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Old 01-12-2013
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Drug Tremor Drug Causing Abdominal Pain!

54 yr male presents with several months hand tremor, that becomes worse in public places unable to grasp. no trauma, stroke,fever, loss of muscle function. h/o vague abdominal pains cause of which never found. hes given some medicine now but returns month later tremor gone but colicky abdominal pain, headache, confusion, hallucination.
what was drug given?
A. ALCOHOL
B. PRIMIDONE
C. PROPRANOLOL
D. LITHIUM
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B...primidone....its an enzyme inducer...belongs to family of barbiturates....precipitation of Acute Intermittent Porphyria
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Old 01-12-2013
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Primidone is given for the treatment of benign essential tremors and causes acute intermittent porphyria as a S/E
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