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What Causes Illegible Handwriting Due To Hand Tremors While On Effexor?

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Posted on Mon, 4 Jan 2016
Question: Hi, I am 53, female, in menopause, non-smoker, weight= 115, height 5'3" My hand writing has recently deteriorated to illegible because of shaking in my left hand. Its so bad, that despite the fact that I am left-handed, my writing with my right hand is much more legible. Also, when i am typing I continuosly transpose letters and numbers. It is really negatively affecting my job performance.
I am taking Effexor [generic] 37.5 mg daily to control hot flashes and .5 mg of clonazopam to help with sleep.
Any ideas as to the cause of my hand writing & typing issues?
Thank you XXXXXXX XXXXXXX
YYYY@YYYY
doctor
Answered by Dr. Shoaib Khan (27 minutes later)
Brief Answer:
A few causes listed; first preference to rule out effexor to be the cause

Detailed Answer:
Hello ma'am and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. In majority of cases individuals with such tremors and shaking usually indicates Parkinson's disease, which in my opinion should be ruled out.

But as you are on clonazepam I would like to ask if it is being used only to help you to sleep or even with any anxiety or panic-related issues? This can also cause some tremors during an episode or anxiety, so please clarify.

I would also like to add that effexor comes with numerous side effects, but one rare side effect includes trembling and/or uncontrollable shaking which could also be the cause for your presentation. It is best to take this up with your prescribing doctor to make sure we can rule out/confirm effexor to be the cause for your presentation.

I hope you find my response helpful and informative. Please feel free to write back to me for any further clarifications, I would be more than happy to help.

Best wishes.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Shoaib Khan (2 hours later)
I just started taking the Effexor and the clonazepam in the past 8 weeks. this problem started about 6 months ago and so I do not think it is related to this. What are other indicators of Parkinson's and how is it treated?
doctor
Answered by Dr. Shoaib Khan (7 hours later)
Brief Answer:
Details on Parkinson's disease listed below as requested

Detailed Answer:
Hello once again ma'am.

Following are the symptoms of parkinson's:

+Tremor: This usually begins in the hand or fingers; the tremor is most at rest, and the movement is usually back and forth, called a pin-rolling tremor

+Speed of movement reduces with time

+Speech changes (later)

+Muscle rigidity

+Changes in posture

+Writing changes: Becomes hard to write

and a few others.

Parkinson's disease is diagnosed by a neurologist who goes through the medical history, presentation, added with a few blood tests and imaging studies (mainly to rule other conditions out. I would recommend a neurologist consult to make sure we are headed towards a more accurate diagnosis, and also so we we can initiate treatment to help relieve your symptoms.

Please feel free to write back to me for any further clarifications, I am always here to guide you and help you.

Best wishes.
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Shoaib Khan

General & Family Physician

Practicing since :2009

Answered : 9409 Questions

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What Causes Illegible Handwriting Due To Hand Tremors While On Effexor?

Brief Answer: A few causes listed; first preference to rule out effexor to be the cause Detailed Answer: Hello ma'am and welcome. Thank you for writing to us. I have gone through your query with diligence and would like you to know that I am here to help. In majority of cases individuals with such tremors and shaking usually indicates Parkinson's disease, which in my opinion should be ruled out. But as you are on clonazepam I would like to ask if it is being used only to help you to sleep or even with any anxiety or panic-related issues? This can also cause some tremors during an episode or anxiety, so please clarify. I would also like to add that effexor comes with numerous side effects, but one rare side effect includes trembling and/or uncontrollable shaking which could also be the cause for your presentation. It is best to take this up with your prescribing doctor to make sure we can rule out/confirm effexor to be the cause for your presentation. I hope you find my response helpful and informative. Please feel free to write back to me for any further clarifications, I would be more than happy to help. Best wishes.