22y · Male·accidental multi-drug toxicity, predominantly oxycodone and 3,4-methylenedioxyme…
… accidental multi-drug toxicity from oxycodone and MDMA at a house party. He had a history of prescription opioid use (Panadeine Forte, oxycodone) for work-related injuries and regularly consumed 'lean' (codeine mixed wi…
35y · Male·Not determined
…information sharing on urine drug screening results between QCS, PMHS, and PHS; therapeutic urine testing; opioid substitution programs; prisoner education on substance misuse risks at reception; and enhanced behavioural…
50y · Male·methadone and alprazolam intoxication
…ing heavily intoxicated. Police records from 2009-2011 indicated possible medication distribution and drug misuse, but this information was not shared with his GP or the Pharmaceutical Services Branch. The coroner identi…
44y · Female·Mixed drug toxicity (buprenorphine, ketamine, diazepam, fluvoxamine and lacosami…
…y involving buprenorphine, ketamine, diazepam, fluvoxamine and lacosamide. She had a 18-19 year history of opioid addiction, initially using heroin recreationally in the Caribbean, later transitioning to methadone mainte…
24y · Male·mixed ethanol and prescription drug toxicity
…de: maintaining robust risk assessment protocols for patients with chronic suicidal ideation and substance misuse; considering more intensive interventions or structured addiction treatment; ensuring safety planning duri…
53y · Female·mixed prescription drug toxicity
…g of methadone, did not conduct adequate risk assessment despite documented prior overdoses and medication misuse, and inappropriately continued polypharmacy with multiple CNS depressants. Critical clinical failures incl…
39y · Male·Multiple drug toxicity (methadone, diazepam, oxazepam, carbamazepine, levetirace…
A 39-year-old man with epilepsy and opioid dependence died from multiple drug toxicity involving methadone, benzodiazepines (diazepam, oxazepam), ant…
27y · Female·opiate toxicity (fentanyl)
…tained from a patient-controlled analgesia device. She had a history of depression, anxiety, and substance misuse following her mother's death, and was on multiple psychiatric medications. The coroner found no evidence o…
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 combinations of opi…
52y · Male·Mixed drug toxicity
…of suicidality died from mixed drug toxicity following an intentional overdose. He was prescribed multiple opioids (fentanyl, tramadol, oxycodone), benzodiazepines, pregabalin and sertraline by multiple prescribers witho…
48y · Male·combined drug intoxication from morphine and quetiapine
…sulted regularly under false pretenses. Dr H. was unaware of Cashion's Tasmanian treatment, his history of opioid misuse and doctor-shopping, or the contraindication of combining morphine with Subutex. The coroner found …
19y · Male·Multiple injuries sustained on a train impact (pedestrian)
… of mental ill health including depression, psychotic symptoms, and suicidal ideation, alongside substance misuse involving methamphetamine, cannabis, cocaine, and alcohol. He was enrolled in the Headspace Youth Early Ps…
44y · Male·mixed drug toxicity
… systems. Key clinical lessons include recognising limitations in managing complex patients with substance misuse disorders, maintaining restrictive prescribing protocols despite patient resistance, accessing DORA databa…
31y · Male·accidental overdose of fentanyl
…00 times more potent than morphine with a narrow therapeutic margin; the high-risk population for fentanyl misuse (males aged 30-39); and extraction from transdermal patches represents a common fatal administration metho…
24y · Male·Mixed drug toxicity
… following 2015 surgery, for which he received multiple medications including pregabalin, benzodiazepines, opioids, and stimulants from different prescribers. His girlfriend observed he was taking higher doses than presc…
44y · Female·mixed drug toxicity with aspiration of gastric contents
…howing potentially lethal levels of amitriptyline and diazepam. Her GP had previously suspected medication misuse when she claimed lost prescriptions but maintained the therapeutic relationship to keep her engaged. The c…
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 b…
Female·Hanging
The deceased was a woman with a long history of heroin abuse, benzodiazepine misuse, and mental health issues including depression and psychotic behaviour. She received treatment for opiate …
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, alprazola…
Unknown·acute fentanyl toxicity; acute oxycodone toxicity; multiple drug toxicity; opioi…
Four adults died from opioid overdoses (fentanyl and oxycodone) in Queensland between 2012–2014. All obtained prescriptions from multip…
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