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Drug-induced tremor

ICD10CM code
#### Name of the Condition
- Drug-Induced Tremor (ICD-10 Code: G25.1)

#### Summary
Drug-induced tremor is an involuntary, rhythmic muscle contraction that causes shaking movements in one or more parts of the body. It is typically a side effect from certain medications.

#### Causes
- Medications such as antidepressants, antipsychotics, bronchodilators, and certain immunosuppressants can cause tremors.
- Withdrawal from a substance or excessive use of caffeine may also induce tremor.

#### Risk Factors
- Taking medications that are known to cause tremors.
- Higher doses or prolonged use of certain drugs.
- Underlying conditions like kidney or liver dysfunction can increase susceptibility.

#### Symptoms
- Uncontrolled shaking or trembling in the hands or other body parts.
- Shakiness may be more noticeable during rest or when attempting precise movements.

#### Diagnosis
- Clinical evaluation of medical history and medication list.
- Neurological examination to assess tremor characteristics.
- Elimination of other potential causes for tremors, such as Parkinson’s disease.

#### Treatment Options
- Discontinuation or adjustment of the offending medication.
- Beta-blockers or anticonvulsants may help control tremor severity.
- Physical or occupational therapy to improve fine motor skills.

#### Prognosis and Follow-Up
- Tremors typically improve upon altering or discontinuing the causative medication, but some may persist.
- Regular follow-up to adjust treatment plans and manage symptoms effectively.

#### Complications
- Difficulty performing daily activities due to impaired motor control.
- Psychological impact, such as embarrassment or anxiety.

#### Lifestyle & Prevention
- Identifying alternative medications with fewer side effects in collaboration with healthcare professionals.
- Reducing caffeine intake to minimize exacerbation.

#### When to Seek Professional Help
- If tremors interfere significantly with daily life activities.
- Onset of new symptoms or worsening of existing tremor.

#### Additional Resources
- National Tremor Foundation ([tremor.org.uk](http://www.tremor.org.uk))
- International Essential Tremor Foundation ([essentialtremor.org](http://essentialtremor.org))

#### Tips for Medical Coders
- Ensure medication history is thoroughly reviewed to identify causative agents.
- Avoid confusing drug-induced tremor with essential tremor or Parkinsonian tremor, different conditions with distinct codes.