Coroner's Finding: Mordha, Debra Christine

58y · Female·mixed drug toxicity

A 58-year-old retired nurse died from mixed drug toxicity involving tramadol, amitriptyline, and venlafaxine, all found at above-therapeutic concentrations. She had multiple chronic conditions including Addison's disease, chronic pain, depression, and hypertension, requiring multiple medications. The combination of three serotonergic drugs created risk of serotonin syndrome, while concurrent diazepam enhanced central nervous system depression. She was found deceased at home after the Red Cross welfare service was unable to contact her. The coroner made no recommendations, suggesting no preventable factors were identified in her medical management or prescribing practice.