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Actor Heath Ledger attends a special Cinema Society and Hogan hosted screening of 'I'm Not There' at the Chelsea West Cinemas in New York on Nov. 13, 2007. (AP / Evan Agostini) Family members of late Australian actor Heath Ledger arrive at the airport in Perth, Australia on Tuesday, Feb. 5, 2008. Ledger's family arrived back in Australia on Tuesday and started the final leg of the late star's long journey home following his premature death last month in New York. (AP / Min Lee) Heath Ledger poses during an interview at the Toronto International Film Festival on Thursday, Sept. 7, 2006. (Jonathan Hayward / THE CANADIAN PRESS)

Examiner rules Ledger died of accidental overdose

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Date: Wed. Feb. 6 2008 1:31 PM ET

Actor Heath Ledger died from an accidental overdose of a deadly cocktail of prescription drugs including powerful painkillers, sleeping pills and anti-anxiety medication, the New York City medical examiner's office has ruled.

"Mr. Heath Ledger died as the result of acute intoxication by the combined effects of oxycodone, hydrocodone, diazepam, temazepam, alprazolam and doxylamine," said medical examiner spokeswoman Ellen Borakove in a statement on Wednesday.

The drugs listed by Borakove are the generic versions of OxyContin, a time-release painkiller related to morphine, anti-anxiety drugs Valium and Xanax, and sleeping pills Restoril and Unisom. Hydrocodone is another name for the opioid Vicodin.

The release did not go into details of the concentrations of each drug found in his system, nor did it say whether some were more influential than others in causing his death. Borakove simply said it was the "cumulative effects" of the drugs combined.

In a statement released Wednesday through Ledger's publicist, his father Kim warned others of the dangers of mixing prescription pills.

"While no medications were taken in excess, we learned today the combination of doctor-prescribed drugs proved lethal for our boy," he said. "Heath's accidental death serves as a caution to the hidden dangers of combining prescription medication, even at low dosage."

An Oscar nominee, Ledger was highly revered among his colleagues and fans for his portrayal of a gay cowboy in "Brokeback Mountain."

He had just completed the role of the Joker in the upcoming Batman film, "The Dark Knight," and Bob Dylan in "I'm Not There," and had told the media that his immersion into the roles had made it difficult to sleep.

"Last week I probably slept an average of two hours a night," he had said in the weeks before his death, adding that even after two Ambien sleeping pills he could only manage to sleep for an hour. "I couldn't stop thinking. My body was exhausted, and my mind was still going."

His most recent project was the $30 million Terry Gilliam film "The Imaginarium of Doctor Parnassus."  He had just returned from working on the film in London when he died.

Ledger was found dead in his New York City rental apartment on Jan. 22, surrounded by six types of prescription pills. The 28-year-old had been awaiting the arrival of a masseuse, who found him face down on his bed and proceeded to call Mary-Kate Olsen three times before dialing 911.

The family of the Australian actor has spent the past few days mourning together in their hometown of Perth following the return of his parents, who spent two weeks in the United States following Ledger's death. They are reportedly planning a private service in their city.

With files from the Associated Press

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Debi
said
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In response to some of the pharmacy/Dr questions. To my knowledge there is no one computer system in use in Canada or the U.S. to document and keep track of who is taking what. Different Dr., different emerg dept., different pharmacy and you can collect masses amounts of drugs by denying what you currently have. Many don't want this one setup management system because they refer to it as 'big brother' as oppose to health watch. I will miss Heath. I loved his work and his attitude. It all happens so easily.


I can relate...
said
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I'm not sure how "accidental" this was.

I myself am currently struggling not to abuse those types of painkillers.

I have severe back pain (four bulging disks that are pressing on my sciatic nerves)and I quickly got addicted to Oxycocets, demerol etc...Most people who are NOT addicted to these opiates won't dare mix them or take so many at once.

The fact that he did, leads me to believe he was addicted which in turn makes it almost impossible to sleep because the high is so enjoyable. I am now at a point where nothing works for my pain since I'm almost immune to these drugs. It's a sad death and one that makes me realize how careful I need to be. Accidental??? I'm not so sure.


Christal
said
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All of these comments are true..but let's not forget...a person looking for prescription drugs to abuse isn't going to the same doctor all the time or the same pharmacist...how many of us have been to a walk-in clinic where there is no history concerning an individual...you present a symptom and the doctor prescribes the medicine to get rid of the symptom...end of story.


Tanya
said
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I just have something to add before everyone goes and points fingers for doctors prescribing drugs. Do you ever have something left in the back of your medicine cabinet from a few months ago? Like if you have oral surgery and get some Tylenol #3's and you get a bad headache or something, and you might remember them and take one. Is it really up to your doctor to remember that he prescribed you some 3 months ago, and to ask you if you still have them? Or up to a pharmasist to check?

I suffer from horrible migraines and insomnia too, and I have a few prescriptions in my cabinet that have 1 or 2 pills left in them from when my doctor would prescribe me something until I could get in to see my neurologist.

I have never mixed them, because I have a fear of something like that happening, but you can never know how much another person knows about things like that.

I ask you, the next time you get a prescription, look at the infomation hand out, and see if it lists all the drugs you can and cannot take while on that medication, and see if you can make sense of it all.

I feel bad for Heath's family, and I hope that this at least serves as a lesson learned in mixing prescription and over the counter drugs. EVEN IN SMALL DOSES.


RMD
said
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Sad on so many levels... hopefully this will start opening up people's eyes to a big problem that is under reported - prescription drugs and their abuse. It's amazing the amount of drugs available over the counter or through prescription, from alcohol to prescription drugs, big business has there hands deep in this and it is very disheartening when something like this happens, and yet medical marijauna for example is shunned by so many due to blatant propaganda. Time to wake up North America.

Mark M
said
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What about the doctors who are all prescribing this stuff?? Isn't there some kind of cross referencing going on before they all write up these narcotics??


TW
said
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How tragic and sad... he was a great actor, and I feel such sadness for his daughter that she will only have memories of her father in her life as she grows up....

A dangerous cocktail of drugs, but if the prescriptions were from different doctors, and those doctors may not have been aware of the other prescriptions, it is very easy for a tragic accident like this to happen...

Perhaps a wake up call for the medical professionals to create a more strict prescription monitoring system???


Rolf H. Wegner
said
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My deepest condolences to the Ledger family. What is maddening to me is how easy it is for young actors to aquire such powerfull narcotics! I`m 51, and I take oxy + morphine in high doses. But I have been suffering for years w/severe pain; and now I`m on chemo. But these drugs are simply way too strong for ANY one so young. Unless there's special circumstances to validate the need for these drugs! Again; my heart and prayers goes out to Heath and his family


Dale
said
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Hey withheld, just ask Elvis.


Jodi lee Kaemingk
said
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What a shame. Same thing happened to the great Judy Garland.


steph
said
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What a horrible way to end a brilliant life. My doctor refuses to give me anything unless I really need it...which is good since I don't like to take medications. This is a lesson to those workaholics out there. Take a break!! Our bodies are meant to be healthy and able, not sick and disabled.


Helen
said
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Having suffered from insomnia and migraines for decades, I can attest to the desperation for relief by taking painkillers and sleep aids. Though I never abused the medication, I can empathize with Heath's situation. It is a living nightmare.


Kathy
said
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Heath's death is so tragic, but we will see more and more deaths like this in future in our prescription drug addicted society. He had been prescribed a cocktail of drugs that is not uncommon by doctors who just want to practice easy medicine by handing out pills.

Kathy


eli
said
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Another sad statistic to add to the growing list of accidental deaths due to improperly prescribed medications. What doctor would prescribe that all those medications?? Did the pharmacists not give Heath the required info we all get from our pharmacist when we fill a prescription??
Accidental drug overdoses/interactions are the no.1 causes of hospitalizations and deaths. Seems the famous are not immune to fill the criteria and end up a statistics.
So much promise...what a sad loss.....


Gregory Boudreau
said
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That is too bad, people should be aware of the dangers of these types of drugs.
It seems to be the drug of choice these days.
What I find to be disturbing is that celebrities are the ones who take these drugs, and our young are infulenced by these people.


anoyn
said
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Unfortunately, events like this are far more common than people are aware. We don't know the circiumstances, where and why he got these prescriptions or who filled them. Prescription drug abuse and/or dangerous use, is however, arguably a far larger problem in society than illegal drug use and yet no one thinks to question the doctors, pharmacists and medical systems who preside over and are ultimately responsible for their dispensing.


Leslie
said
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I have to agree with James a bit on this one. Heath did need time off between roles to pull himself back into reality, and recouperating. It's sad to see that no doctor caught onto this and prescibed him rest and relaxation, but we also have to take into account that Heath himself could have done that without any perscription, but chose not to. As sad as it is that he's gone, we must learn from his mistakes and try to remember him as he was, not how he died. Let's keep his memory alive in a postive way for nothing else his family who loved him dearly.


KIP
said
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How sad that another person has to die from this type of combination of pills. As someone who suffered an allergic reaction to the pill last year , I was given different drugs to help with the condition, which they thought was a panic attack. On the contrary, these meds made the condition way worse. I couldn't sleep, I felt anxious , I was terrified of hurting myself or kids etc...Then the doctors proceeded to give me even more pills for the other conditions.
It was myself along with the a provincial health phone line I call that really helped. They talked to me for hours helping me through these horrible feelings. They even came to my house to talk. They gave me such great advice, calming music to sleep, an elastic band on your wrist to snap when you feel anxious , exercise etc..they also said to quit taking these meds. Once they were out of my system I was fine. When I ended up going back to my doctor, she talked to the nurses, pharmacy and the specialist I was sent to. It was later determined that I was what was called hyper sensitive to these meds and they had the exact opposite reaction.
Anyways, I think before doctors start handing out meds left and right for a problem, lets take the time to really listen and think of other options and hopefully we won't see any more of these young people dying. PLEASE don't get me wrong, meds do help for many people with illnesses . I am just saying lets step back and take a little more time look at the problems .


Ron
said
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How the heck can the Medical Examiner's office say it was accidental?

When a person takes a "a deadly cocktail" of such a high number of drugs, it MIGHT be accidental or it MIGHT be on purpose.

His personal life was at a low point.

Accidental... maybe. But to say it definitely was accidental is a leap. He isn't alive to say whether he did it on purpose or not.


Karen
said
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When are doctors going to be held legally responsible for wrongful and negligent prescribing of drugs?
We trust them to not give us deadly drug combinations, but it seems to be happening alot.


Joe
said
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James, this type of combination of drugs is hardly a result of treatment gone wrong. Oxycondin, vicodin, valium and Xanax are all drugs that are commonly abused. When they are all combined like this, it is very likely that the person is addicted to the Opiate response in the brain. It is probably safer using street drugs than taking all of these drugs at the same time.


James
said
0 0

When will the stigma attached to mental illness be gone. Here is a man who was in desperate need of care and all he got was pills. He would be alive today if one of the doctors just prescribed rest, someone to talk to about his anxiety and possibly a visit with his family.

If we are acutely sick medically we race to the emergency room but if our mind is sick we are left with no where to go. Even if we go to the emergency room all the doctors will do is prescribe some pills and say get out.




K. McLaughlin
said
0 0

What a sad ending to a tragic story. It makes you wonder about these movie roles, if it had that negative of an impact on him. I feel bad for the family, knowing it was preventable. Makes you more aware of the dangers of taking multiple medication at once. Now, let's let him rest in peace, and let the family grieve in privacy. RIP Heath. We'll miss your brilliant acting.


withheld
said
0 0

A very sad ending to a very young life. How is it someone can obtain that many different prescriptions at the same time?


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