Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX
Consider referring a patient with essential tremor to a neurologist for further evaluation if:
- The tremor symptoms are disabling and first-line treatment as specified in the BNF is ineffective or not tolerated.
- There is troublesome tremor of the head, in which case referral to a movement disorder clinic is advised.
Before referral, review the patient's regular medication, check thyroid function, and assess alcohol consumption using a tool such as AUDIT.