Review Question - QID 109313

A 60-year-old woman presents to the emergency department with progressive nausea and vomiting. She reports that approximately one day prior to presentation she experienced abdominal discomfort that subsequently worsened to severe nausea, vomiting, and two episodes of watery diarrhea. She recently noticed that her vision has become blurry along with mild alterations in color perception. Medical history is significant for congestive heart failure with a low ejection fraction. She cannot recall which medications she is currently taking but believes she is taking them as prescribed. Which of the following is a characteristic of the likely offending drug that led to this patient’s clinical presentation?