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Tremor medication — DGM MCQ

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ModerateMovement disordersTremor medicationDGM

A 75-year-old man has new tremor and palpitations after inhaler treatment was increased. The tremor is fine and postural rather than resting. There is no rigidity or bradykinesia. Current medicines include salbutamol, tiotropium and ramipril. Which medication should be reviewed?

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Correct answer: B — Salbutamol

Beta-agonists such as salbutamol can cause fine tremor and palpitations. Ramipril, tiotropium, paracetamol and colecalciferol are less likely to cause this tremor pattern. Medication-induced tremor should be considered before diagnosing Parkinson's disease.

Reference: BNF; NICE CKS tremor