Coronial

213 results for medication dependence

TAShome2021-05-10

Coroner's Finding: Stocks, Michelle Jayne

46y · Female·Accidental mixed prescription drug toxicity (tramadol, amitriptyline, codeine, d…

…gia, and chronic pain, managed by her GP Dr Q. returning from Queensland, Dr Q resumed multiple sedating medications (tramadol, amitriptyline, codeine, diazepam, alprazolam) based on a handwritten list she presented, wit…

general practicepharmacydiagnosticmedicationtramadol
VIChome2019-10-10

Finding into death of Liana Pickup

32y · Female·Mixed drug toxicity (methadone, oxycodone, desmethylvenlafaxine, quetiapine, ola…

…r disorder, borderline personality disorder, schizoaffective disorder), chronic back pain, and substance dependence, died from mixed drug toxicity after commencing methadone maintenance therapy. She received her first 20…

general practicepsychiatrymedicationcommunicationmethadone
TAS2022-03-10

Coroner's Finding: Cooper, Joanne Dulcie

41y · Female·Brain, chest, abdominal and pelvic injuries sustained in a motor vehicle collisi…

…o the drowsiness. This case highlights the serious risk of driving while under the influence of sedating medications and the dangers of unprescribed benzodiazepines. Clinicians should counsel patients on medication side …

emergency medicineintensive careamitriptyline
ACThome2018-12-20

Inquest into the death of Lesley Kaye Hasleby

61y · Female·respiratory failure consistent with end-stage chronic obstructive airways disord…

A 61-year-old woman with chronic obstructive airways disease, liver disease, depression, and alcohol dependence died from respiratory failure. Her general practitioner prescribed a contraindicated combination of cent…

general practicerespiratory medicinediagnosticcommunicationdosulepin
VIChome2024-10-07

Finding into death of Suzanne Norah Evans

50y · Female·Combined drug toxicity in a woman with tension pneumothorax

…0, died from combined drug toxicity in the setting of tension pneumothorax. She had a history of alcohol dependence, depression, and borderline personality disorder. Following an argument with her partner on 7 January 20…

emergency medicinetoxicologybaclofen
VIChome2020-09-28

Finding into death of Mary Veronica Payne

71y · Female·Combined drug toxicity in a woman with emphysema

…ing history of chronic back pain from an old car accident and depression, managed by her GP with various medications. Her daughter was undergoing methadone maintenance therapy for opioid dependence and stored takeaway do…

general practiceforensic medicinesystemmethadone
NSWcommunity2012-09-05

Inquest into the death of Lynda Vanessa CLIFFORD

29y · Female·respiratory depression as a result of the interaction of prescribed medications

…ce use was admitted to hospital with psychosis and suicidality. She was discharged on six CNS-depressant medications including three antipsychotics, an antidepressant, and benzodiazepines. No clear treatment plan for rat…

psychiatrygeneral practicecommunicationsystemclozapine
TAShome2026-01-07

Coroner's Finding: de-identified UN

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

A 43-year-old man with long-standing opioid use disorder and polysubstance dependence died from hypoxic brain injury following cardiac arrest caused by drug poisoning. He had been prescribed…

general practiceemergency medicinemedicationdiagnosticmethadone
VICcommunity2021-08-25

Finding into death of Garry Mark Wise

47y · Male·Hanging

A 47-year-old man with chronic schizophrenia and alcohol dependence died by hanging at a rooming house. He had been non-compliant with antipsychotic medications for months,…

psychiatrygeneral practicecommunicationsystemlurasidone
VICcommunity2014-04-24

Finding into death of Mark Bethell

32y · Male·Valproic Acid Overdose

…o leave again, he was discharged as a voluntary patient on 18 March without risk assessment or discharge medications. Critical clinical failures included: mischaracterisation of his abscondence as 'leaving against medica…

psychiatryemergency medicinediagnosticcommunicationsodium valproate
QLDcommunity2004-10-28

Cif Shoobridge Gr 20041028

25y · Male·Cardiorespiratory failure due to unpredictable additive effect of combination of…

…ent consent for inter-provider information sharing; and individual doctors could not access the complete medication picture. Although Dr D'Hotman prescribed Panadeine Forte on 29 November without knowing Dr A. was George…

general practiceaddiction medicinecommunicationsystemdiazepam
VIChome2014-10-30

Finding into death of Anne Christine Brain

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

Anne Christine Brain, a 44-year-old woman with schizophrenia, anxiety, and depression who was opioid-dependent, died from intoxication by combined effects of tramadol, methadone, diazepam, codeine, alprazolam, risperidon…

general practiceaddiction medicinesystemcommunicationtramadol
VIChome2015-02-20

Finding into death of Phillip George Black

29y · Male·Combined methadone, diazepam and clonazepam toxicity in a man commencing a metha…

Phillip Black, age 29, died from combined methadone, diazepam and clonazepam toxicity after commencing methadone maintenance therapy. He presented to Dr D. on 23 September 2010 seeking to re-commence MMT, having previous…

addiction medicinegeneral practicediagnosticmedicationmethadone
VICcommunity2014-04-07

Finding into death of Kirk Ardern

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

Kirk Steven 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 p…

general practiceaddiction medicinemedicationcommunicationheroin
SAhome2007-11-09

Coroner's Finding: RANDALL Treenor Heather

50y · Female·mixed tablet overdosage (quetiapine and venlafaxine with codeine)

Treenor Heather Randall, a 50-year-old registered nurse, died from mixed tablet overdose (quetiapine and venlafaxine) following a progressive mental health decline. After work-related stress in late 2002, she developed d…

general practicepsychiatrycommunicationdelayquetiapine
VIChome2025-08-07

Finding into death of Emma Louise Terrill

41y · Female·Aspiration pneumonia in the setting of a mixed drug toxicity

Emma Terrill, 41, died from aspiration pneumonia in the setting of mixed drug toxicity. Post-mortem toxicology revealed elevated tramadol with benzodiazepines (alprazolam, diazepam, temazepam, oxazepam) causing synergist…

general practicepsychiatrysystemtramadol
VICcommunity2010-10-19

Finding into death of Patrick Tolan

55y · Male·Multiple injuries sustained in a fall

Patrick Tolan, a 55-year-old man with chronic depression, alcohol dependence, and multiple suicide attempts, died from injuries sustained in a fall from a shopping centre sign. He h…

psychiatryorthopaedic surgerydiagnosticcommunicationmirtazapine
WA2012-01-12

Inquest into the Death of Brennan

38y · Male·Exsanguination due to penetration of arm veins

… delusions and polysubstance abuse. In the months before death, he became non-compliant with psychiatric medication despite treatment from prison health services. Although reviewed by a mental health nurse specialist on …

psychiatrycorrectional healthsystemdelaylithium
SA2001-10-05

Coroner's Finding: GEAR David Richmond

34y · Male·Mixed methadone and thioridazine toxicity

A 34-year-old man died in prison from mixed methadone and thioridazine toxicity. He was on methadone maintenance (110mg daily) for opioid addiction and was prescribed thioridazine 100mg nightly for depression. Post-morte…

psychiatrygeneral practicemethadone
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…

addiction medicinegeneral practicemedicationcommunicationmethadone
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