Coronial

215 results for opioid dependence

QLDhome2015-04-24

Lievesley, Tamiya Calais

<1y · Female·Morphine toxicity

…uded: the prescribing 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 trea…

paediatricsgeneral practicemedicationdiagnosticmorphine
TAShome2015-03-20

Coroner's Finding: Balmer, Rosemary Joy

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

…on drug toxicity (oxycodone, amitriptyline, diazepam, diphenhydramine, paracetamol). She had long-standing opioid dependence and had been prescribed multiple CNS-depressant medications. She was experiencing significant l…

general practicepain medicinesystemoxycodone
VIChospital2014-05-28

Finding into death of Susan Ingrid Robb

37y · Female·Mixed drug toxicity (methadone, diazepam, clonazepam, amisulpride, olanzapine, h…

…xicity. The coroner found critical departures from clinical guidelines: inadequate objective assessment of opioid withdrawal (patient heavily sedated, masking withdrawal signs), inappropriate rapid dose titration, insuff…

psychiatryaddiction medicinediagnosticmedicationmethadone
VIChome2014-02-13

Finding into death of Daniel Malcolm John Anderson

33y · Male·toxic effects of oxycodone

…ear-old man died from oxycodone toxicity after his general practitioner prescribed escalating doses of the opioid for intermittent migraines over 14 months (5-30mg daily), despite a prior rejection of a pethidine applica…

general practicepsychiatrydiagnosticmedicationoxycodone
VIChome2023-05-25

Finding into death of Bradley Scott Liefvoort

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

Bradley Liefvoort, 46, died from opioid toxicity (tapentadol and oxycodone) at home in Dandenong. Over a decade of prescription medication misuse …

general practicepain medicinemedicationsystemtapentadol
VIChome2015-07-20

Finding into death of Brenton James Grosser

49y · Male·Drug toxicity (methadone)

Brenton Grosser, a 49-year-old man with alcohol addiction history, died from methadone toxicity after consuming three 100ml takeaway methadone bottles prescribed to his housemate. He had consumed significant alcohol (app…

toxicologyforensic medicinesystemmethadone
QLDhome2016-11-30

LAMH - non-inquest findings

31y · Female·Mixed drug toxicity

A 31-year-old woman with long-standing opioid dependence enrolled in the Queensland Opioid Treatment Program died from mixed drug toxicity, with toxic l…

general practiceemergency medicinemedicationdiagnosticfentanyl
VIChome2021-07-27

Finding into death of Daniel Joseph Herbert

37y · Male·Combined drug toxicity (methadone, fentanyl, diazepam and pregabalin)

…combined drug toxicity involving methadone, fentanyl, diazepam and pregabalin. He had a 17-year history of opioid dependence stemming from prescription OxyContin for a work-related back injury. In the three months before…

general practiceaddiction medicinecommunicationsystemmethadone
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…

general practiceaddiction medicinediagnosticmedicationdiazepam
NSWhome2015-10-23

Inquest into the death of Christine Drinnan

45y · Female·Multi-drug toxicity

…ine, benzodiazepines and alcohol. Over 12 years, her GP Dr H. prescribed dangerous quantities of addictive opioids, benzodiazepines and other CNS depressants despite documented drug and alcohol dependence, 15+ prior over…

general practicepsychiatrydiagnosticmedicationmorphine
VIChome2014-06-12

Finding into death of Maree Arthur

45y · Female·Pethidine toxicity

… 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. naively trus…

general practicepain medicinemedicationdiagnosticpethidine
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
VIChome2017-07-04

Finding into death of NJ

35y · Female·combined drug toxicity

…and mirtazapine); contraindicated benzodiazepine prescribing despite documented substance use disorder and opioid replacement therapy; long-term benzodiazepine use without cessation strategy; and unsupervised methadone d…

general practiceaddiction medicineprescribingcommunicationmethadone
NSWcommunity2023-08-08

Inquest into the death of Simon Miles

42y · Male·heroin and methylamphetamine toxicity

Simon Miles, a 42-year-old First Nations man with severe heroin and methylamphetamine dependence, died from accidental drug overdose while on Stage 2.5 of the Compulsory Drug Treatment Program (CDTP). …

addiction medicinepsychiatrysystemcommunicationheroin
SAhome2025-11-27

Coroner's Finding: Nguyen, Van Tam

47y · Male·self-inflicted stab wound to the chest with penetration of the left ventricle of…

A 47-year-old man serving his sentence on home detention died from a self-inflicted stab wound to the chest. He had a history of heroin and methamphetamine use and was receiving methadone maintenance and mirtazapine whil…

correctional healthpsychiatryheroin
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 relea…

general practiceaddiction medicinemedicationcommunicationheroin
VIChome2022-07-08

Finding into death of X RR

29y · Male·Mixed drug toxicity (heroin and methamphetamine)

…amphetamine addiction died from mixed drug toxicity. He had suffered a work-related back injury leading to opioid dependence, complicated by anxiety and panic attacks. Although engaged with psychological and drug and alc…

addiction medicinegeneral practicesystemheroin
VIChome2021-09-08

Finding into death of DA

38y · Male·Mixed drug toxicity

…nzodiazepines, initially obtained from multiple prescribers ('doctor shopping'). After disclosure of his dependence, GP Dr H. established a therapeutic relationship and supervised a gradual tapering plan with monitoring.…

general practicepsychiatrycommunicationsystemcodeine
VICcommunity2014-07-16

Finding into death of Shannon James Lees

23y · Male·multidrug overdose including tramadol and methadone

…rescribed to him). The methadone was likely diverted from a community acquaintance dispensed methadone for opioid replacement therapy. The coroner found that clinical care at the rehabilitation unit was appropriate. Howe…

psychiatryaddiction medicinesystemmethadone
SAhome2020-10-12

Coroner's Finding: BABAKHANI Sina

21y · Male·heroin toxicity

A 21-year-old man died from heroin toxicity while on home detention bail. He had been engaged in a methadone program and psychological treatment for heroin addiction, PTSD, depression and anxiety since June 2015. Despite…

addiction medicinepsychiatryheroin
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