolytes Anaphylaxis Anemia Anorexia Diarrhea Dizziness Glucose intolerance Glycosuria Headache Hearing impairment Hyperuricemia Hypocalcemia Hypokalemia Hypomagnesemia Hypotension Increased patent ductus arteriosus during neonatal period Muscle cramps Nausea Photosensitivity Rash Restlessness Tinnitus Urinary frequency Urticaria Vertigo Weakness Toxic epidermal necrolysis, Stevens-Johnson Syndrome, erythema multiforme, drug rash with eosinophila and systemic symptoms, acute generalized exanthematous pustulosis, exfoliative dermatitis, bullous pemphigoid purpura, pruritus Agent is potent diuretic that, if given in excessive amounts, may lead to profound diuresis with water and electrolyte depletion Careful medical supervision is required; dosing must be adjusted to patient's needs Use caution in systemic lupus erythematosus, liver disease, renal impairment Concomitant ethacrynic acid therapy (increases risk of ototoxicity) Risks of fluid or electrolyte imbalance (including causing hyperglycemia, hyperuricemia, gout), hypotension, metabolic alkalosis, severe hyponatremia, severe hypokalemia, hepatic coma and precoma, hypovolemia (with or without hypotension) Do not commence therapy in hepatic coma and in electrolyte depletion until improvement is noted IV route twice as potent as PO Food delays absorption but not diuretic response May exacerbate lupus Possibility of skin sensitivity to sunlight Prolonged use in premature neonates may cause nephrocalcinosis Efficacy is diminished and risk of ototoxicity increased in patients with hypoproteinemia (associated with nephrotic syndrome); ototoxicity is associated with rapid injection, severe renal impairment, use of higher than recommended doses, concomitant therapy with aminoglycoside antibiotics, ethacrynic acid, or other ototoxic drugs To prevent oliguria, reversible increases in BUN and creatinine, and azotemia, monitor fluid status and renal function; discontinue therapy if azotemia and oliguria occur during treatment of severe progressive renal disease FDA-approved product labeling for many medications have included a broad contraindication in patients with a prior allregic reaction to sulfonamides; however, recent studies have suggested that crossreactivity between antibiotic sulfonamides and nonantibiotic sulfonamides is unlikely to occur In cirrhosis, electrolyte and acid/base imbalances may lead to hepatic encephalopathy; prior to initiation of therapy, correct electrolyte and acid/base imbalances, when hepatic coma is present High doses ( 80 mg) of furosemide may inhibit binding of thyroid hormones to carrier proteins and result in transient increase in free thyroid hormones, followed by overall decrease in total thyroid hormone levels In patients at high risk for radiocontrast nephropathy furosemide can lead to higher incidence of deterioration in renal function after receiving radiocontrast compared to high-risk patients who received only intravenous hydration prior to receiving radiocontrast Observe patients regularly for possible occurrence of blood dyscrasias, liver or kidney damage, or other idiosyncratic reactions Cases of tinnitus and reversible or irreversible hearing impairment and deafness reported Hearing loss in neonates has been associated with use of furosemide injection; in premature neonates with respiratory distress syndrome, diuretic treatment with furosemide in the first few weeks of life may increase risk of persistent patent ductus arteriosus (PDA), possibly through a prostaglandin-E-mediated process Excessive diuresis may cause dehydration and blood volume reduction with circulatory collapse and possibly vascular thrombosis and embolism, particularly in elderly patients Increases in blood glucose and alterations in glucose tolerance tests (with abnormalities of fasting and 2 hour postprandial sugar) have been observed, and rarely, precipitation of diabetes mellitus reported Patients with severe symptoms of urinary retention (because of bladder emptying disorders, prostatic hyperplasia, urethral narrowing), the administration of furosemide can cause acute urinary retention related to increased production and retention of urine; these patients require careful monitoring, especially during initial stages of treatment Hypokalemia may develop with furosemide, especially with brisk diuresis, inadequate oral electrolyte intake, when cirrhosis is present, or during concomitant use of corticosteroids, ACTH, licorice in large amounts, or prolonged use of laxatives Pregnancy category: C; treatment during pregnancy necessitates monitoring of fetal growth because of risk for higher fetal birth weights Lactation: Drug excreted into breast milk; use with caution; may inhibit lactation Loop diuretic; inhibits reabsorption of sodium and chloride ions at proximal and distal renal tubules and loop of Henle; by interfering with chloride-binding cotransport system, causes increases in water, calcium, magnesium, sodium, and chloride Solution: Fructose10W, invert sugar 10% in multiple electrolyte #2 Additive: Amiodarone (at high concentrations of both drugs), buprenorphine, chlorpromazine, diazepam, dobutamine, eptifibatide, erythromycin lactobionate, gentamicin(? ), isoproterenol, meperidine, metoclopramide, netilmicin, papaveretum, prochlorperazine, promethazine Syringe: Caffeine, doxapram, doxorubicin, eptifibatide, metoclopramide, milrinone, droperidol, vinblastine, vincristine Y-site: Alatrofloxacin, amiodarone (incompatible at furosemide 10 mg/m L; possibly compatible at 1 mg/m L), chlorpromazine, ciprofloxacin, cisatracurium (incompatible at cisatracurium 2 mg/m L; possibly compatible at 0.1 mg/m L), clarithromycin, diltiazem, diphenhydramine, dobutamine, dopamine, doxorubicin (incompatible at furosemide 10 mg/m L and doxorubicin 2 mg/m L; possibly compatible at furosemide 3 mg/m L and doxorubicin 0.2 mg/m L), droperidol, eptifibatide, esmolol, famotidine(? ), fenoldopam, gatifloxacin, gemcitabine, gentamicin(? ), hydralazine, idarubicin, labetalol, levofloxacin, meperidine, metoclopramide, midazolam, milrinone, morphine, netilmicin, nicardipine, ondansetron, quinidine, thiopental, vecuronium, vinblastine, vincristine, vinorelbine Not specified: Tetracycline Additive: Cimetidine, epinephrine, heparin, nitroglycerin, potassium chloride, verapamil Syringe: Heparin Y-site: Epinephrine, fentanyl, heparin, norepinephrine, nitroglycerin, potassium chloride, verapamil(? ), vitamins B and C Injection: Inject directly or into tubing of actively running IV over 1-2 minutes Administer undiluted IV injections at rate of 20-40 mg/min; not to exceed 4 mg/min for short-term intermittent infusion; in children, give 0.5 mg/kg/min, titrated to effect Use infusion solution within 24 hours The above information is provided for general informational and educational purposes only. Individual plans may vary and formulary information changes. Contact the applicable plan provider for the most current information. Time course of loop and thiazide diuretic-induced electrolyte. Furosemide LASIX Loop duretic - Hypokalemia, Furosemide-induced severe hypokalemia with rhabdomyolysis.
     
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