Coronial

33 results for methadone dispensing

VIChome2017-08-16

Finding into death of CPLH

32y · Male·Multidrug overdose

…, and chronic pain died from multidrug overdose at home. He had obtained fentanyl, clonazepam, diazepam, methadone, and other drugs from multiple prescribers and pharmacies. While some GPs recognised drug-seeking behavi…

general practiceemergency medicinesystemcommunicationfentanyl
TAShome2020-08-13

Coroner's Finding: Wellington, Timothy John

44y · Male·intravenous injection of foreign debris (crushed tablets) associated with chroni…

…hypertension caused by intravenous injection of foreign debris (crushed tablets). He had been prescribed methadone as part of opioid replacement therapy, with takeaway doses known to Dr W. to be injected rather than con…

general practiceaddiction medicinemedicationsystemmethadone
TAShome2026-01-07

Coroner's Finding: de-identified UN

43y · Male·hypoxic brain injury caused by cardiac arrest due to unintentional drug poisonin…

…e prescriptions on 3 April 2023, which he filled at different pharmacies. He then injected his partner's methadone in combination with these prescribed medications and other drugs, causing fatal cardiorespiratory depres…

general practiceemergency medicinemedicationdiagnosticmethadone
ACThospital2016-12-16

AN INQUEST INTO THE DEATH OF PAUL FENNESSY

21y · Male·combined effect of a cocktail of drugs causing central nervous system depression…

… overdose on 6 January 2010. He presented to the Emergency Department that afternoon after overdosing on methadone, benzodiazepines and heroin, was resuscitated with Narcan, and discharged the same evening. Critical fai…

emergency medicinepsychiatrycommunicationsystemmethadone
TAScommunity2016-05-25

Coroner's Finding: Barnes, Deearne Joan

53y · Female·mixed prescription drug toxicity

…disorder, and chronic non-cancer pain, died from mixed prescription drug toxicity involving venlafaxine, methadone, amitriptyline, quetiapine, and diazepam. Her treating psychiatrist, Dr L., failed to comply with mandat…

psychiatrypain medicinediagnosticmedicationvenlafaxine
VICcommunity2014-12-17

Finding into death of Paul Kanis

38y · Male·Organizing pneumonia with loculated pleural effusion in the setting of drug use …

…, diabetes, and asthma, died from organizing pneumonia with loculated pleural effusion in the setting of methadone and benzodiazepine use. The critical clinical failure was lack of communication between his two treating…

general practiceaddiction medicinecommunicationsystemmethadone
VIChome2014-10-30

Finding into death of Anne Christine Brain

44y · Female·Intoxication by the combined effects of tramadol, methadone, diazepam, codeine, …

…nxiety, and depression who was opioid-dependent, died from intoxication by combined effects of tramadol, methadone, diazepam, codeine, alprazolam, risperidone, doxepin, and metoclopramide. She obtained prescriptions fro…

general practiceaddiction medicinesystemcommunicationtramadol
ACTcommunity2016-12-16

An Inquest Into The Death Of Paul Fennessy

21y · Male·combined effect of a cocktail of drugs taken by him, which caused central nervou…

…nation between emergency, mental health, and addiction services; a pharmacy error administering a double methadone dose hours before death; and absence of formal discharge summary or referral to addiction services. Clin…

general practiceemergency medicinemedicationproceduralmethadone
TAS2026-06-03

Coroner's Finding: Brown, Nicholas, Wiki, Toni, Winwood, Matthew and Kemp, Belinda

Male, female, male, female·Nicholas Brown: combined drug (methadone and benzodiazepine) intoxication; Toni …

…g grossly violated Tasmanian Opioid Pharmacotherapy Program (TOPP) guidelines through excessive takeaway methadone doses to clinically unstable patients, dangerous co-prescription of high-dose benzodiazepines without sa…

addiction medicinegeneral practicediagnosticmedicationmethadone
VIChome2021-08-20

Finding into death of Samantha Louise Leech

28y · Female·Complications of a seizure in the setting of prescription drug abuse (pregabalin…

…led dangerously high pregabalin levels (~56mg/L, toxicologically significant at 20-25mg/L) combined with methadone, oxycodone, and amitriptyline—a combination causing CNS depression. The case highlights systemic failure…

general practicecardiologydiagnosticsystempregabalin
VICcommunity2026-04-15

Finding into death of LX

31y · Male·mixed drug toxicity (methadone, diazepam, pregabalin, promethazine, pizotifen)

A 31-year-old man subject to a post-sentence supervision order died from mixed drug toxicity (methadone, diazepam, pregabalin, promethazine, pizotifen) at a residential facility. He was a vulnerable person wi…

addiction medicinepsychiatrymedicationsystemmethadone
VIChome2025-12-04

Finding into death of Raymond John Flaherty

57y · Male·Mixed drug toxicity (heroin, methadone, benzodiazepines including novel benzodia…

… with longstanding opioid and benzodiazepine dependence, died from mixed drug toxicity involving heroin, methadone, prescribed diazepam, unprescribed benzodiazepines including the novel benzodiazepine bromazolam, amitri…

addiction medicinegeneral practicesystemcommunicationheroin
NSWcommunity2019-03-01

Inquest into the death of DB, JD, DC, RG, AH, AB

multi-drug toxicity (opioids, heroin, benzodiazepines, prescription drugs)

This inquest examined six opioid-related deaths in NSW occurring in May 2016, with causes ranging from heroin and fentanyl toxicity to multi-drug overdoses. The coroner identified multiple preventable factors: inadequate…

addiction medicinegeneral practicesystemdelayheroin

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