37 results for “substance-seeking behaviour”
54y · Male·asphyxia due to hanging
…scalating requests for pain medication. His GP ceased treatment due to concerns about medication-seeking behaviour and dishonesty about drug use. The patient became distressed at losing his GP but was offered alternativ…
28y · Male·Multiple head, facial and spinal injuries sustained in a single vehicle motorbik…
…nts). Key clinical lessons: (1) Mr Tyrrell had documented substance use disorder with clear drug-seeking behaviour recognised by most treating doctors; (2) prescribing of multiple CNS depressants (diazepam, temazepam, t…
35y · Male·Fentanyl toxicity
…en staff failed to conduct required two-hourly checks. He had a history of substance abuse, drug-seeking behaviour, and multiple medications. While his GP appropriately prescribed Fentanyl after confirmed rib fractures …
0y · Female·Morphine toxicity
…failing to recognize and appropriately manage the parents' escalating opioid dependence and drug-seeking behaviour despite clear warning signs; failure to refer them to addiction treatment services; police investigating…
26y · Female·morphine toxicity complicated terminally by bronchopneumonia
…from morphine toxicity complicated by aspiration pneumonia. She had a documented history of drug-seeking behaviour, forged prescriptions, and doctor-shopping. Her GP prescribed escalating doses of morphine in multiple f…
22y · Male·combined mixed drug intoxication
…nge, dextromethorphan and bupropion at supratherapeutic levels. He had engaged in sustained drug-seeking behaviour across multiple doctors and obtained U-47700 online despite signing a declaration it was not for human u…
58y · Male·Heroin toxicity
…ween multiple prescribers (GPs, pain management, mental health) to prevent polypharmacy and drug-seeking behaviours; recognising that patients with established addiction patterns may transition to illicit drugs when pre…
36y · Male·mixed drug toxicity including heroin and methamphetamine
A 36-year-old man with a history of intravenous drug use died from mixed drug toxicity involving heroin and methamphetamine. He was recently released on parole and appeared to be reintegrating successfully. During a trip…
46y · Male·Haemopericardium complicating aortic dissection
… cardiology registrar reinterpreted this as cardiomyopathy and attributed ongoing pain to opioid-seeking behaviour, despite no documented opioid use history. Aortic dissection was not adequately considered despite risk …
44y · Female·Unascertained
… the Drugs and Poisons Regulation (DPR) Help Line, which would have revealed her history of drug-seeking behaviour and existing ORT prescriptions. An Addiction Medicine Unit had recently advised against opioid prescribi…
44y · Male·compression of the neck consequent upon hanging
…er violence died by hanging. He had recently separated from his wife and was enrolled in a 18-week men's behaviour change program, having completed 17 of 18 sessions. He reported suicidal ideation and lowered mood but d…
51y · Male·blunt trauma of the chest sustained in a motor vehicle crash; hypovolemic shock …
…While the GP's prescribing was deemed sound by medical review, the case highlights risks of drug-seeking behaviour, polypharmacy with CNS depressants, and the challenge of identifying impairment in patients with mental …
27y · Male·Not determined; olanzapine toxicity suspected but regarded by expert evidence as…
…993. He was a patient with chronic schizophrenia, borderline intelligence, and a history of drug-seeking behaviour. On 5 February 2000, he suffered an overdose requiring ICU admission. Despite this critical incident, 20…
52y · Male·Asphyxia due to smoke inhalation from caravan fire
…tal the day before seeking assistance for schizophrenia symptoms but was not admitted. That evening, his behaviour was erratic—he was rambling, had physical altercations, and threatened his brother with a knife. His son…
44y · Male·mixed drug toxicity
…lex psychiatric history with factitious and somatic disorders, chronic pain, and documented drug-seeking behaviour. His GP had implemented strict weekly medication packing to control access, but ceased this regime in Ma…
20y · Male·Lung infection on a background of oxycodone intoxication
…l importance of real-time prescription monitoring systems, practitioner vigilance regarding drug-seeking behaviour, and proper assessment of drug dependence before prescribing Schedule 8 substances.
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…
22y · Male·Combined drug toxicity (alprazolam, methadone, diazepam, dextromethorphan and op…
Adrian Westlund, a 22-year-old with complex drug-seeking behaviour and polypharmacy addiction, died of combined drug toxicity (alprazolam, methadone, diazepam, dextrometho…
62y · Female·Unknown. Likely natural causes, possibly with drug-related element. QT-prolongat…
Margaret Carr, 62, was found dead at her home in Redfern between 27 February and 1 March 2017. She had complex medical history including COPD, endocarditis, hepatitis C and substance use disorder (heroin, cannabis, metha…
Unknown·acute fentanyl toxicity; acute oxycodone toxicity; multiple drug toxicity; opioi…
Four adults died from opioid overdoses (fentanyl and oxycodone) in Queensland between 2012–2014. All obtained prescriptions from multiple doctors ('doctor shopping') without effective detection. Systemic failures include…
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