ABSTRACT

I. Antiarrhythmics 330

II. Antibiotics/Antivirals/Antifungals 331

III. Antidepressants/Mood Stabilizers 332

IV. Antiepileptics 334

V. Bronchodilators 335

VI. Chemotherapeutics 336

VII. Drugs of Abuse 337

VIII. Gastrointestinal Drugs 338

IX. Herbs/Alternative Medicines/Spices 339

X. Hormones 340

XI. Immunosuppressants/Immunomodulators 341

XII. Methylxanthines 342

XIII. Neuroleptics/Dopamine Depleting Agents 342

XIV. Toxins 343

XV. Other Miscellaneous Drugs 345

XVI. Conclusion 346

References 348

Tremor is a common adverse effect of prescribed drugs. It also occurs following

exposure to various environmental or occupational toxins and poisons. Given that

tremor is a prevalent condition that may exist in patients not on medications, it is

often difficult to determine if a drug is responsible for a patient’s tremor.

Occasionally, neurological examination is performed prior to and after starting

a drug making assumptions about causality more tenable. In addition, some

patients are on multiple drugs that can cause or exacerbate tremor and identifying

a single drug as the culprit is often difficult. In this chapter we will attempt to

identify the drugs and toxins most commonly associated with inducing or exacer-

bating tremors.