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recurance

Sean Crawford

15 Feb 2024 · Coroner Crispin Oliver · County Durham and Darlington

The coroner's concerns

  1. 1. combined toxic effect of clozapine and alcohol

    “The circumstances in which [the deceased] came by his death, the combined effects of clozapine with alcohol, seems to be, statistically, very rare”
  2. 2. central nervous system depression

    “Death from Central Nervous System Depression, over-sedation, is not uncommon”
  3. 3. lack of warning about death risk

    “the leaflet that comes with the Clozaril (clozapine) packages clearly states that it must not be taken with alcohol,”

Responses

2024-0085-Response-from-Medicine-and-Healthcare-products-Regulatory-Agency.pdf ↗· Medicines and Healthcare products Regulatory Agency

Stated action · this year

“we intend to conduct a further assessment of the information provided within the clozapine product information regarding drug-drug interactions.”
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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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