Table 1

Overview of medication and toxins that may cause tremor52 53

MedicationToxins
Sympathomimetic drugs (adrenaline epinephrine, bronchodilators, theophylline)Drugs of abuse (nicotine, alcohol and its withdrawal, cocaine, caffeine)
Antiarrhythmics (amiodarone)Lead
MetoclopramideMercury
Antidepressants (SSRI, TCA)Manganese
LithiumArsenic
Neuroleptics, tetrabenazineCyanide, DDT, CO
Antiepileptic drugs (valproic acid, carbamazepine, phenytoin)Naphthalene
Immunosuppressants (tacrolimus, ciclosporin)Toluene
Anticancer drugs (vincristine, cisplatin, paclitaxel, doxorubicin, cytosine arabinoside, ifosfamid, tacrolimus, 5-fluorouracil, methotrexate, tamoxifen, cytarabine)Lindane
Hormones (thyroxine)Solvents
Steroids (progesterone, anti-estrogens, adrenocorticosteroids)Pesticides
  • CO, carbon monoxide; DDT, dichlorodiphenyltrichloroethane; SSRI, selective serotonin reuptake inhibitor; TCA, tetracyclic antidepressants.