Heath Ledger

While I am still sad that Heath Ledger is dead, I am happy that it has been ruled an accidental overdose by the coroner. I hated the thought that another bright young star may have killed himself for reasons unknown. It also points out the ease with which a person can get and use prescribed drugs exactly as ordered but with unexpected and deadly consequences.

By all accounts, Ledger was suffering from insomnia and anxiety or depression. Some of it brought on by the roles he took, some by his personality, and some by the life he was leading at the time. His breakup from Michelle Williams, I'm sure, played some role. You can't have a long-term relationship and a child and break up without some effect on your life. Published reports said that he was having a hard time "letting go" of the Joker persona, who is, in this version, much darker, scarier, and amoral than in other portrayals on film and TV. And, frankly, a certain type of personality tends toward acting and those personality types also tend toward instability and somewhat reckless or egotistical behavior. I do not know if Ledger was one of these, but if he was, this could have played a part as well. I have read some reports that Ledger may have suffered migraines or nagging headaches as well, although I'm having trouble finding any supporting information for this.

It seems that Ledger managed to get a lethal cocktail of drugs from reputable doctors and pharmacies. He likely assumed, as many people do, that the doctors would know of any drug interactions between the medications and thought they were safe. Or, maybe, like many people, Ledger didn't think about drug interactions and failed to tell doctor X that he was on medication Y for problem Z. That sort of knowledge may have changed the drug of choice for the new doctor. He may also have assumed that the pharmacy information or talking to a pharmacist would be enough; pharmacists do their best to ensure the safety and health of the medications they prescribe, but there is only so much they can do. It also appears from reports that at least a couple of the medications were prescribed in England during his stay there filming The Dark Knight or his newest film with Terry Gilliam. This might mean Ledger didn't even think to mention the other medications he had to this new doctor-- he had a problem and this doctor tried to solve it.

Yes, I realize I am leaving out the fact that he may have purposely tried to get these medications for the sole purpose of getting high. From what I'm reading, this was not Heath Ledger's intent. By all accounts, he was past that phase of his life, was trying to be a good dad, and had a lot to live for and many plans for the future.

Reports indicate that the amounts of each medication were within the prescribed limits for each. However, the combination of the drugs caused an unsafe reaction in Ledger's body which ultimately caused him to pass out (rather than just sleep), his breathing slowly became more depressed until he ceased breathing, and his heart stopped. I see a scenario where Ledger may have had a headache, or some other pain, and he takes an Oxycontin for the pain. He then tries to go to bed and can't sleep, so takes a couple of his sleep medications. He still can't sleep and realizes he is having undue anxiety, so pops a couple of those pills to allay that problem. All perfectly reasonable and justifiable, but deadly nonetheless. Or some similar combination of very reasonable events causes an unsafe mixture of these medications to be taken.

While I mourn the loss of a talented actor, I hope his death will serve to show people that prescription drugs are not to be taken lightly and that full disclosure is needed when obtaining a new prescription. Taking too many medications, or taking an unsafe combination, can result in a trip to the emergency room or worse. This is especially true for children who get into mom and dad's medicine cabinet and "sample" a little of everything.

Be safe and be smart about prescription drugs.