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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by Deneb on July 10, 2010, at 20:55:08
What can I do to help my tremors? I already took 40 mg Propranolol and my blood pressure is 82/52. I'm getting tremors right now. I kept dropping my food with my fork.
My heart rate is a bit high at 91 bpm. Is it possible to have a surge of adrenaline without increasing blood pressure?
I can try more propranolol I guess, but would this be wise considering my blood pressure?
I just feel very tremory.
Posted by Zyprexa on July 10, 2010, at 21:13:05
In reply to Argh! Tremors so annoying!, posted by Deneb on July 10, 2010, at 20:55:08
This is just a guess. But I would try stoping the propanolol to see if it gets better. You could have the tremors from low blood pressure.
Posted by Phillipa on July 10, 2010, at 23:42:47
In reply to Re: Argh! Tremors so annoying!, posted by Zyprexa on July 10, 2010, at 21:13:05
Good point never thought of that Phillipa
Posted by ed_uk2010 on July 11, 2010, at 4:03:00
In reply to Argh! Tremors so annoying!, posted by Deneb on July 10, 2010, at 20:55:08
I believe that you are taking two SSRIs together. Tremors can occur even when taking one SSRI but the risk is probably increased by taking two, especially high-dose fluoxetine. It is unusual to require more than one SSRI if the dose is adequate, you may find that you can taper one of the drugs gradually. Fluoxetine causes a postural tremor. This is the type of tremor which occurs if you hold your hand outstretched and try to keep still. Anxiety can also cause a postural tremor. Postural tremor is sometimes improved by propranolol.
Also, risperidone can sometimes cause parkinsonian tremor. Although your risperidone dose is low, the dose is effectively higher than it first appears because fluoxetine interferes with risperidone's metabolism. Parkinsonian tremor occurs when the hands are at rest and is less pronounced during movement. It is often characterised by a 'pill rolling' movement of the thumb and first finger. This side effect is more common in the elderly. Parkinsonian tremor is improved by anti-cholinergic meds.There are also various other causes of tremor. I think this is something that you need to discuss with your doctor. S/he may wish to adjust your medication.
Posted by SLS on July 11, 2010, at 4:30:10
In reply to Re: Argh! Tremors so annoying!, posted by ed_uk2010 on July 11, 2010, at 4:03:00
You would make a good doctor/nurse/pharmacist/teacher/friend.
- Scott
> I believe that you are taking two SSRIs together. Tremors can occur even when taking one SSRI but the risk is probably increased by taking two, especially high-dose fluoxetine. It is unusual to require more than one SSRI if the dose is adequate, you may find that you can taper one of the drugs gradually. Fluoxetine causes a postural tremor. This is the type of tremor which occurs if you hold your hand outstretched and try to keep still. Anxiety can also cause a postural tremor. Postural tremor is sometimes improved by propranolol.
>
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> Also, risperidone can sometimes cause parkinsonian tremor. Although your risperidone dose is low, the dose is effectively higher than it first appears because fluoxetine interferes with risperidone's metabolism. Parkinsonian tremor occurs when the hands are at rest and is less pronounced during movement. It is often characterised by a 'pill rolling' movement of the thumb and first finger. This side effect is more common in the elderly. Parkinsonian tremor is improved by anti-cholinergic meds.
>
> There are also various other causes of tremor. I think this is something that you need to discuss with your doctor. S/he may wish to adjust your medication.
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>
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Posted by ed_uk2010 on July 11, 2010, at 12:52:05
In reply to Re: Argh! Tremors so annoying! » ed_uk2010, posted by SLS on July 11, 2010, at 4:30:10
Thanks Scott :)
This is the end of the thread.
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