Coronial
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SAhospital2006-07-17

Coroner's Finding: HERBERT Raelene Vicki

29y · Female·respiratory depression caused by morphine intoxication on a background of upper …

A 29-year-old woman with infectious mononucleosis and severe sore throat died from respiratory depression caused by morphine intoxication with concurrent upper airway narrowing. A GP administered 30mg intramuscular morph…

general practiceemergency medicinemedicationdiagnosticmorphine
SAhome2006-05-05

Coroner's Finding: KILEY Carol Anne

55y · Female·Multiple drug toxicity due to combination of alcohol and benzodiazepines (oxazep…

Carol Anne Kiley, a 55-year-old woman with chronic back pain, depression, and likely alcohol dependence, died from multiple drug toxicity involving alcohol, oxazepam (toxic level), temazepam, and promethazine. Her GP, Dr…

general practicepsychiatrymedicationdiagnosticoxazepam
SAhospital2006-04-21

Coroner's Finding: EDWARDS Ruby Mabel

77y · Female·haemorrhagic diathesis due to warfarin toxicity

Ruby Mabel Edwards, 77, died from haemorrhagic diathesis due to warfarin toxicity after 84 days in a rural hospital. She had a prosthetic aortic valve requiring anticoagulation. INR monitoring was inadequate: no tests fo…

general practicehaematologymedicationdelaywarfarin
QLDhome2005

Shaw, Lillian Margaret

67y · Female·perforated gastric ulcer; morphine toxicity also made a significant contribution

Mrs Lillian Shaw, a 67-year-old obese woman with a history of NSAID use, presented with vomiting and abdominal pain over 36 hours. A GP visited three times without performing adequate physical examination, failed to insp…

general practicegastroenterologydiagnosticmedicationtramadol
SAhome2004-11-18

Coroner's Finding: CUNNINGHAM Tracey-Lee

26y · Female·morphine toxicity complicated terminally by bronchopneumonia

A 26-year-old woman with chronic migraines and depression died from morphine toxicity complicated by aspiration pneumonia. She had a documented history of drug-seeking behaviour, forged prescriptions, and doctor-shopping…

general practiceneurologymedicationdiagnosticmorphine
WA2004-03-02

Inquest into the Death of Natasha Leanne Quartermaine

25y · Female·Ligature Compression of the Neck (Hanging)

Natasha Quartermaine, a 25-year-old female prisoner at Bandyup Women's Prison in Western Australia, died by suicide via ligature compression of the neck on 27 August 2001. She had a long history of mental illness, person…

psychiatrygeneral practicecommunicationsystemzuclopenthixol
SA2003-03-28

Coroner's Finding: ROGERS Justin Malcolm

27y · Male·propoxyphene toxicity

A 27-year-old man with schizophrenia died of propoxyphene toxicity while in police custody. He ingested a fatal dose of Doloxene capsules prescribed by Dr R. on 27 June 2000. The doctor prescribed 100 capsules to a patie…

general practicepsychiatrydiagnosticmedicationpropoxyphene
VIChome2002-08-30

SMEETON Debra

34y · Female·Dothiepin toxicity in a setting of post-natal depression

Debra Smeeton, 34, died on 12 November 1999 from dothiepin toxicity following intentional overdose at home, eight days after giving birth. She had severe post-natal depression after her first child in 1996, requiring hos…

psychiatryobstetricscommunicationmedicationdosulepin
VIChome2002-08-30

CARRIGG Yvonne

Female·Dothiepin toxicity

Yvonne Carrigg, a woman with recurrent post-natal depression, died from dothiepin overdose three days after psychiatric discharge. Critical clinical failures included: prescribing dothiepin (a cardiotoxic tricyclic antid…

psychiatrygeneral practicediagnosticmedicationdosulepin
SAhome2002-07-11

Coroner's Finding: TAYLOR Yutta

47y · Female·serotonin syndrome due to combined toxicity of moclobemide and paroxetine

A 47-year-old woman with a long history of prescription drug abuse died from serotonin syndrome caused by combined toxicity of moclobemide (MAOI) and paroxetine (SSRI). She had experienced multiple previous overdoses and…

general practicepsychiatrydiagnosticmedicationmoclobemide
SAcommunity2002-05-23

Coroner's Finding: DAVIES Nicole Memory Faye

17y · Female·mixed drug toxicity

Nicole Memory Faye Davies, age 17, died on 4 April 2000 from mixed drug toxicity. She enrolled in methadone maintenance with GP Dr T. on 27 March after moving from Melbourne. Dr T. rapidly escalated her dose from 35mg to…

general practiceaddiction medicinediagnosticmedicationmethadone
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
SAhome2001-07-16

Coroner's Finding: BRADY Mary

64y · Female·Haemorrhagic bronchopneumonia complicating doxepin overdosage

A 64-year-old woman died from doxepin overdose complicated by haemorrhagic bronchopneumonia. She had attempted suicide in April 1999 and was referred to a psychiatrist (Professor Schioldann) who prescribed sertraline. He…

general practicepsychiatrycommunicationmedicationdoxepin
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