MAOIS Synthroid Antidepressant Anxiolytics

MAOIs (mono amine oxidase inhibitors) are antidepressant and adrenergic in action. They inhibit MAO enzyme which increase serotonin, norepinephrine and dopamine in neuronal synapse. Side effects are adrenergic, but also include nervousness and agitation. 

Propranolol (Inderal) is a beta blocker.
Levothyroxine (Synthroid) is a thyroid agent for hypothyroidism conditions such as cretinism, myxedema and hashimoto’s thyoroidititis.. They are preferred because their effects are predictable. The use of synthyroid to reduce weight increasing metabolism when thyroid function is normal is contraindicated. Side effects include weight loss, hypoglycemia, hyperthyroidism, menstrual irregularities, adrenergic side effects.
Dizepam (Valium) is a part of benzodiazepines which are anxiolytics. Valium has a long half life and should be avoided in older adults. Side effects include mental confusions, ataxia, tremor, and sensitivity to light. Avoid grapefruit juice.

Therapeutic levels of the drugs are as follows:
Dilantin 10 – 20 microgram/ml
Gentamicin 5 – 10 microgram/ml
Digoxin 0.8 – 2 nanogram/ml
1ml = 15 m 5ml = 1dr = 1 tsp 15ml = 4dr = 1tbsp 30ml = 1oz = 2tbsp

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