### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hi doctor.i want to ak you i have tremor for one week i b been drink propanol but it was too strong for me this medication,now i want to now what to take as a medicine to small the tremor,and i also have a arithmia and my chest are in pain.i have takwe a verapamil from 40mg in the morning and now i feel again pain in my chest and in my back.pls tell me do i needc to take again veramapil from 40 mg?thanks you for your answers.im 30 years old,im 51 kg,156cm,and i have as hipotireoidea,small function of tirokisin.i take medicine eutirox from 50 mg end from 75 once a week.now i have not controleed my tiroksin for 6 months.is it possible this simptoms to come from my small function of tiroksin?i have the thiroidea for ten years,but i dont take my medicines often in the last monts,is is possible that to make me arithmia,tahikardia and tremor?thank you again

### output:

Hello, If you have minor (small) tremors and are not disabling you, I would not recommend you to take any treatment. If tremors are affecting your daily activities, and you have not tolerated 40 mg propranolol, you can try 20 mg. Medications like Elton can cause small tremors. I personally feel your tremors are not disabling, and you may not need any medications for the same. If not you need to see a Neurologist and discuss alternate options like pyrimidine for his tremors.  Hope I have answered your question. Let me know if I can assist you further. 