Breaking down the details of Anna Nicole Smith's autopsy

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On Monday, the medical examiner and police looking into Anna Nicole Smith's cause of death held a joint press conference to announce that they believe she died of an accidental overdose.

Over the past 24 hours, I have taken the liberty of breaking down Anna Nicole's autopsy results.  The more I read over the report, the more I truly believe that medical examiner Dr. Joshua Perper took the easy way out.

As I said yesterday, ruling Anna Nicole's death as an accidental overdoes is absurd!  You can't accidentally take 9 different drugs.  This was a plain and simple overdose. 

Maybe Anna Nicole Smith didn't commit suicide, and maybe she wasn't murdered; however, overdosing on 9 different drugs is no accident.

Anna Nicole's 20-year-old son Daniel died from a lethal combination of drugs late last year.  Don't you think she would have been fully aware of the risks with mixing drugs, especially 9 different ones?

You would also think that a medical examiner would have taken into consideration the fact that a mother and her son both died of an overdose merely months apart.  Evidently, that isn't the case when you're Daniel and Anna Nicole Smith.

A private autopsy was done at Anna Nicole's request to find that her son Daniel died from a lethal mix of methadone and lexapro.  Methadone is a pain killer most often used to break a heroin addiction.  Lexapro is an antidepressant.  Together, they are deadly.

But what were the 9 drugs found in Anna Nicole Smith's dead body?  Here's the breakdown along with each of their typical uses.

In addition to traces of methadone, examiners also found:

  • Chloral hyrdate:  typically used in hospitals for pre and postsurgery patients who can't sleep or are in great pain. Ironically, this is also what killed Anna Nicole's hero, Marilyn Monroe.
  • Diphendydramine:  aka Bendryl cures itching, sneezing and allergy-type symptoms.
  • Clonazepam:  aka Klonopins used to treat seizures, panic and anxiety attacks.
  • Diazepham: aka Valium used as a sedative or to treat anxiety.
  • Nodiazepam:  Metabolized Valium
  • Tamazepam:  aka Restoril used as a sleep aid
  • Lorazepam:  aka Ativan used to treat anxiety and panic attacks.
  • Oxazepam: aka Serax also used to treat anxiety and panic attacks.

No doctor in their right mind would have given this many drugs to any patient.  As a matter of fact, no doctor in their right mind would have given Daniel authorization to mix methadone and lexapro.

Examiners also said that Anna Nicole refused medical attention before she died.  What kind of people was she hanging out with?

And where did all of these prescription drugs come from?  It seems as though Anna Nicole Smith was able to work several doctors, and many believe Daniel got his lethal methadone from his mother or her companion Howard K. Stern.

Hopefully the truth will come out about Daniel Wayne Smith's death over the next few weeks.  Authorities in the Bahamas are currently holding an inquest to investigate his death.  Maybe they will even uncover some facts that will answer some of the questions about Anna Nicole's death too.

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10 Comments

Anonymous said:

excuse me, but What kind of people was she hanging out with???? she's a freakin stripper, for goodness sakes. w/low-life howard guy. what kind do you THINK she's "hang out with"???!

yes, it's sad she died. and sad that she suffered the pain of her loss of her son.

but that's it!

Stephanie said:

You said,

'no doctor in their right mind would have given this many drugs to any patient'.

A Doctor could have given a patient that many drugs. She may have tried some sleeping pills and they may have not worked for her thereofre, she may have gone back to the Drs and asked for a review. She probably kept the old tablets and used them as a cocktail to formulate some kind of high.

This are all quite harmless drugs on their own. There is no mistaking the fact that she was a drug addict (prescription or non prescription, they're still drugs!). I don't think that I have seen a clip of Anna Nicole in the past 4 or 5 years when it didn't appear like she was on something.

The clown footage was the icing on the cake for me, no doubt about it.

Stephanie said:

You said,

'no doctor in their right mind would have given this many drugs to any patient'.

A Doctor could have given a patient that many drugs. She may have tried some sleeping pills and they may have not worked for her thereofre, she may have gone back to the Drs and asked for a review. She probably kept the old tablets and used them as a cocktail to formulate some kind of high.

This are all quite harmless drugs on their own. There is no mistaking the fact that she was a drug addict (prescription or non prescription, they're still drugs!). I don't think that I have seen a clip of Anna Nicole in the past 4 or 5 years when it didn't appear like she was on something.

The clown footage was the icing on the cake for me, no doubt about it.

Stephanie said:

You said,

'no doctor in their right mind would have given this many drugs to any patient'.

A Doctor could have given a patient that many drugs. She may have tried some sleeping pills and they may have not worked for her thereofre, she may have gone back to the Drs and asked for a review. She probably kept the old tablets and used them as a cocktail to formulate some kind of high.

This are all quite harmless drugs on their own. There is no mistaking the fact that she was a drug addict (prescription or non prescription, they're still drugs!). I don't think that I have seen a clip of Anna Nicole in the past 4 or 5 years when it didn't appear like she was on something.

The clown footage was the icing on the cake for me, no doubt about it.

Marty Smythe said:

Yes..the clown footage was pathetic...Howard K Stern should be ashamed of himself...if he cared even a little about Anna he would not have filmed her. He is a scum bag.

Anonymous said:

of course she OD'd. with the exception of the benadryl and cloral hydrate, the rest of the drugs are all benzodiazapines. Clearly she wanted to kill herself, because no one with any will to live would take so many different benzo's, especially combined with the methadone.

LAYLA said:

Freakin Stripper? HARSH!!!!Oh, well everyones entitled now...to much press..for someone with such a f'd up life. She made some way sucky choices early on. She had a great mom now didn't she folks? Maybe she was doomed at birth. Who knows....SOMEBODY in her wild lifetime and ESPECIALLY a physician might have suggested some rehab or something...it's true...no physician in there right mind would have prescibed that many benzo's. But how many different names were on the bottles and how many different doc's. Does it really matter. What a waste!!! Poor DANILYN!

LAYLA said:

Freakin Stripper? HARSH!!!!Oh, well everyones entitled now...to much press..for someone with such a f'd up life. She made some way sucky choices early on. She had a great mom now didn't she folks? Maybe she was doomed at birth. Who knows....SOMEBODY in her wild lifetime and ESPECIALLY a physician might have suggested some rehab or something...it's true...no physician in there right mind would have prescibed that many benzo's. But how many different names were on the bottles and how many different doc's. Does it really matter. What a waste!!! Poor DANILYN!

Marsha. Miller said:

I hope with all my soul they will get Howard and his scum camp with all the bad he has done. He is holding a child for ransom. That is a big jail term here in the states.
Get Howard for what he has done.

k said:

It was the combination of Zoloft and Lexapro that was the lethal combination. Together they can cause something called serotonin syndrome which is potentially fatal. Tryptophan can even be a cause of this, combined with MAOIs, SSRIs, and tricyclic antidepressants.

Dr. Perper got it right with Anna. How lay people can even doubt him, disgusts me. He is highly respected. Why does this type (doubting him through ignorance) always need a fall guy? I wonder if any of you would have been this concerned about Anna if she had not lost so much weight. Pretty people accidentally overdose too.

Nothing like knocking a man while he's down. I hope the same mercy gets dished out to all of those accusing him. You all need to adopt a drug addict for a year and see how well you do. He did not give her his meds. The doctor gave her the meds. They were in the right amount too. She took more than the dosage that was prescribed for her. It is not like Howard could control her. I know that is what you wanted, but she was too strong-willed to be controlled.

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