Accidental Pill Overdose Killed Ledger

advertisement

NEW YORK — Heath Ledger died of an accidental overdose of painkillers, sleeping pills, anti-anxiety medication and other prescription drugs, the New York City medical examiner said Wednesday.

The cause of death was "acute intoxication by the combined effects of oxycodone, hydrocodone, diazepam, temazepam, alprazolam and doxylamine," spokeswoman Ellen Borakove said in a statement.

The medical examiner's office only provided generic names, so it is unknown whether he took generic or brand-name drugs. Police had said they found six types of prescription drugs, including sleeping pills and anti-anxiety medication, in Ledger's apartment.

Oxycodone is a painkiller marketed as OxyContin and used in other painkillers such as Percodan and Percocet; hydrocodone is used in a number of painkillers, including Vicodin.

Diazepam and alprazolam are the generic names for the anti-anxiety drugs Valium and Xanax, and the other two drugs are sleep aids commonly sold under the brands Restoril and Unisom.

Borakove wouldn't say what concentrations of each drug were found in Ledger's blood, or whether one drug played a greater part than another in causing his death.

"What you're looking at here is the cumulative effects of these medications together," she said.

The ruling comes two weeks after the 28-year-old Australian-born actor was found dead in the bed of his rented SoHo apartment.

Ledger's family returned to the actor's hometown of Perth, Australia, on Tuesday to prepare for his funeral. Arrangements were private.

In a statement released through Ledger's publicist, the actor's father, Kim, said Wednesday: "While no medications were taken in excess, we learned today the combination of doctor-prescribed drugs proved lethal for our boy. Heath's accidental death serves as a caution to the hidden dangers of combining prescription medication, even at low dosage."

Heath Ledger was discovered by his masseuse Jan. 22 after she arrived for an appointment that afternoon. She entered his bedroom to set up for the massage and found him unresponsive, and proceeded to call Mary-Kate Olsen three times over the next 9 minutes before dialing 911. Ledger had been dead for some time, and police say no foul play occurred. Police said they found a rolled-up $20 bill near the bed.

Ledger, nominated for an Oscar for his role in "Brokeback Mountain," had returned to New York from London, where he had been filming a $30 million Terry Gilliam film, "The Imaginarium of Doctor Parnassus," days before his death. He said in a November interview that his roles in the Batman movie "The Dark Knight" and the Bob Dylan biopic "I'm Not There" had taken a toll.

"Last week I probably slept an average of two hours a night," Ledger told The New York Times. "I couldn't stop thinking. My body was exhausted, and my mind was still going." He said he had taken two Ambien pills, which only gave him an hour of sleep.

  • 14 Votes
  • Enjoy this article? Help vote it up the 'Vine.

Back To Top

Published to:

What's this?
Who's leading the conversation?
This visualization below allows you to see the impact that each user has on the current conversation. The top row contains the group of users who have had the most impact, the 2nd row the group of users who have had the 2nd most impact (et cetera). Users with similar impact are grouped together, and the average score of the group is shown to the left of the group. The author of the article is also shown on the left, in their corresponding group. Each user's score is based on the number of comments the user has made plus the number of votes their comments have received. The scores are calculated relative one another, so while their absolute value is not particularly important, their relative difference does indicate a larger difference in impact on the conversation.
6.2
1.0
{"commentId":1440815,"authorDomain":"angecchs"}

This woman works for AP, and she doesn't know that hydrocodone is VICODIN, not ibubrofen. Shame on the AP for not checking this little known fact!

{"commentId":1440815,"threadId":"214778","contentId":"1281934","authorDomain":"angecchs"}
  • 3 votes
Reply#1 - Wed Feb 6, 2008 10:42 AM EST
{"commentId":1441236,"authorDomain":"stupidloon"}

Andy,

What?

They never said it was ibuprofen, only that it is a widely used prescription painkiller, which it is.

{"commentId":1441236,"threadId":"214778","contentId":"1281934","authorDomain":"stupidloon"}
    #1.1 - Wed Feb 6, 2008 12:39 PM EST
    {"commentId":1441514,"authorDomain":"bigmomma"}

    Yes they did say it was ibuprofen originally. The article was changed after Andy wrote this.

    {"commentId":1441514,"threadId":"214778","contentId":"1281934","authorDomain":"bigmomma"}
    • 1 vote
    #1.2 - Wed Feb 6, 2008 1:54 PM EST
    Reply
    {"commentId":1440841,"authorDomain":"bigmomma"}

    It seems this happens all too often! People need to be careful when they take any medications! Even OTC drugs....

    Andy, you are so right! She needs to check her facts!

    {"commentId":1440841,"threadId":"214778","contentId":"1281934","authorDomain":"bigmomma"}
    • 1 vote
    Reply#2 - Wed Feb 6, 2008 10:49 AM EST
    {"commentId":1441044,"authorDomain":"bigmomma"}

    Notice, they have changed the story now, it says:

    Hydrocodone is a widely used prescription painkiller.

    They do this with AP stories all the time, change the story with no notice. This is just wrong if you ask me! It outta at least have a revised date and time on it.

    {"commentId":1441044,"threadId":"214778","contentId":"1281934","authorDomain":"bigmomma"}
    • 3 votes
    #2.1 - Wed Feb 6, 2008 11:51 AM EST
    {"commentId":1441558,"authorDomain":"superfive"}

    It's always been that way, and with every newswire service, just the nature of the beast. Only now we get to see it happen in real time. It happened back in the day, too, with different editions of newspapers published at different times throughout the day.

    {"commentId":1441558,"threadId":"214778","contentId":"1281934","authorDomain":"superfive"}
    • 2 votes
    #2.2 - Wed Feb 6, 2008 2:06 PM EST
    Reply
    {"commentId":1440888,"authorDomain":"reesedcup"}

    Wow, I cannot believe it even a little hick town like Pikeville KY even knows its medications better than the AP writers. Hydrocodone is Vicodin - Loratab a codeine based pain killer. Any one who mixes a pill cocktail like this is bound to suffer the consequences.

    I think you should check your facts before publishing a story of such importance. Everyone is reading and thinking, "what a journalist, can't even check the facts first".

    {"commentId":1440888,"threadId":"214778","contentId":"1281934","authorDomain":"reesedcup"}
      Reply#3 - Wed Feb 6, 2008 11:03 AM EST
      {"commentId":1440988,"authorDomain":"caroaber"}

      But I'm still wondering about those eyewitnesses who knew of his purported cocaine and heroin use. Few people give up smack cold turkey or on their own.

      Let's wait for the New York Times story. I expect they'll get the pharmacology right.

      {"commentId":1440988,"threadId":"214778","contentId":"1281934","authorDomain":"caroaber"}
        Reply#4 - Wed Feb 6, 2008 11:33 AM EST
        {"commentId":1441383,"authorDomain":"brianford"}

        Which eyewitnesses are those? The only reference to that I've heard is that he was at a party where other people were snorting an unknown substance. I don't doubt that I was at parties (in college) where that was happening, and I've never snorted any substance -- known or unknown.

        {"commentId":1441383,"threadId":"214778","contentId":"1281934","authorDomain":"brianford"}
        • 3 votes
        #4.1 - Wed Feb 6, 2008 1:16 PM EST
        Reply
        {"commentId":1441088,"authorDomain":"mp-vp-02"}

        On a different website, I also read that Hydrocodone was Ibuprofen and I was floored! I looked around on google trying to find a way to respond to this wise journalist and give her the heads up on what Hydrocodone really is, and I found this website. I'm glad that there are other smart people in the world that have a clue. It's terrible that the AP doesn't or didn't proof read there article before they made themselves look silly.

        Terrible reporting!!

        {"commentId":1441088,"threadId":"214778","contentId":"1281934","authorDomain":"mp-vp-02"}
          Reply#5 - Wed Feb 6, 2008 12:02 PM EST
          {"commentId":1441248,"authorDomain":"ebbtide42-60"}

          The article that Amy Westfeldt wrote for the AP and published on Comcast homepage had incorrect information. She stated that Hydrocodone was Ibuprofen and she is dead wrong. This misinformation on medical information, I have noted in several of her articles she has written for AP that was published on the Comcast Homepage. She needs to check her medical info before it is published.

          {"commentId":1441248,"threadId":"214778","contentId":"1281934","authorDomain":"ebbtide42-60"}
            Reply#6 - Wed Feb 6, 2008 12:42 PM EST
            {"commentId":1441327,"authorDomain":"tigerblade"}

            I'm still trying to figure out why the masseuse called Mary-Kate Olsen. I'm not exactly a celebrity-tabloid follower, but... what's the connection there? Fill me in here.

            {"commentId":1441327,"threadId":"214778","contentId":"1281934","authorDomain":"tigerblade"}
              Reply#7 - Wed Feb 6, 2008 1:00 PM EST
              {"commentId":1441377,"authorDomain":"brianford"}

              He was in Mary-Kate Olsen's apartment/condo when he died.

              {"commentId":1441377,"threadId":"214778","contentId":"1281934","authorDomain":"brianford"}
              • 1 vote
              #7.1 - Wed Feb 6, 2008 1:13 PM EST
              {"commentId":1441405,"authorDomain":"stupidloon"}

              Brian,

              Incorrect, the pre-mature-famous-death-media-frezy-ejaculation report can be blamed for that lie.

              It was his apartment.

              {"commentId":1441405,"threadId":"214778","contentId":"1281934","authorDomain":"stupidloon"}
              • 1 vote
              #7.2 - Wed Feb 6, 2008 1:25 PM EST
              {"commentId":1441408,"authorDomain":"tigerblade"}

              That would seem to contradict the articles that I've seen thus far, saying this:

              found dead in the bed of his rented SoHo apartment.
              {"commentId":1441408,"threadId":"214778","contentId":"1281934","authorDomain":"tigerblade"}
                #7.3 - Wed Feb 6, 2008 1:25 PM EST
                {"commentId":1441443,"authorDomain":"brianford"}

                Hrm, seems you're right. I hadn't read much since the first few days of reporting, and that version of events definitely stuck around for longer than it should have, considering it's not true.

                {"commentId":1441443,"threadId":"214778","contentId":"1281934","authorDomain":"brianford"}
                • 2 votes
                #7.4 - Wed Feb 6, 2008 1:32 PM EST
                {"commentId":1442264,"authorDomain":"morwynd"}

                I read that the masseuse called Mary-Kate Olsen because she knew the two were friends, and used the speed-dial on Heath's phone.

                Eg:

                http://www.people.com/people/article/0,,20173398,00.html?xid=rss-fullcontentcnn

                When the 28-year-old actor did not respond, the masseuse – who knew that Ledger was friends with Olsen – used the speed dial on Ledger's cell phone to call Olsen in California asking for help, the sources say.
                {"commentId":1442264,"threadId":"214778","contentId":"1281934","authorDomain":"morwynd"}
                  #7.5 - Wed Feb 6, 2008 5:09 PM EST
                  {"commentId":1442319,"authorDomain":"tigerblade"}

                  Okay, that makes sense then, if they were friends. Somehow I just couldn't picture Ledger and either of the Olsen twins as a romantic pairing... which is what all those early reports seemed to insinuate. Whether he was found at her apartment, or they called her, or whatever... I hadn't seen any reasons as to why.

                  {"commentId":1442319,"threadId":"214778","contentId":"1281934","authorDomain":"tigerblade"}
                    #7.6 - Wed Feb 6, 2008 5:20 PM EST
                    Reply
                    {"commentId":1441393,"authorDomain":"ebaraldi"}

                    There is not possible way anyone could take a combination of 6 pills and not be trying to kill themselves! Are you guys crazy? Did you not see the list of WHAT he took? O.D. PURPOSLEY!!!!

                    {"commentId":1441393,"threadId":"214778","contentId":"1281934","authorDomain":"ebaraldi"}
                      Reply#8 - Wed Feb 6, 2008 1:20 PM EST
                      {"commentId":1441425,"authorDomain":"stupidloon"}

                      Sure there is, especially if you're prescribed with them and have been taking them regularly; building a tolerance.

                      It could be argued as totally accidental, maybe he was just trying to get high. There's a good chance no one will ever know for sure.

                      {"commentId":1441425,"threadId":"214778","contentId":"1281934","authorDomain":"stupidloon"}
                        #8.1 - Wed Feb 6, 2008 1:29 PM EST
                        {"commentId":1441430,"authorDomain":"brianford"}

                        I don't know if you've ever known someone being treated for (say) PTSD, or depression, but it is possible to be taking that many pills without trying to kill yourself.

                        {"commentId":1441430,"threadId":"214778","contentId":"1281934","authorDomain":"brianford"}
                        • 2 votes
                        #8.2 - Wed Feb 6, 2008 1:30 PM EST
                        {"commentId":1441513,"authorDomain":"brianford"}

                        Adding to that: It's very possible (and seems likely) that he became addicted to these pills for (what started as) legitimate medical reasons.

                        The question I have is: Were all the pills prescribed by the same physician, or was he doctor hopping?

                        {"commentId":1441513,"threadId":"214778","contentId":"1281934","authorDomain":"brianford"}
                        • 1 vote
                        #8.3 - Wed Feb 6, 2008 1:53 PM EST
                        {"commentId":1441517,"authorDomain":"stevencwatts"}

                        I don't doubt that it's possible, but it also seems strange to say "accidental" with such certainty. The question was never whether he died from pills or some other means; we already knew that pills were the culprit. The question was whether it was intentional or not. The medical examiner has given an answer for the only question remaining, but I don't really see how someone could come to a certain conclusion one way or the other. I honestly doubt we'll ever know the answer for sure. A good argument could be made for either side.

                        I think calling it "accidental" is a sensitive move on the part of the examiner, assuming accident when insufficient proof exists either way. Regardless, this report is fairly insubstantial as far as new information goes, giving us only confirmation of what we already knew along with speculation on the motivation, which only Ledger himself could know.

                        {"commentId":1441517,"threadId":"214778","contentId":"1281934","authorDomain":"stevencwatts"}
                        • 3 votes
                        #8.4 - Wed Feb 6, 2008 1:55 PM EST
                        {"commentId":1441553,"authorDomain":"brianford"}

                        Well, the lack of a suicide note is a key piece of evidence for me. My guess is that, if there's no proof of suicide (no note, no one coming forward to say he was planning to do it) especially if the drugs are legally prescribed, accident should be the default designation.

                        Further, judging by the amount of pills left vs. when they were prescribed vs. the levels found in his system (was he taking the pills as prescribed, just in a lethal combination?) an examiner could determine with a fair amount of certainty whether a person was trying to kill himself.

                        {"commentId":1441553,"threadId":"214778","contentId":"1281934","authorDomain":"brianford"}
                        • 1 vote
                        #8.5 - Wed Feb 6, 2008 2:06 PM EST
                        {"commentId":1442044,"authorDomain":"JenMadden"}

                        They're likely saying accident based on the number of pills or level of each drug found in his system. I'm a medical examination junkie and love all things autopsy related (weird, I'm aware).

                        Intentional overdoses are typically done at high doses. Someone aiming to kill themselves doesn't think rationally and therefore doesn't plot the lethal mathematics: "Ok self, so a combo of 1000 mg of Vicodin, 5 mg of Xanax, 320 mg of Oxy topped with a few OTC sleeping pills will do the trick..." Suicides usually pop by the handful or whatever's left in the bottle so if the ME found only normal or slightly above normal amounts in his system, then it would be ruled accidental.

                        Also, if he had access to Xanax, Oxy & Vicodin it's highly unlikely he'd bother with some OTC sleep meds unless he didn't know the possible effects; All three are generally highly sleep inducing on their own, even for an addict they'd cause drowsiness combined.

                        Anyway, the ME will usually err on the side of non-suicide if the facts are on the fence- that's for the family's benefit. A sense of comfort & relief for them, even if it's possibly false. Unless suicide is 100% positive, they won't rule it that way.

                        {"commentId":1442044,"threadId":"214778","contentId":"1281934","authorDomain":"JenMadden"}
                          #8.6 - Wed Feb 6, 2008 4:18 PM EST
                          Reply
                          {"commentId":1441396,"authorDomain":"ebaraldi"}

                          There is not possible way anyone could take a combination of 6 pills and not be trying to kill themselves! Are you guys crazy? Did you not see the list of WHAT he took? O.D. PURPOSLEY!!!!

                          {"commentId":1441396,"threadId":"214778","contentId":"1281934","authorDomain":"ebaraldi"}
                            Reply#9 - Wed Feb 6, 2008 1:20 PM EST
                            {"commentId":1442187,"authorDomain":"TeddRi"}

                            You have already made that comment twice...Did you happen to also read that he had plenty of pills left over ? Usually people that O.D. PURPOSLEY Purposely would do so with taking ALL the pills, not just one of each. However this is something that none of use will ever really know for sure.

                            "Last week I probably slept an average of two hours a night," Ledger told The New York Times. "I couldn't stop thinking. My body was exhausted, and my mind was still going." He said he had taken two Ambien pills, which only gave him an hour of sleep

                            However something far more logical ? Read his last comment and combine that with the impact that Ambien has on many people and its pretty easy to see that it could have just been an error on his part. Ambien use + lack of sleep + a busy schedule + jet lag can add up to one very dangerous combination.

                            Are you guys crazy?

                            Are you ?

                            {"commentId":1442187,"threadId":"214778","contentId":"1281934","authorDomain":"TeddRi"}
                            • 3 votes
                            #9.1 - Wed Feb 6, 2008 4:52 PM EST
                            Reply
                            {"commentId":1441487,"authorDomain":"kyleb"}

                            I still can't believe he died. I hope other actors take this as a warning of how much a role can affect you.

                            {"commentId":1441487,"threadId":"214778","contentId":"1281934","authorDomain":"kyleb"}
                            • 3 votes
                            Reply#10 - Wed Feb 6, 2008 1:47 PM EST
                            {"commentId":1441855,"authorDomain":"luisf"}

                            I hope other actors actually read the label before taking medication period!!!

                            {"commentId":1441855,"threadId":"214778","contentId":"1281934","authorDomain":"luisf"}
                              Reply#11 - Wed Feb 6, 2008 3:35 PM EST
                              {"commentId":1444525,"authorDomain":"bnowhere"}

                              It was obvious that it wasn't an attempt to die, particularly since he didn't overdose on any particular medication. The examiner clearly states that none were taken in unusually large amounts and that it was the combination of these medications that led to his death. What makes sense to me as to this story, considering his complaints about obsessive thinking and lack of sleep due to the emotional intensity of his last two roles, is that since the other pills had not been enough, he took more of these, and then a little of those. He thought those would be enough to sleep and shut his mind off, and well, in that regard I guess, sadly, he was certainly successful.

                              As to the cocaine claims, it had been made clear in an earlier news story that he was off cocaine and that in fact there was none in the apartment and none found in his blood. It really is sad overall. The question that keeps popping into my mind is: should actors be required to seek psychological help after tackling certain emotionally charged (and often psychotically inclined) roles in order to deal with how living within such a deranged mind (as the joker in this case) can affect a person. Think of a normal person in an insane asylum. After a short while, they'd go nuts, so how is a modern actor, asked to truly get into and become his role, any different?

                              Just pondering...

                              {"commentId":1444525,"threadId":"214778","contentId":"1281934","authorDomain":"bnowhere"}
                              • 1 vote
                              Reply#12 - Thu Feb 7, 2008 10:44 AM EST
                              {"commentId":1444594,"authorDomain":"TeddRi"}
                              should actors be required to seek psychological help after tackling certain emotionally charged (and often psychotically inclined) roles

                              Interesting comment and probably an excellent idea considering the high suicide rate, the drug abuse rate and the numerous actors/actresses/singers/etc that have run into problems.

                              My guess is enforcing it would be a nightmare and deciding when is the time that person needs the help. In many other fields such as Fire, Police, Social Work, Counseling, they all have a very set schedule that after a set amount of time on the job, then they take a break and get some counseling. With the on again and off schedule of acting, I would think that would be hard to decide when is right.

                              However since actors are always playing basically a fantasy life, I would think it would tend to be a area that would have some major psychology issues come up often.

                              {"commentId":1444594,"threadId":"214778","contentId":"1281934","authorDomain":"TeddRi"}
                              • 2 votes
                              #12.1 - Thu Feb 7, 2008 11:04 AM EST
                              {"commentId":1445169,"authorDomain":"bnowhere"}

                              Thanks Tedd. Although you're certainly right about the difficulties with their schedules and what not, particularly in contrast to other fields, I think it's more than doable if tied to a specific project. For example, Heath Ledger's contract would have specified that after playing a psychopathic killer like the joker, he would be required to visit a psychologist, be it for a review visit and then a second review at a later date, or for a predetermined amount of therapy. I think an actor can spare at least an hour to promote his/her psychological well being before/during/after finishing production and promoting a film project. Tying it to his/her contract would certainly take care of the scheduling. :)

                              Again, just pondering...

                              {"commentId":1445169,"threadId":"214778","contentId":"1281934","authorDomain":"bnowhere"}
                                #12.2 - Thu Feb 7, 2008 1:24 PM EST
                                Reply
                                {"canLink":false,"threadId":"214778","isPrivate":false}
                                Leave a Comment:
                                You're in Easy Mode. If you prefer, you can use XHTML Mode instead.
                                As a new user, you may notice a few temporary content restrictions. Click here for more info.
                                {"threadId":"214778","contentId":"1281934"}
                                Start TrackingStart Tracking
                                Stop TrackingStop Tracking