title: A fatality involving metaxalone.
abstract: A case is presented of a 54-year-old white female found dead in a secured apartment. Postmortem toxicologic analysis of the heart blood identified acetaminophen (97 mg/L), citalopram (0.4 mg/L), gabapentin (24 mg/L) and metaxalone (21 mg/L). The metaxalone concentration is within the range of previously reported fatalities involving metaxalone. The medical examiner ruled that the cause of death was metaxalone and gabapentin intoxication and the manner of death was suicide.
authors.affiliation: Office of the Chief Medical Examiner, State of Maryland, 111 Penn St., Baltimore, MD 21201, USA. kamoore2@juno.com
authors.forename: Karla A
authors.initials: KA
authors.lastname: Moore
authors.forename: Barry
authors.initials: B
authors.lastname: Levine
authors.forename: David
authors.initials: D
authors.lastname: Fowler
mesh_terms: D000588:Amines / Q000506:poisoning; D000700:Analgesics / Q000506:poisoning; D003509:Cyclohexanecarboxylic Acids / Q000506:poisoning; D005260:Female; D000077206:Gabapentin; D006801:Humans; D008099:Liver / Q000737:chemistry; D008875:Middle Aged; D009125:Muscle Relaxants, Central / Q000032:analysis / Q000506:poisoning*; D023303:Oxazolidinones / Q000032:analysis / Q000506:poisoning*; D013405:Suicide; D005680:gamma-Aminobutyric Acid / Q000506:poisoning
chemical_list: D000588:Amines; D000700:Analgesics; D003509:Cyclohexanecarboxylic Acids; D009125:Muscle Relaxants, Central; D023303:Oxazolidinones; C011301:metaxalone; D005680:gamma-Aminobutyric Acid; D000077206:Gabapentin