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SAhome2013-09-03

Coroner's Finding: KROMWYK Shane Andrew

38y · Male·mixed drug toxicity and arrhythmogenic right ventricular dysplasia

Shane Andrew Kromwyk, aged 38, died at home on 14 March 2009 while on home detention bail. Post-mortem examination revealed mixed drug toxicity (methadone, diazepam, alprazolam) combined with pre-existing arrhythmogenic …

general practiceaddiction medicinediagnosticmedicationmethadone
QLDhospital2013-01-18

Ryan, Adam Trent

30y · Male·asphyxia due to hanging (suicide)

30-year-old Adam Trent Ryan died by suicide via hanging in July 2009. Multiple systemic failures preceded his death. The Community Mental Health Service failed to communicate Mr Ryan's past suicide attempt to the hospita…

psychiatrygeneral practicecommunicationdocumentationsertraline
NSW2012-09-27

Inquest into the deaths of James UNICOMBE, Michael POOLE, Grace YATES

Three deaths with different primary causes: James Unicomb - acute toxicity due t…

Combined inquest into three deaths at Psyche South Clinic involving treatment failures: James Unicomb (22, 2005) from multi-drug overdose after naltrexone implant; Michael Poole (48, 2008) from ruptured aneurysm post-Rap…

addiction medicinegeneral practicediagnosticmedicationnaltrexone
NSWcommunity2012-09-05

Inquest into the death of Lynda Vanessa CLIFFORD

29y · Female·respiratory depression as a result of the interaction of prescribed medications

A 29-year-old woman with mental illness and substance use was admitted to hospital with psychosis and suicidality. She was discharged on six CNS-depressant medications including three antipsychotics, an antidepressant, a…

psychiatrygeneral practicecommunicationsystemclozapine
VIChome2011-02-17

Finding into death of Michael William Gledhill

37y · Male·Mixed drug toxicity (heroin, methadone and diazepam) in a man with coronary arte…

Michael Gledhill, 37, died from mixed drug toxicity involving heroin, methadone, and diazepam, complicated by pre-existing coronary artery disease. He was enrolled in a methadone maintenance program but continued illicit…

general practicepharmacologymedicationcommunicationheroin
VIChospital2010-03-15

Finding into death of Deborah Margaret Ricklefs

29y · Female·Invasive aspergillosis

A 29-year-old registered nurse with systemic lupus erythematosus (SLE) died from invasive aspergillosis. Dr G. prescribed lamotrigine 100 mg daily (double the recommended initial dose of 50 mg) on first consultation with…

addiction medicinegeneral practicemedicationdiagnosticlamotrigine
NThome2007-11-13

Inquest into the death of Richard Kiel

37y · Male·acute heart failure caused by multiple drug toxicity (methadone and alprazolam)

Richard Mark Kiel, a 37-year-old with chronic opioid addiction, died from acute heart failure caused by lethally high levels of methadone and alprazolam, likely consumed on 9 September 2005. His GP, Dr G., prescribed the…

general practiceaddiction medicinediagnosticmedicationmethadone
NThome2007-05-18

Inquest into the death of Erfinna Patricia Lay and John Weston Quirk

Unknown·Erfinna Lay: Aspiration resulting from Acute Multiple Drug Toxicity; John Quirk:…

Two young people died from acute multiple drug toxicity in 2005. Erfinna Lay (22, female) died from aspiration after ingesting chloral hydrate prescribed to her partner. John Quirk (27, male) died from doloxene overdose …

general practicepsychiatrymedicationcommunicationchloral hydrate
SAcommunity2002-05-23

Coroner's Finding: DANN Kathleen Felicity

38y · Female·mixed drug toxicity (lethal level of dothiepin, potentially lethal level of morp…

A 38-year-old woman with long-standing heroin and benzodiazepine dependence died from mixed drug toxicity following injection of heroin. Her GP had prescribed multiple benzodiazepines (diazepam, oxazepam, temazepam) and …

general practiceaddiction medicinemedicationdiagnosticheroin
SAhome2002-05-23

Coroner's Finding: DAVIES Nicole Memory Faye

17y · Female·mixed drug toxicity

Nicole Davies, aged 17, died from mixed drug toxicity after rapid methadone dose escalation combined with multiple CNS depressants. She presented to Dr Turner requesting methadone maintenance on 23 March 2000 with undisc…

addiction medicinegeneral practicediagnosticmedicationmethadone
SAhome2002-05-23

Coroner's Finding: DAVIES Nicole Memory Faye

17y · Female·mixed drug toxicity

Nicole Davies, 17, died from mixed drug toxicity after rapid methadone dose escalation during early maintenance therapy. She presented with clear signs of intoxication (drowsiness, slurred speech, incoherence) yet receiv…

general practiceaddiction medicinediagnosticmedicationmethadone

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