Coronial

60 results for medication seeking behaviour

TAShome2020-07-16

Coroner's Finding: Alsop, Olaf Paul

54y · Male·asphyxia due to hanging

…de attempts and was receiving palliative care. In his final months, he made escalating requests for pain medication. His GP ceased treatment due to concerns about medication-seeking behaviour and dishonesty about drug us…

general practicepalliative carecodeine
TAShome2018-03-19

Coroner's Finding: MC

22y · Male·combined mixed drug intoxication

… toxic range, dextromethorphan and bupropion at supratherapeutic levels. He had engaged in sustained drug-seeking behaviour across multiple doctors and obtained U-47700 online despite signing a declaration it was not fo…

general practicepsychiatrysystemu-47700
VIChome2015-06-23

Finding into death of Terri Anne Woolley-Peresso

44y · Female·Unascertained

… epilepsy, and opioid dependence died at home with an unascertained cause in the setting of prescription medication use. She was a known 'doctor shopper' who obtained opioids from multiple prescribers simultaneously. Two…

general practiceaddiction medicinediagnosticmedicationdiazepam
NSW2017-11-09

Inquest into the death of David Veech

35y · Male·Fentanyl toxicity

…ed it intravenously. Despite being in a facility designed to provide 24-hour supervision, David accessed medication through an insecure cupboard and was inadequately supervised, particularly overnight when staff failed t…

general practicepsychiatrysystemcommunicationfentanyl
VIChome2016-06-06

Finding into death of Jim Zanis

33y · Male·Mixed drug toxicity (heroin, buprenorphine and benzodiazepines)

…to restrict access. Critical clinical lessons: (1) Multiple prescribers failed to identify or act on his medication-seeking behaviour despite warnings from his mother; (2) He declined hospital admission after an overdose…

general practiceemergency medicinediagnosticcommunicationheroin
NSWcommunity2021-12-21

Inquest into the deaths of Lars FALKHOLT, Vivian FALKHOLT, Jessica FALKHOLT and Annabelle FALKHOLT, and Craig WHITALL

Male·Combined effects of multiple blunt force injuries and the effects of fire (Craig…

… multiple doctors despite adequate supplies from his primary prescriber. Key failures: (1) no integrated medication monitoring between prescribers; (2) emergency doctors unaware of Whitall's repeated hospital visits and …

general practiceemergency medicinemedicationcommunicationmethadone
WAhome2018-08-03

Inquest into the Death of Jackie-Lee SMITH

56y · Female·Acute combined drug toxicity

…recently transitioned from oxycodone to tramadol for chronic pain management due to concerns about opioid-seeking behaviour. The deceased experienced side effects of nausea and dizziness but wished to persevere with tra…

general practicepain medicinetramadol
ACThome2019-06-20

AN INQUEST INTO THE DEATH OFMARK ANTHONY O’BRIEN

58y · Male·Heroin toxicity

… care between multiple prescribers (GPs, pain management, mental health) to prevent polypharmacy and drug-seeking behaviours; recognising that patients with established addiction patterns may transition to illicit drugs…

psychiatrypain medicinesystemcommunicationheroin
TAShome2018-09-20

Coroner's Finding: Steer, Michael Allan

44y · Male·mixed drug toxicity

Michael Allan Steer, aged 44, died from mixed drug toxicity after ingesting excess prescription medication (quetiapine, codeine, diazepam, fluoxetine). He had complex psychiatric history with factitious and soma…

general practicepsychiatrydiagnosticcommunicationquetiapine
TAScommunity2021-05-12

Coroner's Finding: Ghanbarzadeh, Masoud

51y · Male·blunt trauma of the chest sustained in a motor vehicle crash; hypovolemic shock …

…e coroner found these drugs significantly impaired his driving ability. His GP had authorised additional medication two days prior after the patient falsely claimed to be travelling. While the GP's prescribing was deemed…

general practicepsychiatrycommunicationdiazepam
SAmental health2004-04-20

Coroner's Finding: TAYLOR Michael Jason

27y · Male·Not determined; olanzapine toxicity suspected but regarded by expert evidence as…

…lth Act 1993. He was a patient with chronic schizophrenia, borderline intelligence, and a history of drug-seeking behaviour. On 5 February 2000, he suffered an overdose requiring ICU admission. Despite this critical inc…

psychiatrytoxicologysystemcommunicationolanzapine
TAScommunity2026-01-13

Coroner's Finding: Joshua James Tyrrell

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

…idepressants). 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 (diazepam, tem…

general practiceemergency medicinemedicationcommunicationdiazepam
TAShome2020-05-19

Coroner's Finding: Adams, Christopher Neil

31y · Male·mixed prescription drug toxicity (methadone, fluvoxamine, tramadol, mirtazapine …

…sclerotic disease. He had a documented history of opioid addiction, multiple emergency presentations for medication overdose, and drug-seeking behaviour managed by his GP and pharmacy services. Despite safeguards (locked…

general practiceemergency medicinesystemmethadone
WA2015-06-22

Inquest into the Death of Shane John ROBINSON

29y · Male·Multiple drug toxicity

…nd schizoaffective disorder, died from multiple drug toxicity in prison. He had been prescribed multiple medications including methadone, quetiapine, and mirtazapine, which he was receiving under supervised protocols. Cl…

gastroenterologycardiologysystemmethadone
SAhome2004-11-18

Coroner's Finding: CUNNINGHAM Tracey-Lee

26y · Female·morphine toxicity complicated terminally by bronchopneumonia

…ion died from morphine toxicity complicated by aspiration pneumonia. She had a documented history of drug-seeking behaviour, forged prescriptions, and doctor-shopping. Her GP prescribed escalating doses of morphine in m…

general practiceneurologymedicationdiagnosticmorphine
VIChome2015-07-24

Finding into death of James Stewart Dougan

32y · Male·Mixed drug toxicity (codeine, methadone, alprazolam, diazepam) in a man with cor…

…scribing benzodiazepines concurrently without coordination; continued prescribing despite documented drug-seeking behaviour; inadequate application of existing guidelines; and reliance on a Prescription Shopping Program…

general practiceaddiction medicinemedicationcommunicationalprazolam
QLDhome2015-04-24

Lievesley, Tamiya Calais

0y · Female·Morphine toxicity

… (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; police inve…

paediatricsgeneral practicemedicationdiagnosticmorphine
QLDhome2014-11-26

Smith, Rachel Danielle - Non-inquest findings

25y · Female·mixed drug toxicity

…th chronic migraines and depression, died from mixed drug toxicity after consuming multiple prescription medications including oxycodone, codeine, tramadol, diazepam, amitriptyline and zolpidem. She was a 'doctor-shopper…

general practiceneurologydiagnosticsystemoxycodone
VIChome2023-05-04

Finding into death of Jodie Overstead

34y · Female·Multi drug toxicity

…m tablets (180mg/day), and 575 amitriptyline tablets (174mg/day). Multiple prescribers were aware of drug-seeking behaviour but continued dispensing. Critically, tramadol and amitriptyline are contraindicated in epileps…

general practicepain medicinediagnosticmedicationtramadol
WA2026-03-26

Inquest into the Death of Brian John KEALY

42y · Male·Ligature compression of the neck (hanging)

…atric registrar (not consultant psychiatrist) covering for an absent senior clinician, ceased olanzapine medication in May 2024, characterizing Brian's requests for reinstatement as drug-seeking behaviour despite his doc…

psychiatrygeneral medicinecommunicationsystemolanzapine

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