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Is this a new problem? Something that has been building over time?
Tremor can be caused by, many drugs such as Caffeine, Lithium, Haloperidol, and a number of other meds. Some are reversed with removal of the meds, however, some are not fully reversed with removal of the meds.
There are also disease states such as Parkinson's Disease which a medical doctor should be able to help you with.
I think the risk of tremors with alcohol and narcotics is related to withdrawal symptoms.
Here's an interesting test - is the tremor worse in left or right hand, and are you left or right handed?