system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 31-year-old woman is brought to the emergency room after an apparent suicide attempt. She is unable to provide a history, but her husband reports that he found her at home severely confused and agitated. She reportedly mentioned swallowing several of her pills but was unable to provide additional details. Her husband reports that she has a history of Crohn disease, major depressive disorder, social anxiety disorder, and prior heroin and alcohol abuse. She has not taken heroin or alcohol for 5 years and attends Alcoholics Anonymous and Narcotics Anonymous regularly. She takes multiple medications but he is unable to recount which medications she takes and they are not in the electronic medical record. Her temperature is 103.9°F (39.9°C), blood pressure is 160/95 mmHg, pulse is 125/min, and respirations are 28/min. On exam, she appears agitated, diaphoretic, and is responding to internal stimuli. She has clonus in her bilateral feet. Pupils are 3 mm and reactive to light. Patellar and Achilles reflexes are 3+ bilaterally. She is given alprazolam for her agitation but she remains severely agitated and confused. Which of the following medications should be given to this patient?
assistant
Cyproheptadine