Approaches to Treatment
Most people with essential tremor benefit from drug therapy. Early appropriate treatment may delay or eliminate functional disability. The approach to the treatment of ET needs to be balanced, taking into account the patient's history, response to previous treatment, coexisting diseases, and other factors. The initiation of drug (pharmacologic) treatment of essential tremor is based on an evaluation of the benefits and side effects of particular medications. A surgical approach to treatment may be suggested for people with severe ET symptoms or those whose symptoms have not responded to the maximum acceptable dosages of medication used to treat the disease. The physician, patient, family members, and caregivers must work together to weigh the possible risks versus the potential benefits of a surgical approach to treatment.