Review Question - QID 214486

A 24-year-old woman with a past medical history of hypertension, diabetes, IV drug abuse on maintenance therapy, and depression who is 33 weeks pregnant presents to the emergency department with altered mental status. She was found in her room next to a suicide note. The patient is on multiple medications that were recently started by her obstetrician. The patient was noted to have gestational hypertension and an impaired fasting blood glucose. Her temperature is 97.5°F (36.4°C), blood pressure is 62/42 mmHg, pulse is 55/min, respirations are 14/min, and oxygen saturation is 95% on room air. Physical exam is notable for miotic pupils and a patient who responds with words to sternal rub. Her fingerstick blood glucose is 135 mg/dL. Which of the following medications was most likely taken in overdose?