My sister has been prescribed divalproex sod er 500mg each (2 tablets) in the evening. She seems very subdued and not her normal self. She is also taking bupropion hcl xl 150mg in the evening. When I told the psychiatrist that she had some trouble eating because of her tremors, he prescribed 10mg of propranolol twice daily. What do you think?
Hello ! I read your question and understand your concern. Divalproex can be the cause of tremor. I would recommend having a plasma level of divalproex to rule out over dosage. Although 1000 mg/d is not a high dose. If she stops divalproex the tremor probably will stop. But I would take into account the benefits in seizure control of divalproex. It can be switched also into another Chat Doctor.  Propranolol is a