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recurance

Joy Ebanks

2 Jan 2024 · Coroner Sean Cummings · Bedfordshire and Luton

The coroner's concerns

  1. 1. prolonged prescribing of dependency forming drugs

    “evidence of very prolonged prescribing of two dependency forming drugs with no evidence to suggest that a discussion had been had or plan had been formulated to reduce the dosages”
  2. 2. long term prescription of opioids for chronic pain

    “Guidance for Prescription Drug Dependency used by the practice highlights the hazards and limited utility of long term prescription of opioids for chronic pain. It also highlights the poor evidence base for use of gabapentinoids in these circumstances”
  3. 3. oxycodone toxicity enhanced by pregabalin intake

    “primary cause of death was 1a Oxycodone toxicity enhanced by pregabalin intake”

Responses

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

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