Tremor

Chronic absorption of iodine causes iodism characterized by insomnia, inflammation of the eyes and nose, bronchitis, tremor, diarrhea, and weight... 

Ca " concentration, termed hypocalcemia, excitabihty increases. If this condition is not corrected, the symptoms of tetany, ie, muscular spasm, tremor, and even convulsions, can appear. Too great an increase in Ca " concentration, hypercalcemia, may impair muscle function to such an extent that respiratory or cardiac failure may occur. 

Other Calcium Disorders. In addition to hypocalcemia, tremors, osteoporosis, and muscle spasms (tetary), calcium deficiency can lead to rickets, osteomalacia, and possibly heart disease. These, as well as Paget s disease, can also result from faulty utilization of calcium. Calcium excess can lead to excess secretion of calcitonin, possible calcification of soft tissues, and kidney stones when combined with magnesium deficiency. 

OtherMa.gnesium Disorders. Neuromuscular irritabHity, convulsions, muscle tremors, mental changes such as confusion, disorientation, and haHucinations, heart disease, and kidney stones have aH been attributed to magnesium deficiency. Excess Mg " can lead to intoxication exemplified by drowsiness, stupor, and eventuaHy coma. 

Propanidid. Propanidid [1421-14-3] (Epontol), C gH2yNO, (7) a derivative of the propyl ester of homo vanillic acid, has been in clinical use in Europe for a number of years. Its main advantage is rapid onset of action and a fast recovery which, like etomidate, is because of rapid metaboHsm by esterases rather than redistribution (108). Excretion is rapid 75 to 90% of the dmg is eliminated as metaboUtes within two hours. Propanidid side effects include hypotension, tachycardia, and hyperventilation followed by apnea, as well as excitatory side effects such as tremor and involuntary muscle movement (109). 

SSRIs are well tolerated. Adverse effects for compounds in this class include nervousness, tremor, dizziness, headache, insomnia, sexual dysfunction, nausea, and diarrhea. In addition, the tricycHc antidepressant clomipramine (33), which is a potent nonselective serotonin reuptake inhibitor, is approved for treatment of obsessive—compulsive disorder. 

Venlafaxine (48) is a stmcturaHy novel phenylethylamine derivative that strongly inhibits both noradrenaline and serotonin reuptake. It lacks anticholinergic, antihistaminergic, and antiadrenergic side effects. As compared to placebo, most common adverse events are nausea, somnolence, dizziness, dry mouth, and sweating. Venlafaxine-treated patients also experienced more headaches and nausea, but less dry mouth, dizziness, and tremor than patients treated with comparator antidepressants. 

SSRIs are widely used for treatment of depression, as well as, for example, panic disorders and obsessive—compulsive disorder. These dmgs are well recognized as clinically effective antidepressants having an improved side-effect profile as compared to the TCAs and irreversible MAO inhibitors. Indeed, these dmgs lack the anticholinergic, cardiovascular, and sedative effects characteristic of TCAs. Their main adverse effects include nervousness /anxiety, nausea, diarrhea or constipation, insomnia, tremor, dizziness, headache, and sexual dysfunction. The most commonly prescribed SSRIs for depression are fluoxetine (31), fluvoxamine (32), sertraline (52), citalopram (53), and paroxetine (54). SSRIs together represent about one-fifth of total worldwide antidepressant unit sales. 

Treatment of Manic—Depressive Illness. Siace the 1960s, lithium carbonate [10377-37-4] and other lithium salts have represented the standard treatment of mild-to-moderate manic-depressive disorders (175). It is effective ia about 60—80% of all acute manic episodes within one to three weeks of adrninistration. Lithium ions can reduce the frequency of manic or depressive episodes ia bipolar patients providing a mood-stabilising effect. Patients ate maintained on low, stabilising doses of lithium salts indefinitely as a prophylaxis. However, the therapeutic iadex is low, thus requiring monitoring of semm concentration. Adverse effects iaclude tremor, diarrhea, problems with eyes (adaptation to darkness), hypothyroidism, and cardiac problems (bradycardia—tachycardia syndrome). 

A deficiency of niacin also affects the nervous system. Numbness is initially observed and later, paralysis, particularly in the extremities is common. Severe cases are characteri2ed by tremor and a spastic or ataxic gait and are frequentiy associated with peripheral neuritis. Left untreated, severe thought disorders can ensue (1). 

Trichloroethylene is acutely toxic, primarily because of its anesthetic effect on the central nervous system. Exposure to high vapor concentrations is likely to cause headache, vertigo, tremors, nausea and vomiting, fatigue, intoxication, unconsciousness, and even death. Because it is widely used, its physiological effects have been extensively studied. 

Random vibrations, such as tho.se caused by an earthquake, cause shocks and ground movements and are termed seismic disturbances. Shocks and turbulence caused by a heavy sea, landslides and volcanic eruptions are also examples of shocks that may cause vibrations and result in tremors, not necessarily earthquakes. Nevertheless, they may require design considerations similar to those for an earthquake, depending upon the applieation (e.g. naval applications, hydro projects, dams and bridges). 

It is also accepted that after such an event, the ruptured earth surfaces may try to settle down again. It is possible that during the course of such a realignment there may still remain pockets of energy between the two plates until they finally settle. These may develop into releases of stresses once again, leading to occasional tremors or earthquakes even for. several days tifter a major earthquake or volcanic eruption. The earthquakes in Turkey are examples where two equally devastating earthquakes occurred between September and November 1999. 

Health Hazards Information - Recommended Personal Protective Equipment Goggles or face shield dust mask Symptoms Following Exposure Inhalation of dust may causes irritation of nose and throat. Contact with eyes or skin causes irritation. Ingestion has been observed to cause tremors and muscle spasms in test animals General Treatment for Exposure INHALATION move to fresh air. EYES flush with water for at least 15 min. SKIN flush with water wash with soap and water. INGESTION get medical attention Toxicity by Inhalation (Thresholdlimit Value) Data not available Short-Term Inhalation limits Data not available Toxicity by Ingestion Grade 2 oral LDjq = 3,800 mg/kg (rat) Late Toxicity Causes cancer in rats Vapor (Gas) Irritant Characteristics Data not available liquid or Solid Irritant Characteristics Data not available Odor Threshold Not pertinent. 

Pharmacological Action. According to Curci, oxyacanthine in doses of 01 to 0-2 gm. produces in rabbits quick and laboured respiration, muscular tremors, clonic convulsions and cessation of respiration before the heart stops. Raymond-Hamet states that oxyacanthine hydrochloride in a dose of 10 mgm. injected into the femoral artery of a dog produced dilation of the blood vessels in the leg and general hypotension. 

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