What else was Anna Nicole Smith taking last winter, and who gave it to her?
Some of that was answered by our pal, Dr. Khristine Eroshevich, on TV Monday night. This column had already reported that Dr. Eroshevich had ordered methadone, Dilaudid, Ativan, Dalmane and a British drug called Prexige, all muscle relaxers and painkillers, for Smith.
But the doctor volunteered some more info on TV. She added to the mix Paxil, Robaxin, Topamax, morphine, Cipro, Valium and chloral hydrate.
How she got it to the Bahamas and why she thought Anna Nicole needed all this remains Dr. Eroshevich's call. But she did say in her "exclusive" interview with "Entertainment Tonight" that she administered it all herself.
And what of these added drugs? Chloral hydrate, for example, is used by veterinarians to calm their patients. One description says: "An overdose is marked by confusion, convulsions, nausea and vomiting, severe drowsiness, slow and irregular breathing, cardiac arrhythmia and weakness. It may also cause liver damage. It is moderately addictive." Topamax is anti-convulsant. Valium and Paxil we know about.
Smith's toxicology report is taking a long time, and maybe now we know why. It should be interesting to see how much if any of this stuff turns up in her blood. No wonder she seemed so stoned during her "Entertainment Tonight" interviews right before her death. It's amazing that she was awake long enough to sign the releases.
Source:
Wednesday, March 21, 2007
By Roger Friedman
By Roger Friedman
The Additional News:
The list is scary and potentially very harmful. It includes: four bottles of 2 mg Dilaudid; 2 milliliter bottles of Lorazepam (Ativan); two bottles of 350 mg Soma, a total of 180 tablets; one bottle each of 30 mg Dalmane and 400 mg Prexige, the latter a British drug; and one bottle of methadone, 300 5mg tablets. All of them are classified as different types of painkillers.
Eroshevich was with Smith through her pregnancy in the Bahamas, the birth of her daughter and death of her son Daniel.
More recently, Eroshevich has been a regular on “Entertainment Tonight,” giving exclusive interviews about her former patient and sticking closely to the side of Howard K. Stern.
Eroshevich sent the fax on Sept. 15, 2006, a week after the baby was born and five days after Daniel’s death.
At first she sent it from the Bahamas to Sandeep Kapoor, the Los Angeles physician who treated Smith under the pseudonym “Michelle Chase.”
When Kapoor refused to fill the prescriptions, sources say, Eroshevich sent the request directly to Key Pharmacy in North Hollywood, Calif. It was also refused there.
The doctor wrote the fax in her own hand and added a note at the bottom: “You have my local number here. Please call if half of the amounts can be prepared, I’ll have someone take them to a courier to bring to me and he can [illegible] Fedex the rest, except for the Intensol, which has to be on ice.”
She signed it “Kris,” even though it seemed from the fax that she didn’t actually know Kapoor.
One pharmacist, to whom I read this list, noted that all the dosages requested were much higher than usual.
“That’s 12 times the amount of Dalmane. All together, these drugs potentially will kill you. I would have refused to fill the order.”
All of the drugs carry warnings for pregnant women and those who are breastfeeding especially not to take them.
The directions for Prexige read: “Tell your doctor if you are breast-feeding a baby. Ask your doctor about the risks and benefits of taking Prexige in this case. It is not known if lumiracoxib, the active ingredient of Prexige, passes into the breast milk and could affect your baby.”
In a brief conversation last night with Eroshevich, the psychiatrist acknowledged the existence of the fax, but declined to comment on it, citing "patient confidentiality."
