Hanley, Timothy Michael

19y · Male·poisoning by diphenhydramine and dextromethorphan from 'Herbal Ecstasy'

Timothy Michael Hanley, aged 19, died from poisoning by diphenhydramine and dextromethorphan after ingesting 'Herbal Ecstasy' purchased online. This case highlights the dangers of unregulated internet-sourced compounds, particularly those marketed as herbal alternatives to controlled substances. The coroner found no suspicious circumstances. Clinicians should be aware that patients presenting with unexplained altered consciousness, seizures, or vital sign abnormalities may have ingested such compounds. Key lessons include: maintaining high suspicion for toxin exposure in young people with acute presentations; thorough substance use history taking; recognition that internet-sourced 'herbal' products may contain significant pharmaceutical agents; and public education about risks of unregulated compounds. Toxicology screening and poison centre consultation should be considered early in cases of acute unexplained illness.