Which of the following drugs can cause adverse effects when administered with cyclobenzaprine?

Cyclobenzaprine, a muscle relaxant, can interact with certain medications, leading to adverse effects. Tranylcypromine is a monoamine oxidase inhibitor (MAOI) used primarily in treating depression. When combined with cyclobenzaprine, there is a significant risk of serotonin syndrome, a potentially life-threatening condition caused by excessive levels of serotonin in the brain.

The interaction arises because cyclobenzaprine has serotonergic activity, and when taken with an MAOI like tranylcypromine, it can lead to an accumulation of serotonin. Symptoms of serotonin syndrome include confusion, rapid heart rate, high blood pressure, dilated pupils, and muscle rigidity, among others. The severity of these symptoms can range from mild to severe, making it crucial to avoid combining these two medications.

Other medications listed, such as acetaminophen, diazepam, and lorazepam, do not present the same level of risk for serotonin syndrome when taken with cyclobenzaprine. While they may have their own interactions or adverse effects in various contexts, they do not create the serious and potentially fatal risk that occurs with the combination of cyclobenzaprine and tranylcypromine. Understanding the pharmacological