Anita Graves
20 Jun 2023 · Coroner Adrian Farrow · Manchester South
This report repeats 1 earlier warning. See the linked reports.
The coroner's concerns
1. inadvertent overdose of carbimazole
“That the visual similarity of tablets of differing strengths of carbimazole to each other and to aspirin presents a risk of inadvertent overdose; and That the dispensing process in the community for carbimazole appears to contribute to rather than mitigating the risk”
Linked reports
Closely relatedConfidence 0.85 · high
Earlier report
“Manufacturers are able to produce medication in almost identical boxes which is very likely to contribute to dispensing errors and potentially patient deaths.”
This report
“That the visual similarity of tablets of differing strengths of carbimazole to each other and to aspirin presents a risk of inadvertent overdose;”
Responses
2023-0201-Response-from-Medicines-and-Healthcare-products-Regulatory-Agency-1.pdf ↗· Medicines and Healthcare products Regulatory Agency
Stated action
“The MHRA considers that the only reliable way for unambiguous identification of a particular medicine is via the information printed on the package labelling.”