Tormey, William P and Sabah, Muna and Moore, Tara M (2013) Methadone, codeine and acute haemorrhagic necrotising pancreatitis: which came first? Forensic Science International, 226, (1-3), e52-53. https://doi.org/10.1016/j.forsciint.2013.01.020.
External website: https://www.sciencedirect.com/science/article/abs/...
Letter.
Acute haemorrhagic necrotising pancreatitis lead to the death at home of a young female who was on a methadone maintenance programme. Toxic levels of codeine with potentially lethal levels of methadone and morphine were found at post-mortem. Whether opiates caused the pancreatitis or were the consequence of self-medication for pain is impossible to differentiate. Forensic toxicology may pose the question but be unable to provide the answer.
B Substances > Opioids (opiates) > Opioid product > Methadone
E Concepts in biomedical areas > Pharmacology and toxicology
G Health and disease > State of health > Physical health
G Health and disease > Digestive system disease
HJ Treatment or recovery method > Substance disorder treatment method > Substance replacement method (substitution) > Opioid agonist treatment (methadone maintenance / buprenorphine)
P Demography, epidemiology, and history > Population dynamics > Substance related mortality / death
VA Geographic area > Europe > Ireland
VA Geographic area > Europe > United Kingdom
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