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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.
Back to TopCauses. Essential tremor is the most common type of tremor. Everyone has some tremor present, but the movements are often so small that they cannot be seen. Essential tremor affects men and women and is most common in people older than 65. The exact cause of essential tremor is unknown. Some research suggests that the part of the brain that controls muscle movements does not work correctly in patients with essential tremor.