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From the Human Motor Control Section (Drs. Shill, Mari, and Hallett, M. Reich), Medical Neurology Branch, National Institute of Neurological Disorders and Stroke, NIH, Bethesda, MD, and Minneapolis Veterans Affairs Medical Center (Dr. Bushara), MN.
Address correspondence and reprint requests to Dr. M. Hallett, Human Motor Control Section, National Institute of Neurological Disorders and Stroke, NIH, Bldg. 10, Rm. 5N226, 10 Center Dr., MSC 1428, Bethesda, MD 20892-1428; e-mail: hallettm{at}ninds.nih.gov
Twenty-one single oral doses of 1-octanol were given to patients with essential tremor (ET) in an open-label dose-escalation study. The drug was well tolerated up to 64 mg/kg. The main side effect was an unusual taste. No overt intoxication was seen. There was evidence for efficacy, with a significant reduction in tremor amplitude as measured by accelerometry and handwriting that was maximal at 2 hours. Higher doses may produce more sustained benefit.
Received September 25, 2003. Accepted in final form February 16, 2004.
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