99 results for “medication misuse”
75y · Female·Presumed drowning; insufficient evidence to establish cause to requisite legal s…
…he Ocean Beach Hotel. That evening, she became intoxicated after mixing alcohol with prescribed diazepam medication and made multiple distressed calls to family and friends. At 11:09 pm, CCTV footage showed her leaving t…
44y · Male·Unascertained
…ce of structured follow-up after hospital discharge for vulnerable patients with complex needs, ensuring medication compliance in patients with epilepsy and substance use disorders, and coordinated care across mental hea…
44y · Male·Subarachnoid haemorrhage due to ruptured anterior communicating artery aneurysm
…d pre-existing hypertension, depression, anxiety, and chronic pain. While at the remand centre, his pain medication (Lyrica/pregabalin) was appropriately weaned due to misuse history, though this caused him distress. His…
51y · Female·Mixed drug toxicity (amitriptyline, chlorpheniramine, diazepam, codeine) complic…
…for perceived allergies and their sedating effects. Despite counselling from family and her GP to reduce medications, she continued accumulating and consuming multiple CNS depressants. Six days before death, police found…
29y · Male·acquired methaemoglobinaemia in association with sodium nitrite toxicity
…y 2019. His psychiatric management was appropriate; he had been clinically stable on depot antipsychotic medication with no documented suicidal ideation prior to the event. The case highlights the dangers of unrestricted…
49y · Male·Ligature compression of the neck (hanging)
…tegies can mask underlying distress and inability to problem-solve. Earlier psychiatric review following medication changes and improved mental health access would be beneficial.
28y · Female·Complications of a seizure in the setting of prescription drug abuse (pregabalin…
…tored by SafeScript (Victoria's real-time prescription monitoring system), prescribers lacked awareness of misuse risks, and SafeScript reliance on accurate patient details failed when false identities were used. This pr…
terminal palliative care in a girl with a clinical diagnosis of aspiration pneum…
…me (2020-2021), HC's documented relapse into severe alcohol abuse and unauthorized use of her daughter's medications (particularly clonazepam) in early 2022 prompted placement in hospital then respite care. The removal w…
31y · Male·mixed drug toxicity (methadone, diazepam, pregabalin, promethazine, pizotifen)
… rehabilitation; inadequate case management and risk assessment; failure to centrally control Schedule 8 medication (methadone tablets), which were extensively stockpiled by another resident and accessible to the decease…
32y · Female·Opiate toxicity; toxic combination of morphine and codeine causing respiratory d…
… The coroner criticised the inadequate police investigation: no thorough search was conducted initially, medication collection was delayed 14 months, and the puncture mark was not documented in the police report despite …
50y · Female·Potentially fatal multiple drug toxicity (oxycodone, mirtazapine, citalopram, cl…
Ms RF, a 50-year-old woman with epilepsy and chronic pain from a workplace wrist injury, died from potentially fatal multiple drug toxicity involving oxycodone, mirtazapine, citalopram, clonazepam, and pregabalin. She en…
39y · Male·propofol toxicity
Craig Doherty, a 39-year-old clinical theatre nurse at Royal Perth Hospital, died from propofol toxicity in June 2010. He had unrestricted access to propofol as an anaesthetic agent and misappropriated it for recreationa…
24y · Male·Neck compression in the circumstances of hanging
…trict Aboriginal Services (MDAS), which provided appropriate community-based care including counselling, medication, and practical support. However, documented suicide risk assessments were not evident in his clinical re…
29y · Male·Cardiac arrhythmia in the context of alcohol withdrawal and chronic alcohol misu…
…nical observations were taken after the initial assessment despite placement in an observation cell; the medication regime was inadequate; staff failed to understand that lack of improvement indicated worsening clinical …
43y · Male·acute right heart failure (cor pulmonale) complicating foreign body (microcrysta…
…ung vasculature, causing obstruction and inflammation. This case highlights the dangers of crushing oral medications and injecting them intravenously. Clinicians prescribing psychostimulants should conduct thorough risk …
41y · Male·Pheniramine toxicity
…oxicity from psychiatric illness or intoxication in acute presentations; the importance of comprehensive medication history and substance abuse screening in patients with psychiatric disorders; the risks posed by unsuper…
51y · Female·multiple (head, chest, pelvic and limb) injuries
…t, Tasmania, on 9 October 2023. A 51-year-old female driver with a history of bipolar disorder and alcohol misuse entered the north-bound lanes of a divided highway when she should have entered the south-bound lanes. She…
23y · Male·Plastic bag asphyxia in setting of irrespirable atmosphere induced by nitrogen g…
…der care of various mental health services. On 9 September 2024, he consulted with Dr G. who changed his medication from aripiprazole/olanzapine to mirtazapine/brexpiprazole with oxazepam. Mr Clifford reported being non-…
52y · Male·Drowning in Falcon Bay
…following a domestic argument. He was severely limited in mobility and in constant pain despite multiple medications. The coroner found he died by drowning in Falcon Bay, likely walking into shallow water impulsively whi…
36y · Male·Combined drug toxicity (pregabalin, morphine, amitriptyline)
…lin, morphine, amitriptyline). His general practitioner, Dr S., prescribed excessive amounts of multiple medications significantly exceeding clinical directions—pregabalin at 1430mg daily (three times directed dose), oxy…
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