213 results for “medication dependence”
38y · Male·Multidrug toxicity
…received buprenorphine for opioid withdrawal management alongside benzodiazepines and other psychotropic medications. Critical clinical errors occurred: nursing staff observed pinpoint pupils indicating opioid intoxicati…
78y · Male·Ruptured abdominal aortic aneurysm
…hile an involuntary psychiatric inpatient. He had presented with late-onset psychosis and benzodiazepine dependence. During psychiatric admission, he developed chest pain and hypotension; his antihypertensive medications…
22y · Male·Mixed drug toxicity (tapentadol, clonazepam, citalopram, amphetamine, olanzapine…
…d to check SafeScript (Victoria's real-time prescription monitoring system) before prescribing monitored medications, perpetuating his addiction cycle. His regular treating team appropriately coordinated care with Webste…
47y · Male·Bronchopneumonia on a background of methadone and benzodiazepine use
…f-label for 'opiate addiction') was dispensed excessively while clinical notes documented benzodiazepine dependence and drug-seeking behaviour; (3) Benzodiazepines potentiate methadone's respiratory depression; (4) Exten…
45y · Male·multiple drug toxicity
…l Centre, died from multiple drug toxicity involving methadone and mirtazapine. He had a history of drug dependence and mental health conditions (schizophrenia, depression) managed with olanzapine and mirtazapine. Althou…
54y · Male·hanging
John Raymond Gilbett, aged 54, died by hanging on 11 September 2011. He had chronic pain and opioid dependence managed by general practitioners, and chronic mental illness from a 2001 motor vehicle accident. His GP …
37y · Female·Mixed drug toxicity (methadone, diazepam, clonazepam, amisulpride, olanzapine, h…
Susan Robb, 37, was admitted involuntarily to Northern Hospital Psychiatric Unit with deteriorating mental health and on a Community Treatment Order. Three weeks after self-discontinuing methadone, the treating team re-c…
4y · Male·Oxycodone toxicity from ingestion of 80mg OxyContin tablet
… Rory died from oxycodone toxicity after ingesting an 80mg OxyContin tablet from his father's prescribed medication. The tablet was not appropriately stored and remained accessible to the child. His parents were chronica…
38y · Male·Multiple injuries
… of harming his father. He had a complex psychiatric history including paranoid schizophrenia, substance dependence, and prior hospitalization. He denied suicidal intent but admitted occasional suicidal ideation. ECATT p…
30y · Male·Mixed drug toxicity (methadone, amitriptyline, alprazolam, diazepam, oxazepam, n…
Benjamin Appelman, 30, died from mixed drug toxicity in a creek in December 2010. He had engaged in prescription shopping across multiple GPs and pharmacies to obtain benzodiazepines, obtaining 1050 alprazolam, 1540 diaz…
31y · Female·Mixed drug toxicity
A 31-year-old woman with long-standing opioid dependence enrolled in the Queensland Opioid Treatment Program died from mixed drug toxicity, with toxic levels of …
53y · Female·Combined effects of alcohol, amitriptyline, and methadone
…ombined effects of alcohol, amitriptyline, and methadone on Christmas Day 2015. She had developed opioid dependence while receiving legitimate pain management but engaged in 'doctor shopping'—seeing multiple GPs without …
49y · Female·Bronchopneumonia, hypoxic brain injury, and combined drug toxicity (oxycodone an…
…uscitation. Over 15 months prior to death, she had seven hospital admissions for overdoses of prescribed medications. Her GP, Dr N., prescribed high-dose oxycontin (240mg/day) and diazepam despite repeated overdoses and …
42y · Male·acute methadone intoxication
…lliam Lowe, a 42-year-old man with treatment-resistant epilepsy, schizophrenia, and long-standing opioid dependence, died from acute methadone intoxication on 12-13 August 2018. Evidence strongly indicates he injected hi…
26y · Male·unascertained; suspected suicide by firearm
…d ideation and command hallucinations suggesting suicide. He was prescribed antidepressants but had poor medication adherence. On the day of disappearance, he took his father's shotgun and disappeared into bushland near …
67y · Male·aspiration of gastric contents, due to morphine toxicity, in the context of bila…
…physema died from aspiration of gastric contents due to morphine toxicity. He had been prescribed opioid medications (MS-Contin and Ordine) by his GP under pain specialist guidance for over 15 years. Post-mortem toxicolo…
45y · Female·Multi-drug toxicity
…ties of addictive opioids, benzodiazepines and other CNS depressants despite documented drug and alcohol dependence, 15+ prior overdoses, cognitive impairment and psychiatric vulnerability. Critical failures included: la…
24y · Male·mixed ethanol and prescription drug toxicity
…city following an impulsive overdose. He had longstanding borderline personality disorder, polysubstance dependence, chronic suicidal ideation, and was under psychiatric care. After a relationship conflict on 10-11 Janua…
32y · Female·Alcoholic ketoacidosis
…idosis after isolating in her room and drinking excessively. She had bipolar affective disorder, alcohol dependence disorder, and borderline personality disorder traits. Despite outpatient mental health treatment through…
57y · Male·Mixed drug toxicity, predominantly propoxyphene (Doloxene)
…8 tablets/day vs maximum 6). No alternative pain management strategies, specialist referrals, or genuine medication reduction plans were documented. Key clinical lessons: Doloxene should be avoided in patients with subst…
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