Drug-induced tremor
ICD-10 G25.1 is a billable code used to indicate a diagnosis of drug-induced tremor.
Drug-induced tremor is a movement disorder characterized by involuntary, rhythmic shaking of a part of the body, often the hands, arms, or legs, that is caused by the administration of certain medications. This condition is particularly associated with the use of dopaminergic medications, which are commonly prescribed for Parkinson's disease and other extrapyramidal disorders. The tremor can vary in severity and may be exacerbated by stress or fatigue. It is important to differentiate drug-induced tremor from other types of tremors, such as those seen in Parkinson's disease or essential tremor, as the management and treatment strategies differ significantly. The tremor typically occurs due to the disruption of normal neurotransmitter balance in the brain, particularly involving dopamine pathways. Clinicians must carefully assess the patient's medication history and consider potential drug interactions or side effects when diagnosing and treating this condition. Accurate identification of drug-induced tremor is crucial for effective management, which may involve adjusting the dosage of the offending medication or switching to alternative therapies.
Detailed documentation of neurological examination findings, medication history, and any changes in symptoms.
Patients presenting with tremors after starting or adjusting dopaminergic medications.
Consideration of other neurological conditions that may mimic drug-induced tremor.
Thorough documentation of psychiatric medications and their potential side effects.
Patients on antipsychotic medications presenting with tremors.
Monitoring for extrapyramidal symptoms in patients receiving long-term psychiatric treatment.
Used for follow-up visits to assess tremor severity and medication adjustments.
Document the patient's medication history, current symptoms, and any changes made.
Neurology specialists should focus on neurological assessments.
Common medications include dopaminergic agents like levodopa, antipsychotics such as haloperidol, and certain antidepressants. It's important to review the patient's entire medication list to identify potential culprits.
