Consider the following medical report that includes the patient's historical health records. Use it to predict the disease that the patient is high likely exposed to. 

 Medical Report: allergies: patient recorded as having no known allergies to drugs attending: chief complaint: tylenol overdose acute intoxication major surgical or invasive procedure: intubation, mechanical ventilation history of present illness: this 28 yo man with h/o depression presented to the ed s/p od on 'blue pills with pm on them', thought to be excedrin pm. tox. screen positive for acetominphen (unknown time of ingestion-? 0100-0200), and etoh. he resides in ct but was in visiting his girlfriend. she left to return a shirt to a friend approx 0100 and that is when this od occured. per his parents he had an episode of binge drinking 2 months prior where he was hospitalized for detox (3 days) and treated with benzos but no noted withdrawl/seizures. he rec'd 1.5 days counceling but did not follow-up for further treatment. around that time his pcp started him on paxil and he seemed to improve initially but has been worse over the past 6 weeks. he arrived in 1 week prior to visit his ex-girlfriend and things were going well until when he started to drink heavily. per his parents the ex-girlfriend called last night stating he was drunk and difficult, shortly after which he told her he took 20 pills (excedrin pm?). per his parents no known close friends/family memebers with completed suicide, though a peer in high school died by hanging. his parents came from ct and brought him to the ed. . on arrival to the ed vs: t 98.7 hr 120 bp 157/96 rr 18 sat 95% on ra. sat fell to 92% on ra. he was noted to be confused/lethargic so intubated for airway protection. he was given activated charcoal po. narcan 0.4mg given with no effect. toxicology was consulted and he was admitted to the icu. for tylenol overdose he was given acetylcysteine based on 80kg wt, (iv) 9800 mg (140mg/kg load) with 5600mg (70mg/kg) q4 iv for 24 hours-rec'd at 1000, 1400 prior to transfer. toxicology following: 1-2 beats of clonus, no hyperreflexia noted. he rec'd 1.7 l ns then approx 500cc d51/2ns. uop 600cc when foley placed, then total 1160 for 9 hours. past medical history: osa on home cpap hypertension: not known to be on medications depression: on paroxitene, ?compliance, no previous suicide attempts known gerd recent l wrist fracture w/metal pins placed (2 weeks prior), in splint h/o tremor since childhood social history: works as a restaurant manager in ct, here visiting his girlfriend. + etoh (recent heavy use as above) and tobacco use (1 ppd, had quit 5 years ago but restarted 6-8 months ago). possible mj use, no other known drug use per parents. family history: nc physical exam: on admit vs: t 99.5 oral, 100.6 rectal bp 155/96 hr 101 ac 500(500)/16(23)/0.5/5 98% general: intubated, sedated but arouses, nods yes/no to questions, follows commands, nad, withdraws to pain heent: op with charcoal, otherwise clear, perrl 5->3mm bilat neck: wide, jvp 6cm, no lad resp: ctab, no wheezes, rales, rhonchi cv: tachycardic but regular rhythm, no m/r/g; 2+ radial/dp/pt pulses b abdomen: soft, nt, nd, +bs, no masses or hsm ext: l wrist in splint; no c/c/e skin: multiple tattoos, no rashes or erythema, warm and moist to touch neuro: perrl 5->3mm bilaterally, + horizontal nystagmus both directions; dtr's 2+ biceps b, brachioradialis r; 3+ patellar reflexes bilaterally, babinski down-going bilaterally, + beats of clonus in ankles bilaterally, no rigidity or tremor brief hospital course: a/p: 28 yo man with depression presents with etoh intoxication, suicide attempt via acetaminophen/diphenhydramine/? paroxetine overdose. . # acetaminophen overdose: pt given nac in the ed. toxicology consulted. initial lfts normal. completed treatment with nac. lfts remained normal. . # diphenhydramine overdose: likely contributing to confusion, monitored for hyperthermia, cutaneous vasodilation, decreased/absent bowel sounds, pupillary dilation, tachycardia, prolonged qtc, seizures as signs of anticholinergic toxicity and all were within the normal in the initial 24 hours. . # possible paroxetine overdose: per pharmacy did not get prescription refilled after , has one pill remaining so likely not strictly compliant. patient had mild hyper-reflexia, clonus on exam, also tachycardic and with low-grade fever, ? serotonin syndrome given on paroxetine, toxicology was reconsulted. received supportive care and no intervention needed. . # suicide attempt: psychiatry consulted, and followed throughout hospitalization. initially on 1:1 sitter which was discontinued. ultimately, intensive outpatient counseling and therapy was recommended and was agreeable to the patient and family. social work and addiction counseling saw the patient and helped arrange follow-up closer to home in ct. . # etoh intoxication: monitored on ciwa q 4 hours for withdrawal, no signs or symptoms. complete abstinence recommended and aa was rec'd by psych. . #depression -psychiatry consulted, continued on paxil 20mg qd, psychiatry established plan for safe care and follow up with patient and family. social work will follow up to help arrange outpatient follow-up. medications on admission: paxil 20mg qd discharge medications: 1. paroxetine hcl 20 mg tablet sig: one (1) tablet po daily (daily). discharge disposition: home discharge diagnosis: tylenol pm overdose alcohol intoxication depression discharge condition: improved discharge instructions: call or seek medical attention if any questions or concerns. followup instructions: follow up with outpatient counseling and your primary care doctor. social work will be in contact tomorrow to confirm follow-up for counseling. md, procedure: continuous invasive mechanical ventilation for less than 96 consecutive hours insertion of endotracheal tube diagnoses: obstructive sleep apnea (adult)(pediatric) esophageal reflux tobacco use disorder depressive disorder, not elsewhere classified suicide and self-inflicted poisoning by tranquilizers and other psychotropic agents pneumonitis due to inhalation of food or vomitus poisoning by aromatic analgesics, not elsewhere classified suicide and self-inflicted poisoning by analgesics, antipyretics, and antirheumatics other and unspecified alcohol dependence, unspecified 

Answer: The patient is high likely exposed to