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Coroner’s reportPrevention of future deaths · 2026-0157

“, and heard by the court were as follows: (1) Propranolol is absorbed quickly (the court…”

Dated 20 Mar 2026, from the coroner for Inner South London. Sent to 1 organisation or person.

A coroner wrote this report after an inquest, to warn the organisations below about a risk of further deaths.

Read the full report on judiciary.uk

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Replies were due by 15 May 2026.

Organisations that receive a report must reply to the coroner within 56 days, saying what they will do or why they will do nothing. We show whether a response is published on judiciary.uk; a reply may have been sent and not yet published.

  1. Report dated20 Mar 2026
  2. Deadline15 May 2026
  3. Published on judiciary.uk26 Mar 2026
  4. Today23 Oct 2026

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The coroner’s concerns

, and heard by the court were as follows: (1) Propranolol is absorbed quickly (the court heard within 30-60 minutes of ingestion) and dose related. (2) As a drug it is very effective in what it is prescribed for being used for, for example, in the community to treat hypertension, anxiety and migraines. BUT unfortunately, it is highly toxic at even small doses. (3) There is no specific anti-dote to a propranolol overdose, the only form of treatment is supportive and therefore hospital based. (4) Doctors and specifically GPs should be aware of the consequences, at relatively small doses, of excess propranolol ingestion; especially when there is no specific antidote and treatment is restricted to supportive measures only.

An extract. Read the full report, including the circumstances of the death, on the Courts and Tribunals Judiciary website.

Source
judiciary.uk, Prevention of Future Deaths reports, 2026-0157
Added to Minute Book
8 Oct 2026
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Contains public sector information licensed under the Open Government Licence v3.0. Source: Courts and Tribunals Judiciary, judiciary.uk. Open Government Licence v3.0

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