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From the Headache and Neurological Center of Oklahoma, Tulsa, OK.
Address correspondence and reprint requests to Gregory S. Connor, MD, Headache and Neurological Center of Oklahoma, Inc., 6585 South Yale, Suite 620, Tulsa, OK 74136.
The safety and efficacy of topiramate (400 mg/d or maximum tolerated dose) as monotherapy or adjunctive treatment of essential tremor were investigated in a placebo-controlled, crossover study (n = 24). Topiramate resulted in significantly greater reductions from baseline based on normalized scores for a clinical rating of tremor location/severity, specific motor tasks/functional disabilities, and tremor-resultant functional disabilities. Most common adverse events were appetite suppression/weight loss and paresthesias.
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