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Correspondence
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Volume 346:709-710 February 28, 2002 Number 9
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Essential Tremor

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 by Louis, E. D.
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To the Editor: In his article on essential tremor (Sept. 20 issue),1 Louis does not mention alcohol. Ethanol in small doses usually stops the tremor, and this finding may be useful in diagnosis. Some people may use ethanol to hide their tremor; they risk alcohol dependence as a result.

Primidone is noted to be an effective agent, but as Louis points out, nausea and vomiting are common when treatment with this drug is initiated and may lead to its discontinuation. It should be noted that there is tachyphylaxis with respect to these effects. Use of a very low starting dose . . . [Full Text of this Article]

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