Table 3. Pharmacological Agents to Treat Orthostatic Tremor.
Medication | Dosage | Clinical Efficacy | Comment |
---|---|---|---|
Clonazepam | 0.5–6 mg/day | +++ | Documented effect |
Gabapentin | 300–2400 mg/day | ++ | Documented effect |
Levodopa | 300–800 mg/day | ++ | Only short-term benefit |
Pramipexole | 0.75 mg/day | + | Anecdotal effect |
Primidone | 125–250 mg/day | + | Anecdotal effect |
Valproic acid | 500–1000 mg/day | +/– | Anecdotal effect |
Carbamazepine | 400 mg/day | +/– | Anecdotal effect |
Phenobarbital | 100 mg/day | +/– | Anecdotal effect |
Intravenous immunoglobulin1 | 2 g/kg over 3 days | + | Anecdotal effect |
Propanolol | 120 mg/day | – | Without effect |
Levetiracetam | 3000 mg/day | – | Without effect |
Botulinum toxin | 200 mU in the tibialis anterior bilaterally | – | Without effect |
Alcohol | – | – | Without effect |
It was used in a case of slow orthostatic tremor associated with a novel antineuronal antibody.103