A fatality involving metaxalone.
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.
Moore
Karla A
KA
Office of the Chief Medical Examiner, State of Maryland, 111 Penn St., Baltimore, MD 21201, USA. kamoore2@juno.com
Levine
Barry
B
Fowler
David
D
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
D000588:Amines; D000700:Analgesics; D003509:Cyclohexanecarboxylic Acids; D009125:Muscle Relaxants, Central; D023303:Oxazolidinones; C011301:metaxalone; D005680:gamma-Aminobutyric Acid; D000077206:Gabapentin