213 results for “medication dependence”
48y · Female·Combined toxic effect of prescription and non-prescription medications including…
…n Johnstone, aged 48, died from the combined toxic effects of prescription and non-prescription sedative medications including oxycodone, tramadol, codeine, zopiclone, doxylamine and fluoxetine. She had undergone multipl…
43y · Male·The combined effects of subacute myocardial injury and methadone toxicity
…evation before discharge; recognising that patients on methadone maintenance who divert and inject their medication face substantially increased cardiotoxic risk; understanding that pre-existing cardiac scarring dramatic…
47y · Male·Hanging
… directive. No adequate supervision structures were documented. Although the patient was non-adherent to medication and reluctant to engage, more assertive outreach and structured supervision could potentially have preve…
56y · Female·acute pentobarbitone toxicity
…stance access; risk assessment in patients with chronic suicidality and recent stressors; examination of medication compliance and side-effects in depression treatment; and careful police investigation of ambiguous death…
37y · Female·Multiple drug toxicity
Sharni Dee Connolly, a 37-year-old registered nurse turned naturopath, died from multiple drug toxicity following a hamstring injury requiring opioid analgesia. She was prescribed excessive quantities of pregabalin (105m…
58y · Male·Heroin toxicity
58-year-old man with chronic back pain, paranoid schizophrenia, and decades-long prescription opioid and benzodiazepine abuse died from heroin toxicity. He had been successfully withdrawn from opioids (MS Contin, Endone)…
52y · Male·Multiple injuries and immersion leading to hypoxic brain injury and pneumonia
…ified: inadequate forensic psychiatric assessment of Y's risk to others; premature cessation of sedating medications (olanzapine, diazepam) at discharge; insufficient time for antipsychotic medication to reach full effec…
17y · Female·Combined drug toxicity (heroin, codeine, methadone, benzodiazepines)
Hannah Charles, a 17-year-old with substance abuse issues, died from combined drug toxicity (heroin, codeine, methadone, benzodiazepines) at a private residence where she had been staying with two opioid replacement ther…
56y · Male·Aspiration of gastric content secondary to combined drug toxicity
…e settings generating unintended repeats. The deceased also accessed over-the-counter codeine-containing medications. Clinical lessons include: maintaining active communication between GPs and specialists about medicatio…
53y · Female·Ligature strangulation
Michelle Hughes, a 53-year-old woman serving her first prison sentence for assault committed during drug-induced psychosis, died by ligature strangulation in her cell at Dame Phyllis Frost Centre Women's Prison on 26 Jan…
Female·Vlasta Wylucki: ischaemic heart disease due to coronary atherosclerosis (previou…
Two women died of natural causes in Queensland police watchhouses but supervisory failures raised serious concerns. Ms Wylucki (50) died from ischaemic heart disease after inadequate cell checks failed to detect her vomi…
38y · Male·Aspiration of Gastric Content and Combined Drug Toxicity (Methadone, Benzodiazep…
…tered two methadone doses instead of one, compounding the depressant effects of multiple CNS-suppressing medications. The coroner identified a critical systemic issue: take-away methadone doses were dispensed with minima…
25y · Male·Aspiration pneumonia secondary to methadone toxicity
Steven Claude Freeman, a 25-year-old Aboriginal man, died of aspiration pneumonia secondary to methadone toxicity on 27 May 2016, while incarcerated at the Alexander Maconochie Centre in the ACT. He was assessed as opioi…
22y · Male·Hanging
…pix contributed to his death and that his family should have been informed of warning signs to cease the medication immediately. Key failures included: incomplete risk assessment, no family involvement in monitoring desp…
41y · Male·asphyxia due to neck compression following ligature suspension (hanging)
DR was a 41-year-old man with bipolar disorder, severe alcohol dependence, and multiple psychosocial stressors including family violence, homelessness, and financial crisis. In O…
20y · Male·Ligature compression of the neck (hanging)
…tiple unmonitored exits. Critical safety failures included: inadequate observation practices, unreliable medication charting, failure to escalate to involuntary status or transfer despite clear suicide risk, and lack of …
63y · Male·Right cerebral infarction caused by infusion of medication via central venous li…
A 63-year-old man with COPD, liver cirrhosis and alcohol dependence underwent emergency hemicolectomy for caecal volvulus. Post-operatively he developed respiratory depress…
Three deaths with different primary causes: James Unicomb - acute toxicity due t…
Combined inquest into three deaths at Psyche South Clinic involving treatment failures: James Unicomb (22, 2005) from multi-drug overdose after naltrexone implant; Michael Poole (48, 2008) from ruptured aneurysm post-Rap…
37y · Male·acute heart failure caused by multiple drug toxicity (methadone and alprazolam)
…levels of methadone and alprazolam, likely consumed on 9 September 2005. His GP, Dr G., prescribed these medications (including benzodiazepines contraindicated with methadone) from March 2001 onwards despite knowing Kiel…
36y · Male·Global hypoxic brain injury due to hanging
Benjamin Johnston, a 36-year-old male, died by hanging after six weeks of varenicline (Champix) treatment for smoking cessation. Two weeks before death, his partner noted significant behavioral changes: withdrawal, irrit…
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