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A back pain sufferer died after accidentally overdosing on morphine due to a computer labelling error on his prescription drug bottle, an inquest has heard.
Hamish Hardie, 30, was prescribed Oramorph, a brand of liquid morphine, after suffering from two slipped discs, but he overdosed as there was no exact dosage on the bottle prescribed.
His mother, Mary-Anne Hardie, who administered the medication, said her son had been 'badly let down,' after a computer error went unnoticed by a trainee GP and a pharmacist's dispenser.
The error meant she followed instructions on the bottle to 'use as directed,' meaning more frequent and higher doses were given - on top of the dihydrocodeine and diazepam prescriptions Hamish was also taking to treat his pain.
As a result, the Leeds University graduate died at his family's home in Wisborough Green, West Sussex, last August - just two days after he started taking the incorrectly labelled medication.
Hamish Hardie's mother, Mary-Anne, says her son was 'badly let down,' after an unchecked computer error led to her son taking a fatal amount of morphine
While it was initially a computer error which led to the vague instruction, this was not fixed by trainee GP Dr Carlos Novo, nor was it picked up on by the dispensing practitioner within the pharmacy at the Loxwood Medical Practice in Billingshurst, West Sussex.
An inquest into his death at Crawley Coroner's Court heard that 'unfortunate' errors were made with his medication.
At an earlier hearing, Mrs Hardie said: 'I collected the prescription and it said use as directed on the bottle. The prescription was not written on the bottle. It didn't say how much to use.
'It was a mistake that could have been avoided if the proper dosage was on the bottle.'Hamish, from Billingshurst, West Sussex, had been given a prescription of oramorph to treat two slipped discs - but a computer error meant the medication was only marked with 'use as directed,' rather than an exact dosage
A post-mortem confirmed that the primary cause of death was a prescription drug overdose.After last week's hearing finished, Mrs Hardie added: 'We still feel that Hamish was badly let down that day and that his life was unnecessarily cut short by medical failings.'
Hamish, who worked as a public relations consultant, needed the pain relief for severe back pain caused by two prolapsed lumbar vertebral discs in May 2019, for which he was waiting for private surgery.
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