coroner’s court
Propranolol implicated in teen death
A young woman circumvented GP and pharmacy measures to prevent stockpiling her beta blocker prescription—with lethal results An 18-year-old Queensland woman died from mixed drug toxicity involving “potentially fatal” exposure …
Man ‘stockpiled’ prescription meds before death
GP provision of multiple scripts allowed a patient to attend different pharmacies without dispensers being aware, says chief pharmacist Inappropriate prescribing and lack of risk mitigation led to a man’s …
‘Missed opportunities’: Alerts ignored in leadup to woman’s death
Pharmacists expressed concerns over gabapentin scripts, but SafeScript red alerts were not properly checked by dispensers or prescribers, coroner finds Multiple pharmacies contacted a GP with concerns about a Victorian …
Death ‘less likely’ had patient not accessed two takeaway doses: coroner
Chief pharmacist questions prescribing doctor following patient’s overdose death Tasmania’s chief pharmacist has questioned a GP’s concurrent prescribing of oral methadone liquid and diazepam after a woman died from mixed …
Unlawful use of VAD substance: an ‘isolated’ incident?
Governments should consider measures that reduce harms from private self‐administration following coroner’s case, say experts Health law researchers have recommended consideration of measures to reduce harms associated with private self‐administration …
‘Untimely’ death from mixed drugs
Promethazine and benzodiazepines implicated in a young man’s death—as well as an unlikely new substance A young Victorian man has died from a lethal combination of drugs including pharmaceuticals and …
Medication errors: learning from coroners’ cases
How can pharmacists learn from incidents such as the deaths of a 19-year-old who received a 10-fold dose of haloperidol, or an opiate-naïve woman from fentanyl overdose? Reviewing the circumstances …
Mandatory pharmacy discharge review suggested
A pre-discharge pharmacy review could have led to a different outcome for a man who died of haemorrhagic stroke, a coroner’s court has heard Deputy State Coroner Jacqui Hawkins made …
Pharmacist’s script warning overlooked
A pharmacist’s caution about two concurrently prescribed medicines went unnoticed in a woman who died, with an inquest exploring what role the error may have played in her death A …
Responsibility on GP, not pharmacists
Acting chief pharmacist criticises GP’s lack of sufficient assessment of a “high-risk and potentially dangerous” prescribing regimen to a woman who died A GP should have exercised more caution in …
‘Pregabalin is not a harmless drug.’
A pharmacist tried to warn a GP that his patient was a known “doctor shopper” – but the man still obtained large amounts of pregabalin and diazepam, and subsequently died …
Surge in deaths linked to pregabalin
Pharmaceuticals contributed to more than three-quarters of deaths last year, but SafeScript may have helped reduce methadone deaths, new coroner’s report reveals Overdose rates in Victoria have gradually increased over …