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Multiple medications can cause tremors, including cancer medicines (thalidomide, cytarabine), anti-seizure medications (sodium valproate [Depakene] and valproic acid [Depakote]), medications used to treat mood disorders like bipolar disorder (lithium carbonate), heart medications (amiodarone, procainamide ), antivirals (vidarabine, acyclovir ), epinephrine , norepinephrine, tiratricol (a weight loss medicine), tetrabenazine (a medicine for movement disorders), and substances like amphetamines , caffeine , nicotine , and alcohol

He does it again to Alice when she desperately asks for his help as she is being chased by the Queen of Hearts

You can also shake it by placing your thumb over the rim

AVOID CONTACT WITH EYES AND SKIN