A Parkinson’s disease resting tremor
It’s important as medical students to see as much as possible. This not only makes you a better physician, but it helps you remember come exam time.
The resting tremor is caused by a loss of dopaminergic neurons. Treatment options are below
This video demonstrates a Parkinson’s patient with a resting tremor.
Treatment of Symptoms
- If patient is under 60yr of age: Anticholinergic agent such as benztropine or hydroxyzine
- If patient is over 60yr of age: Amantadine (because older pts develop more adverse effects from anticholinergics)
Treatment of Severe Symptoms
- Levedopa/Carbidopa – has the greatest efficacy but has uneven long-term effects/more adverse effects
- Dopamine Agonists – have fewer adverse effects but less efficacy than levedopa/carbidopa
Take a look at Part 1 of the HY Diabetic series…