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Treatment may not be necessary unless tremors interfere with the patient's ability to perform daily activities.
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Medications are variable because of individual responses to them. Medications that may reduce tremors include propranolol, Mysoline and other anticonvulsants, and mild tranquilizers. If tremors interfere with activity significantly and are not responsive to medication, surgery to implant a deep brain stimulator (DBS) in the basal ganglia may be an option.
Caffeine (in substances such as coffee and soda) and other stimulants should be avoided because they commonly worsen tremors.
Alcoholic beverages in small quantities may markedly decrease tremors, but drinking should be carefully monitored to avoid alcohol abuse and alcohol dependence, especially if there is a family history of alcohol problems. The mechanism by which alcohol ameliorates familial tremor is unknown.
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