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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.
Essential tremor results from a problem in the nervous system, but people with this tremor rarely have any other symptoms of nervous system dysfunction (neurologic symptoms). The cause is unclear, but the tremor often runs in families. Essential tremor usually begins during early adulthood but can begin at any age.