Effective; should be offered
Primidone (Mysoline)
Propranolol
Probably effective; should be considered
Alprazolam (Xanax)*
Atenolol (Tenormin)
Gabapentin (Neurontin) monotherapy
Propranolol for head tremor
Sotalol (Betapace)
Topiramate (Topamax)
Possibly effective; may be considered
Clonazepam (Klonopin)*
Deep brain stimulation of the ventral intermediate thalamic nucleus (in refractory cases)
Nadolol (Corgard)
Nimodipine (Nimotop)
OnabotulinumtoxinA (Botox)
Unilateral thalamotomy (in refractory cases)
Not effective or probably not effective; not recommended
Acetazolamide
Isoniazid
Levetiracetam (Keppra)
Methazolamide (Neptazane)
Mirtazapine (Remeron)
Nifedipine (Procardia)
Pindolol
Trazodone
Verapamil
Unknown effectiveness
Amantadine
Clonidine (Catapres)
Clozapine (Clozaril)
Gabapentin adjunct therapy
Gamma knife thalamotomy
l-tryptophan/pyridoxine
Metoprolol
Nicardipine (Cardene)
Olanzapine (Zyprexa)
Oxcarbazepine (Trileptal)
Phenobarbital
Pregabalin (Lyrica)
Quetiapine (Seroquel)
Sodium oxybate
Thalamic deep brain stimulation for head and voice tremor
Theophylline
Tiagabine (Gabitril)
Zonisamide (Zonegran)