Man hanged himself after coming off medication, inquest hears

foolsgold

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A MAN hanged himself after trying to come off his medication more quickly than his doctor advised, an inquest heard.

Richard Verrells, 53, left his home in Druids Lodge, Amesbury, at about 6.30pm on October 17, 2011, telling his wife Rachael he was going to a group therapy meeting, but he never returned home.

His body was found by police in Landford Woods on October 19.

Salisbury Coroner’s Court heard Mr Verrells had suffered from chronic pain since a road accident in 1977, as well as suffering from depression and anxiety for many years.


Before his death he was concerned about the side-effects of the medication he was on – slow release fentanyl patches and daily diazepam.

Dr Kara Bennett from Wilton Health Centre had been trying to help Mr Verrells come off the patches gradually but advised him to delay stopping the diazepam.

A statement from Mrs Verrells said: “By August 2011 the side-effects were overwhelming. He was mentally absent at times, he very rarely got up and was incapable of washing and shaving.”

Mr Verrells decided to do a home detox from the fentanyl in early September. He and Dr Bennett agreed a plan to gradually reduce the diazepam but when she saw him again on October 12 he had cut down faster than they’d agreed.

She said his suicidal thoughts were more prominent, but as they were ideas rather than plans she did not feel it was appropriate to section him and recommended referring him to the mental health team.

She said: “I’ve spent a lot of time reflecting on this as a person and as a doctor, and I don’t feel there’s anything I could have done differently. I wish I had been able to do something but I feel I tried my very best.”

In a statement from consultant addiction psychiatrist Dr Adam Winstock, he said the GP practice seemed to have a good understanding of the complex challenges in Mr Verrells’ case and had shown good communication and documentation.

He said Mr Verrells’ withdrawal symptoms from the rapid cessation of his medications “may have compounded an already fragile mental state”.

Assistant deputy coroner Ian Singleton said Mr Verrells had suffered an acute deterioration in mood and marked reduction in coping abilities and concluded he took his own life when the balance of his mind was disturbed.

http://www.salisburyjournal.co.uk/n...coming_off_medication__inquest_hears/?ref=rss
 
yeah pretty sad story, why did he want off the diazepam so bad? i tapered my diazepam 2x as fast as my dr wanted me too and i had issues from it as well, definite suicidal thoughts every day, you really have to be careful in tapering. I've also brought up my issues with suicidal ideation with my Dr many times and since i don't give him an exact plan, nothing happens and i am just stuck thinking about killing myself, and the whole Dr visit just makes it worse. The Drs i have dealt with should have at least referred me to a psychiatrist/psychologist early on, i ended up having to just straight out ask for a referra a couple years later.

if you end up in a semi-psychotic state during benzo withdrawal it becomes very easy to justify and rationalize suicide, especially if you were prone to those thoughts before hand. There's nothing that Dr could have really done, except get him in to therapy and tell him to stay on his meds. anyway, fucked up situation.
 
coming off opiates and benzos together is rough at best off times reducing too quickly must of been a nightmare i know when i went into rehab i was on 30mg of injectable midazloam im
i was given 40mg of diazepam at first then they reduced me very quickly ended up fitting it was a living hell
 
Poor guy, I've been on benzos before. I can only imagine what coming off them and opiates together is like
 
Damn. If you don't mind me asking, how long did you suffer from the withdrawals? Also, what were your dosages like? Moderate/high?

The acute withdrawal phase was about 10 days, during which I became completely delirious. The PAW phase lasted about 6 weeks.

Dosages at the time were 0.5-1mg 3x daily for the Xanax + between 150-210mg oxycodone daily.

Why do you ask? I hope you ain't about to go through the same shit.
 
Luckily I'm not. I've messed around with opiates a few times, but Xanax is my vice. I'm trying my best to avoid physical withdrawals, so it's for the best if I know the limits and consequences.. There is very little information about WDs/PAW (probably due to high variability among users), so I've been lurking around the forum for a while. Thanks for the answer!

There's also a chance that you won't experience a physical withdrawal from benzos. Or you could die after spending many days in unimaginable terror. It varies wildly from person to person. I've felt very little after coming off of Xanax several times.
 
If you don't mind. Could you please explain what a poly drug withdrawal from Xanax and OC felt like? I'm very curious as I've experienced both separately but never together. I can only imagine it would be horrific.
 
If you don't mind. Could you please explain what a poly drug withdrawal from Xanax and OC felt like? I'm very curious as I've experienced both separately but never together. I can only imagine it would be horrific.

The acute withdrawal for both hit me in the morning (That's a day I'll never forget - December 1st, 2009). And to sum it up, I remember the following symptoms in terms of severity and longevity:

- Recurring full-blown panic attacks (I apparently have Panic Disorder, hence the Xanax Rx) and an inability to control them.
- Delirium exacerbated by insomnia (about 36 hours into the acute wd phase, I became convinced after hallucinating that someone was gonna slit my throat if I would turn off the lights and/or close my eyes to try in vain to get some sleep)
- Muscle Aches (particularly in and around the upper portion of my legs) were the worst, but that's probably because according to three different doctors, I have Fibromyalgia.
- A constant feeling of terror, dread, and a lingering lump in my throat, the likes of which someone experiences when they are suddenly startled/scared (only it lasted for days and increased in severity as time went by - it reached its peak around day 4).
- Very severe, uncomfortable feeling of inner restlessness, as well as anxiety in general
- Severe involuntary kicking, jerking, sudden limb movements (I still get these once in a while almost 4 years later, which leads me to believe the shock my body went through may have done some long term damage)
- Painful cramps of every kind (limbs, stomach, back, etc.)
- Emotional liability (thoughts of suicide, homicide, spontaneous crying, manic depressive state combined with anxiety and dysphoria)
- Fecal incontinence (that's right, I shat myself a couple of times)
- Vivid flashbacks and/or nightmares later on (intrusive and disturbing thoughts of violence, death, destruction, etc.)
- Time and intense cravings (felt like an eternity)
- All the other benzo/opiate withdrawal symptoms (most memorably - nausea, weakness, dizziness, increased sensitivity to pain, fatigue, chest pain, brain fog, body and brain zaps, fear of full-blown seizure(s), tinnitus, and so forth).

So yeah, it was lots of fun!
 
The acute withdrawal for both hit me in the morning (That's a day I'll never forget - December 1st, 2009). And to sum it up, I remember the following symptoms in terms of severity and longevity

Thanks a lot for your response. I have trouble even fathoming the pain and anguish you experienced but I appreciate you taking the time to sum it up for me.
 
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