Inquest into the death of Fazan Khan

22y · Male·accidental multi-drug toxicity, predominantly oxycodone and 3,4-methylenedioxymethylamphetamine (MDMA), in keeping with overdose after oral ingestion

Fazan Khan, a 22-year-old employed motor trimmer, died from accidental multi-drug toxicity from oxycodone and MDMA at a house party. He had a history of prescription opioid use (Panadeine Forte, oxycodone) for work-related injuries and regularly consumed 'lean' (codeine mixed with soft drink). At the party on 27 January 2018, he consumed MDMA, alcohol, xanax, and additional opioids. He was found deceased the next morning showing signs of rigor mortis. The coroner found no suspicious circumstances. Clinically, this case illustrates the dangers of polypharmacy mixing opioids with stimulants and sedatives, and the particular danger of 'lean' consumption. Recognition of warning signs (vomiting, drowsiness, slurred speech) and intervention by party attendees might have prevented death. Medical practitioners prescribing opioids should counsel on overdose risks and 'lean' dangers.