Pharm

Drug-Induced Tremor

search

Drug-Induced Tremor, Toxic Tremor, Medication Causes of Tremor, Metabolic Causes of Tremor

  • See Also
  1. Tremor
  2. Serotonin Syndrome
  3. Neuroleptic Malignant Syndrome
  4. Extrapyramidal Side Effect
  • Causes
  • Metabolic Causes of Tremor
  1. Hepatic Encephalopathy (Ammonia)
  2. Hypocalcemia
  3. Hypoglycemia
  4. Hyponatremia
  5. Hypomagnesemia
  6. Hyperthyroidism
  7. Hyperparathyroidism
  8. Vitamin B12 Deficiency
  1. Antiarrhythmics
    1. Amiodarone
      1. Postural Tremor, Ataxia, and Peripheral Neuropathy
    2. Procainamide
    3. Mexiletine
  2. Adrenergic Agents (Sympathomimetics)
    1. Beta Adrenergic Agonists (Albuterol)
    2. Epinephrine
    3. Pseudophedrine
    4. Terbutaline
    5. Methylphenidate (Ritalin)
    6. Amphetamines
    7. Cocaine
  3. Antidepressants
    1. Tricyclic Antidepressants
    2. Selective Serotonin Reuptake Inhibitors (e.g. Fluoxetine)
  4. Endocrine agents
    1. Corticosteroids
    2. Levothyroxine (Synthroid)
    3. Calcitonin
  5. Phosphodiesterase Inhibitors
    1. Theophylline
    2. Caffeine
  6. Anticonvulsants
    1. Valproic Acid
    2. Carbamazepine (Tegretol)
    3. Phenytoin (Dilantin)
    4. Lamotrigine (Lamictal)
  1. Alcohol
  2. Lithium Toxicity
  1. Dopamine depleting or blocking agents
    1. Metoclopramide (Reglan)
    2. Haloperidol (Haldol) and other Neuroleptics
    3. Trifluoperazine
    4. Tetrabenazine
  • Causes
  • Chemotherapeutic Agents
  1. Cytotoxic drugs
    1. Cisplatin
    2. Doxorubicin
    3. 5-Fluorouracil
    4. Methotrexate
    5. Paclitaxel
    6. Vincristine
  2. Immunomodulators
    1. Cyclosporine
    2. Tacrolimus
    3. Interferon
  • Causes
  • Miscellaneous
  1. Atorvastatin (Lipitor)
  2. Hypoglycemic medications
  3. Calcium Channel Blockers
    1. Verapamil
    2. Nifedipine
    3. Amlodipine
  • Causes
  • Toxins
  1. Inhalations
    1. Carbon Monoxide Poisoning
    2. Cyanide Poisoning
  2. Heavy Metal Poisoning
    1. Mercury Poisoning
    2. Lead Poisoning
    3. Manganese Poisoning
    4. Arsenic Poisoning
  3. Hydrocarbon Ingestion
    1. Toluene (e.g. Huffing)
    2. Naphthalene
    3. Lindane Toxicity (Organochlorine)
    4. DDT Poisoning
  • Causes
  • Psychoactive Drugs
  1. Stimulants
    1. Amphetamines
    2. Cocaine
    3. Nicotine
  2. Hallucinogens
    1. Lysergic Acid Diethylamide (LSD)
    2. Mescaline
    3. Psilocybin
    4. Methylenedioxymethamphetamine (MDMA, Ecstasy)
  3. Withdrawal
    1. Alcohol Withdrawal
    2. Benzodiazepine Withdrawal
  • References
  1. Crawford (2011) Am Fam Physician 83(6): 697-702 [PubMed]
  2. Deuschl (1998) Mov Disord 13:13 [PubMed]
  3. Hopfner (2020) Neurotherapeutics 17(4):1603-21 +PMID: 32915385 [PubMed]
  4. Smaga (2003) Am Fam Physician 68:1545-53 [PubMed]