Coronial

56 results for prescription drug misuse

ACThome2019-06-04

Inquest into the death of Lauren Maree Johnstone

48y · Female·Combined toxic effect of prescription and non-prescription medications including…

Lauren Johnstone, aged 48, died from the combined toxic effects of prescription and non-prescription sedative medications including oxycodone, tramadol, codeine, zopiclone, doxylamine…

general practicesurgerycommunicationsystemdoxylamine
VIChome2024-05-24

Finding into death of L I

16y · Male·mixed drug toxicity (codeine, morphine, tramadol, alprazolam and desmethylvenlaf…

…ear-old with borderline personality disorder, factitious disorder, and opioid use disorder, died from mixed drug toxicity (codeine, morphine, tramadol, alprazolam, desmethylvenlafaxine) after obtaining prescriptions from…

general practicepsychiatrymedicationdiagnosticcodeine
VICcommunity2014-04-07

Finding into death of Kirk Ardern

32y · Male·Multiple drug toxicity (including heroin)

…Ardern, a 32-year-old male with a long history of opioid dependence and substance abuse, died from multiple drug toxicity (including heroin) three days after release from prison. Two critical clinical failures contribute…

general practiceaddiction medicinemedicationcommunicationheroin
SAhome2023-12-06

Coroner's Finding: Cullen, Jason Mark

37y · Male·mixed drug toxicity with fentanyl as the principal agent

37-year-old Jason Cullen died from mixed drug toxicity with fentanyl as the principal agent. He had chronic idiopathic intracranial hypertension requirin…

neurosurgerypsychiatrycommunicationsystemfentanyl
TAShome2015-06-05

Coroner's Finding: Mr A

43y · Male·acute right heart failure (cor pulmonale) complicating foreign body (microcrysta…

…t thorough risk assessment and monitoring. Public education campaigns addressing the hazards of intravenous drug injection and diversion of prescription stimulants are needed to prevent similar deaths.

forensic medicineaddiction medicinemethylphenidate
VIChome2011-10-31

Finding into death of Rory

4y · Male·Oxycodone toxicity from ingestion of 80mg OxyContin tablet

…ot appropriately stored and remained accessible to the child. His parents were chronically dependent on prescription opioids and benzodiazepines, frequently incapacitated and unable to supervise him. The Department of Hu…

general practicepaediatricssystemdelayoxycodone
TAShome2025-12-11

Coroner's Finding: de-identified SH

57y · Female·aspiration of gastric contents caused by combined drug and alcohol toxicity resu…

…th complex medical and mental health conditions died from aspiration of gastric contents caused by combined drug and alcohol toxicity. She had severe chronic pain following abdominal surgeries, opioid addiction managed w…

general practicepharmacologymedicationmethadone
QLDhome2025-10-17

Inquest into the death of Alexandria Catherine Forrester

39y · Female·Hypoxic-ischaemic encephalopathy due to cardiorespiratory arrest due to methadon…

…ioration, presentation with acute confusion and track marks suggesting injection use, benzodiazepine co-prescription, and domestic violence. The deceased injected multiple methadone doses on the morning of her death. The…

addiction medicinegeneral practicediagnosticmedicationmethadone
QLDhome2016-08-22

SJM - Non-inquest findings

57y · Male·Mixed drug toxicity, predominantly propoxyphene (Doloxene)

A 57-year-old man died from mixed drug toxicity, predominantly propoxyphene (Doloxene), combined with benzodiazepines. His GP of 13 years prescrib…

general practicepathologymedicationdiagnosticpropoxyphene
VIChome2022-01-31

Finding into death of Leeanne Matheson

52y · Female·Mixed drug toxicity (methadone, pregabalin, valproic acid, benzodiazepines)

A 52-year-old woman with chronic pain, epilepsy, and opioid dependence died from mixed drug toxicity after prescribed methadone, pregabalin, valproic acid, and benzodiazepines. She was admitted to Bo…

addiction medicinegeneral practicemedicationcommunicationmethadone
NSW2017-11-09

Inquest into the death of David Veech

35y · Male·Fentanyl toxicity

…rly overnight when 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…

general practicepsychiatrysystemcommunicationfentanyl
WAhome2016-02-10

Inquest into the Death of Shayne Andrew BERRY

44y · Male·Combined drug effect (oxycodone and benzodiazepines)

A 44-year-old man with a history of heroin addiction registered as a drug addict in 2010 died from combined drug effect involving oxycodone and benzodiazepines. Despite being a regi…

general practicepharmacologysystemcommunicationoxycodone
TAScommunity2026-01-13

Coroner's Finding: Joshua James Tyrrell

28y · Male·Multiple head, facial and spinal injuries sustained in a single vehicle motorbik…

…ds, antidepressants). 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 (diazepa…

general practiceemergency medicinemedicationcommunicationdiazepam
QLDhome2015-04-24

Lievesley, Tamiya Calais

0y · Female·Morphine toxicity

… doctor (Dr S.) 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; polic…

paediatricsgeneral practicemedicationdiagnosticmorphine
VIChome2025-09-02

Finding into death of Mr IKL

29y · Male·Mixed drug toxicity (gabapentin, codeine, diazepam, oxycodone, doxylamine, prome…

A 29-year-old man died from mixed drug toxicity involving multiple CNS depressants. His GP, Dr X, had maintained an inappropriate three-year sexua…

general practicepsychiatrydiagnosticmedicationgabapentin
VIChome2023-10-12

Finding into death of Amanda Jane Harris

36y · Female·Stab wound to the right chest

…afaxine three days before the homicide, he developed acute psychosis likely related to tramadol withdrawal, drug interaction, or combination with recent substance cessation. He stabbed Ms Harris multiple times, set fire …

general practicepain medicinemedicationcommunicationtramadol

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