Coronial

213 results for medication dependence

TAShome2023-05-01

Coroner's Finding: Koeter, Jacqueline Francis

59y · Female·Global hypoxic brain injury due to mixed drug toxicity, specifically alprazolam …

A 59-year-old woman with a 30-year history of alprazolam dependence for anxiety disorder died from global hypoxic brain injury following cardiac arrest caused by mixed drug…

general practicepsychiatryalprazolam
VIChome2014-06-12

Finding into death of Maree Arthur

45y · Female·Pethidine toxicity

…er found Dr P.' friendship with Ms Arthur clouded his clinical judgment. He failed to recognise signs of medication dependence, including stories about lost/stolen medications—established indicators of addiction. Dr P. n…

general practicepain medicinemedicationdiagnosticpethidine
TAShome2026-03-23

Coroner's Finding: de-identified ZA

51y · Female·Unintentional prescription drug poisoning due to central nervous system depressi…

A 51-year-old woman with chronic pain, depression, and longstanding medication misuse died from unintentional prescription drug poisoning. She had been prescribed high-risk combinatio…

general practicepain medicineoxycodone
SAhome2006-05-05

Coroner's Finding: KILEY Carol Anne

55y · Female·Multiple drug toxicity due to combination of alcohol and benzodiazepines (oxazep…

Carol Anne Kiley, a 55-year-old woman with chronic back pain, depression, and likely alcohol dependence, died from multiple drug toxicity involving alcohol, oxazepam (toxic level), temazepam, and promethazine…

general practicepsychiatrymedicationdiagnosticoxazepam
NSW2024-12-11

Inquest into the death of Terry Grady

59y · Male·Hanging

Terry Grady, a 59-year-old man with a history of alcohol dependence, depression, and chronic pain, died by suicide in custody at Parklea Correctional Facility on 8-9 August…

psychiatrycorrectional healthsystemdelaydesvenlafaxine
VIChome2025-09-02

Finding into death of Mr IKL

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

…ship with the patient while prescribing escalating doses of opioids, benzodiazepines, and other drugs of dependence without therapeutic justification. Medications were prescribed to facilitate sexual acts, in response to…

general practicepsychiatrydiagnosticmedicationgabapentin
NSWhome2016-09-30

Inquest into the death of Terry Riordan

45y · Male·multi-drug toxicity from ingestion of methadone and amitriptyline

…s include: inadequate medical record-keeping failing to document consultation notes, clinical reasoning, medication decisions, suicide risk assessments, or referrals; concurrent prescribing of multiple psychoactive medic…

general practicepsychiatrymedicationdiagnosticmethadone
VIChome2015-06-23

Finding into death of Terri Anne Woolley-Peresso

44y · Female·Unascertained

A 44-year-old woman with chronic pain, epilepsy, and opioid dependence died at home with an unascertained cause in the setting of prescription medication use. She was a known …

general practiceaddiction medicinediagnosticmedicationdiazepam
NSWcommunity2017-01-18

Inquest into thedisappearance and suspected death of Colin Campbell

50y · Male·Unable to be determined

Colin Campbell, a 50-year-old man with a long history of schizophrenia, alcohol dependence, hepatitis C, and cirrhosis, disappeared on 29 May 2015 and is presumed deceased. He was under the care …

psychiatrygeneral practicelargactyl
TAShome2015-03-20

Coroner's Finding: Balmer, Rosemary Joy

50y · Female·Mixed prescription drug toxicity (oxycodone, amitriptyline, diazepam, diphenhydr…

…oxicity (oxycodone, amitriptyline, diazepam, diphenhydramine, paracetamol). She had long-standing opioid dependence and had been prescribed multiple CNS-depressant medications. She was experiencing significant life stres…

general practicepain medicinesystemoxycodone
VICcommunity2022-03-16

Finding into death of Richard James Vanderhelm

42y · Male·unascertained

Richard Vanderhelm, a 42-year-old man with a long history of substance dependence, disappeared on 21–24 May 2009 while undergoing community-based detoxification from methadone, cannabis …

general practiceaddiction medicinediagnosticmedicationmethadone
VIChome2023-05-25

Finding into death of Bradley Scott Liefvoort

46y · Male·Opioid toxicity (tapentadol and oxycodone)

…died from opioid toxicity (tapentadol and oxycodone) at home in Dandenong. Over a decade of prescription medication misuse began with ibuprofen for headaches, escalating to opioid dependence following gastrointestinal is…

general practicepain medicinemedicationsystemtapentadol
VIChome2021

Finding into death of Tate Hobbs

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…

general practicepain medicinemedicationcommunicationpregabalin
VICcommunity2016-08-26

Finding into death of Melissa Jane May

44y · Female·Combined drug toxicity (oxycodone, diazepam, and pregabalin)

Melissa May, a 44-year-old woman with chronic pain and opioid dependence, died from combined drug toxicity on 16 December 2013. She had been prescribed oxycodone, diazepam, and …

general practicepain medicinecommunicationsystemoxycodone
VIChome2021-09-08

Finding into death of DA

38y · Male·Mixed drug toxicity

DA was a 38-year-old man who died from mixed drug toxicity involving sedating medications and alcohol. He had longstanding severe anxiety and became dependent on codeine and benzodiazepines, in…

general practicepsychiatrycommunicationsystemcodeine
TAShospital2021

Coroner's Finding: Lockley, Shane Reginald

54y · Male·Decompensated liver failure complicating advanced cirrhosis on a background of c…

…ld Lockley, aged 54, died from decompensated liver failure due to advanced cirrhosis and chronic alcohol dependence. He had a long history of alcohol abuse, intellectual impairment, and was under guardianship, living in …

hepatologypalliative care
VIChospital2013

Finding into death of Noela McGowan

66y · Female·Complications following paracetamol overdose

…acetamol overdose after ingesting Mersyndol (codeine/paracetamol combination tablets). She had developed dependence on over-the-counter Mersyndol over approximately 8 years, using it for pain and sleep. Evidence indicate…

emergency medicineintensive caresystemmersyndol daystrength
VIChome2023-05-04

Finding into death of Jodie Overstead

34y · Female·Multi drug toxicity

Jodie Overstead, a 34-year-old with epilepsy, anxiety, and chronic pain, died from multi-drug toxicity involving tramadol, codeine, amitriptyline, benzodiazepines and other drugs. She engaged in 'doctor shopping', obtain…

general practicepain medicinediagnosticmedicationtramadol
VIChome2023-10-12

Finding into death of Amanda Jane Harris

36y · Female·Stab wound to the right chest

…ths by his GP without documented substance abuse assessment, despite documented history of polysubstance dependence. When Eckersley ceased alcohol and cannabis use and was commenced on desvenlafaxine three days before th…

general practicepain medicinemedicationcommunicationtramadol
QLDhome2019-07-15

Male child aged 20 months - Non-inquest findings

20y · Male·Lung infection on a background of oxycodone intoxication

… Dr S. failed to seek required approvals before prescribing controlled drugs to patients at risk of drug dependence, demonstrating substantial lack of judgement. The coroner found insufficient evidence to determine exact…

general practiceforensic medicinediagnosticmedicationoxycodone
1211

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