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A 17-year-old female arrives at the emergency department via ambulance. On exam, she is agitated and confused. Her blood pressure is 160/110 mmHg, heart rate 140 beats/min, and temperature 39C. She is diaphoretic, tremulous, and hyper-reflexive, but otherwise has a non-focal neurological exam. She is unable to give a detailed history. She has with her a bottle of phenelzine. Her friends report that she "wanted to celebrate her eighteenth birthday" with "something new." What other drug may she have taken to cause this presentation?

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