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Drugs most commonly used to treat essential tremor include beta-blockers (propranolol) and an epilepsy drug called Mysoline (primidone). Topamax (topiramate), another drug used to treat epilepsy and migraine, helps some people.
Doctors diagnose essential tremor by observing the tremors and by ruling out other causes. Your doctor may perform a physical exam to evaluate the degree of your shakiness, and tests such as CT scans, MRI scans, and X-rays to determine if you have any abnormalities.