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coroner

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GP reviews should include ECG for long-term users of antipsychotics, warns coroner

A coroner warned there is a lack of clear and consistent guidance that GP health checks should include electrocardiograms for patients on long-term antipsychotics.

15 Jul 2025

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Coroner seeks answers from RCGP over suicide of patient with mental illness

The coroner in Cheshire said “not all GPs book follow-up appointments for patients presenting with mental health difficulties".

27 May 2025

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Illegal websites posing as regulated pharmacies, warns coroner after overdose death

Coroner reports on benzodiazepine death of vulnerable 45-year-old man in Wales

28 Apr 2025

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Coroner seeks answers from ICB over accidental prescription medicines death

Greater Manchester ICB has until June 5 to explain how it will prevent accidental medication-related deaths after a man died from "concomitant Dihydrocodeine and Pregabalin toxicity".

22 Apr 2025

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Dangers of antidepressant-heart medication combination ‘not widely appreciated’, warns coroner

Chloe Burgess died having suffered cardiac arrhythmia and sudden cardiac death after taking amitriptyline, paroxetine and ivabradine.

12 Mar 2025

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Coroner: Student died after failings by GP, locum pharmacist and NHS 111

Charlie Marriage died from sudden unexpected death in epilepsy in June 2021 after he was unable to get his medication from a pharmacy.

23 Jan 2025

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Coroner presses Government for drug-related death solutions after overdose case

The Government and NHSE have until February 27 to say how they will to prevent drug-related deaths after an inquest found a man who overdosed was not given naloxone.

20 Jan 2025

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Toddler died after pharmacy could not amend amoxicillin script

Coroner urges Streeting to consider legislation change after toddler's death from sepsis.

14 Jan 2025

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Pharmacist left patient ‘begging’ for out-of-stock epilepsy drug, inquest told

An inquest into Charlie Marriage's death heard he spent three hours in the pharmacy because the pharmacist did not tell him Fycompa was not in stock.

11 Dec 2024

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Coroner: ‘Suicidal’ young man acquired excess meds after GP switched P2U nomination

Devon surgery issued new prescription while original Pharmacy2U prescription was in the post

03 Dec 2024

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Pharmacy student died from misadventure as a result of asphyxia inquest rules

Tarik Altinsoy, a 20-year-old student at Keele University, was found dead in bed in his accommodation in Newcastle-under-Lyme in May 2023.

02 Dec 2024

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Coroner urges pharmacy to review Easter dispensing after overdose death

Elderly woman received excess diazepam and codeine due to Easter bank holiday, says coroner

28 Nov 2024

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‘National shortage’ left pharmacist unable to give correct EpiPen dose in fatal case

Pharmacy could not give patient's prescribed strength of EpiPen in fatal anaphylaxis case.

04 Sep 2024

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Overdose killed woman after GP pharmacist failed to follow advice, says coroner

A pharmacist at The Park Surgery in Heanor was warned the amount of medicine Deborah Bates was prescribed should have been limited.

19 Jul 2024

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Online zopiclone sales contributed to veteran’s death, says coroner

Coroner issues damning criticism of companies selling medicines online.

19 Jun 2024

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Coroner raises concerns after death of woman from cyclizine toxicity

Manchester coroner has written to MHRA and NHS England after investigating death of a patient due to cyclizine toxicity in January 2022

19 Dec 2023

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