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recurance

Lee Adams (1)

20 Mar 2026 · Coroner Julian Morris · Inner South London

The coroner's concerns

  1. 1. propranolol overdose

    “Propranolol is absorbed quickly (the court heard within 30-60 minutes of ingestion) and dose related”
  2. 2. lack of specific antidote for propranolol overdose

    “There is no specific anti-dote to a propranolol overdose, the only form of treatment is supportive and therefore hospital based”
  3. 3. failure to assess gambling habits

    “GPs should be reminded to ask individuals about their gambling habits in the same way that they ask about smoking and alcohol”

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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