A 58-year-old woman comes to the office due to 2 days of lower back pain.. Last 2 days, she left heavy boxes during move to a new apartment. She does not drink alcohol or use illicit substances. Medical history includes hypertension and major depressive disorder currently treated with captopril and citalopram. A short course of medication is prescribed, and the patient is asked to monitor for development of diaphoresis, restlessness, tremors, and diarrhea. The patient was most likely prescribed which of the following medications?

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Eductional Objective: Coadministration of tramadol with serotonergic medications such as selective serotonin reuptake inhibitors increases the risk of serotonin syndrome, Onset of serotonin syndrome typically occurs within the first 24 hours after a change in dose or initiation of a serotonergic medication, and typically presents with the classic triad of mental status changes, autonomic instability, and neuromuscular hyperactivity

A 58-Year-Old Woman Comes to the Office Due to 2