Finding into death of Mr S

20y · Male·Mixed drug toxicity (ethanol, etizolam, flubromazolam, cocaine)

Mr S, a 20-year-old, died from mixed drug toxicity after consuming counterfeit alprazolam tablets containing undeclared benzodiazepines (etizolam and flubromazolam) along with alcohol and cocaine. He was found unresponsive with classic overdose signs (inability to rouse, obstructed breathing) but emergency services were not called for several hours. Those present did not recognise overdose symptoms despite observing concerning signs. The case highlights the dangers of novel psychoactive substance benzodiazepines in unregulated drug markets and the critical need for overdose recognition training among people who use drugs and their social networks. Early recognition and response could have prevented death.