21st June 2023

A 48-year-old woman comes into the GP. She reports involuntary shaking of the arms and hands

A 48-year-old woman comes into the GP. She reports involuntary shaking of the arms and hands. The shaking is worse when eating or writing. It also worsens when she is stressed. Her father had similar symptoms.

On examination, she has a 4-10Hz tremor in both arms when raised up and left there.

Considering the underlying diagnosis, what is the single most appropriate treatment option?