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Feeling shaky and hand tremors and unable to do simple tasks..

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am 31 years old. I am a known diabetic. I have been experiencing perioral movements and tremors in hand. I am on Seroquel for depression. Please help.

Hello,

Welcome to icliniq.com. I understand your concern and need more information to suggest better. How long have you been on Seroquel (Quetiapine) medication? Did you experience hand tremors, involuntary movements of jaw, mouth, etc., before starting this drug? Does the severity of tremor decrease with physical activity or intentionally trying to stop? Apart from this a strict diabetic control should be warranted. Follow diet control anddo regular exercises in the form of brisk walking and jogging for 30 to 40 minutes a day. Follow periodic blood sugar monitoring and treatment as advised by a diabetologist.

Patient's Query

Hi doctor,

I am taking Seroquel for the past four months. The above mentioned symptoms started before two years, worsening gradually and disabling me from doing simple tasks. Symptoms reduce somewhat when I intend to do any activity. Please help.

Hello,

Welcome back to icliniq.com. Thank you for the updated information. The gradual worsening of hand tremors and involuntary movements over years might possibly indicate the Parkinson's disease, a neurodegenerative disorder. There are no specific laboratory tests to diagnose this condition. You should undergo a complete neurological evaluation with investigations like liver function tests, 24 hours urinary copper, serum ceruloplasmin, etc., as advised by the neurologist to rule out other underlying disease conditions causing the problems. Positron emission tomography (PET) scan seems to be helpful in diagnosis than conventional computed tomography (CT) and magnetic resonance imaging (MRI) scan. I would suggest you to discuss the above with the nearby neurologist for evaluation and further treatment for the best of your health. In the mean time, you can safely take tablet Pregabalin 150 mg at night time for symptomatic relief under doctor's supervision.

Answered byDr. Shazia Anjum

Medically reviewed byiCliniq medical review team

Published At December 20, 2014
Reviewed AtMarch 11, 2024

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