Tremors in hands. Difficulty in picking up things. Betacap advised by psychiatrist. Is it due to any mental problem or Parkinson's disease?
Patient: Hi doctor, i feel some times tremors in my hands (not regularly my hand are shaken..some times i feel very normal)..i.e while signing or filling bank cheque, while handling dinner plates in any family function, while taking cup of tea or coffee and most important is sometimes i am unable to pick up any food item from plate when some body is near or when i feel nervous..to all the symptoms i have reported to psychiatrist in Vimhans institute in New Delhi..he advise me to take betacap-20 mg (Beta propranolol ) after morning meals but while taking from last 20 days i am still not feeling any improvement (sometimes shaking proceed as usual) whether it is Parkinson or any kind of depression or still should i increase dose of betacap 20 mg and make it to 40 mg..please advise what to do...Satya Doctor: hi..intention tremor may also be of neurological origin..so please consult a neurologist..propranolol is a good choice for tremor of any origin, but there are certain problems of increasing dose in case of hypotension or asthma..so before increment, please consult your psychiatrist..Parkinsonism usually presents with rest tremor, rigidity, slowness..so these are in need of assessment..have a good health