Coronial
TAShome

Coroner's Finding: Lowe, Paul 2021 TASCD 684

Deceased

Paul William Lowe

Demographics

42y, male

Date of death

2018-08-12

Finding date

2021-12-02

Cause of death

acute methadone intoxication

AI-generated summary

Paul William Lowe, a 42-year-old man with treatment-resistant epilepsy, schizophrenia, and long-standing opioid dependence, died from acute methadone intoxication on 12-13 August 2018. Evidence strongly indicates he injected his Sunday takeaway methadone dose, which was the immediate cause of death. Track marks on his arm and drug paraphernalia found in his bedroom support this conclusion. While his GP Dr Frank Reynolds had non-complied with methadone guidelines by prescribing four rather than two takeaway doses weekly, the coroner found this earlier breach could not have contributed to death, as the dose was corrected to two weekly before Lowe's death. Clinicians should be aware that methadone diversion and injection represent serious risks in opioid pharmacotherapy programs; regular urine screening and strict adherence to takeaway dose limits are essential safeguards.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.

Specialties

addiction medicinepsychiatryneurologygeneral practicepharmacyforensic medicine

Error types

medication

Drugs involved

methadonerisperidonezonisamidelevetiracetamcannabisheroin

Clinical conditions

opioid dependenceschizophreniaepilepsytreatment-resistant epilepsyacute methadone intoxication

Contributing factors

  • injection of takeaway methadone dose
  • opioid dependence
  • poor compliance with epilepsy medication
  • unsupervised use of injectable methadone
  • previous non-compliance with TOPP guidelines (four takeaway doses prescribed instead of maximum two per week)
Full text

Source and disclaimer

This page reproduces or summarises information from publicly available findings published by Australian coroners' courts. Coronial is an independent educational resource and is not affiliated with, endorsed by, or acting on behalf of any coronial court or government body.

Content may be incomplete, reformatted, or summarised. Some material may have been redacted or restricted by court order or privacy requirements. Always refer to the original court publication for the authoritative record.

Copyright in original materials remains with the relevant government jurisdiction. AI-generated summaries and tagging are for educational purposes only, may contain inaccuracies, and must not be treated as legal documents. We welcome feedback for correction — report an inaccuracy here.