Friday, March 16, 2007

More on the Psychiatric Drugs Prescribed for Anna Nicole Smith by Her Psychiatrist 'Friend'

Fox 411 has more on the drugs prescribed for Anna Nicole Smith by her claimed 'best friend' psychiatrist Khristine Eroshevich:

How many and how much? That’s what people want to know about Anna Nicole Smith’s drug usage. That, and how it might affect her baby daughter, Dannielynn.

A fax obtained exclusively by this column may shed some light on the still mysterious death of the modern-day pin-up model who accomplished nothing so much as getting the most publicity possible for the fewest achievements.

The fax was written and sent by Khristine Eroshevich, Smith’s personal psychiatrist and, since her death, “best friend.”

It’s a request for a laundry list of drugs that Eroshevich wanted sent to the Bahamas by courier for “M. Chase,” the pseudonym Smith used to obtain drugs.
You can see the damning evidence of the Fax in Khristine Eroshevich's own hand here

All of them are classified as different types of painkillers. In addition to the information given below, all of the drugs carry warnings for pregnant women and those who are breastfeeding especially not to take them.

Update: TMZ reports that
Kapoor's attorney, Ellyn Garofalo, tells TMZ, "Dr. Kapoor declined the request for prescriptions. He would never prescribe that combination of drugs, in such large dosages, to any patient."
In any case, here is a quick transcription of that fax. Unreadable text is marked by question marks, omitted/whited out text is marked by Xs:

Confidential Fax 8187

9/15/06

Dr. Kapoor,

Here are the medications for M. chase

1) Dilavdid 2mg/ml - 20 ml Bottle - for injection
I need 4 bottles
2) Lorazepam Intensol oral conc 2mg/ml -
30 ml Bottles - 2 bottles - ship on/carry in suitcase on ice pack
3) Soma 350mg - IV tabs po tid - #180 -
Send two bottles
4) Dalmona 30 mg II po qid #240 - 1 bottle

5) Prexige 400 mg II po qid #240 - one bottle

6) Methadone 5mg IV po qid #300 - one bottle

My name is KHRISTINE EROSHEVICH M.D., Ph.D.
XXXXXXXXXXXXXXXXXXX
Encino, CA 91436
office 818 XXX-XXXX
Cell 818 XXX-XXXX
You have my location here. Please call.

If half of the amounts can be prepared,
I'll have someone take them to a courier
to bring them to me and he can ????????
fed ex the rest, except for the Intensol,
which has to be on ice. Khris
Note: The Google telephone directory has a telephone and address listing for a Khristine Eroshevitch in Encino, California. We caution that this might not be the same person as seen in the news story. If you want this information, you'll have to look it up on your own.

Notes on Medical Abbreviations

PO = by Mouth

QID = 4 times a Day

TID = 3 times a Day

Notes On the Drugs mentioned: Most of this information was found via the RX List website
  • Dilavdid
    Brand Name: Dolobid
    Generic Name: Diflunisal
    Drug Class: NONSTEROIDAL ANTI-INFLAMMATORY AGENTS (NSAIDS)
    Side Effects - NSAIDS may cause an increased risk of serious cardiovascular thrombotic events, myocardial infarction, and stroke, which can be fatal. This risk may increase with duration of use. Patients with cardiovascular disease or risk factors for cardiovascular disease may be at greater risk (See WARNINGS).

    DOLOBID is contraindicated for the treatment of peri-operative pain in the setting of coronary artery bypass graft (CABG) surgery (see WARNINGS).
  • Lorazepam Intensol
    Brand Name: Ativan
    Generic Name: Lorazepam
    Drug Class: BENZODIAZEPINES
    Side Effects - Drowsiness, dizziness, loss of coordination, headache, nausea, blurred vision, change in sexual interest/ability, hair loss, constipation, heartburn, or change in appetite may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.

    Tell your doctor immediately if any of these unlikely but serious side effects occur: memory loss, shaking, difficult/slurred speech, vision changes, mental/mood changes (e.g., depression, including rare thoughts of suicide), trouble breathing (especially during sleep), stomach/abdominal pain, yellowing of skin/eyes, dark urine, seizures, easy bruising/bleeding, signs of infection (e.g., fever, persistent sore throat), unusual weakness, low body temperature.
  • Soma
    Brand Name: Soma
    Generic Name: Carisoprodol
    Drug Class: SKELETAL MUSCLE RELAXANTS
    Side effects - Dizziness, drowsiness, headache, unusually fast heartbeat, low blood pressure, or face flushing may occur. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.

    Sometimes carisoprodol may cause a very rare but serious reaction (idiosyncratic) that occurs within minutes or hours of the first dose of this medication. Seek immediate medical attention and do not take more of the medication if you experience: extreme weakness, inability to move your legs/arms, shaky/unsteady movement, pain in your joints, vision changes (double vision, inability to see), widened pupils, mental/mood changes (e.g., agitation, restlessness, unexplained mood swings, confusion).

  • Dalmona
    Brand Name: Dalmane
    Generic Name: Flurazepam
    Drug Class: BENZODIAZEPINES
    Side Effects - Dizziness, loss of coordination, or blurred vision may occur. To minimize falls, remember to get up slowly when rising from a seated or lying position. If any of these effects persist or worsen, notify your doctor or pharmacist promptly.

    Tell your doctor immediately if any of these unlikely but serious side effects occur: confusion, unusual feelings of well-being (euphoria), uncontrolled movements (tremor), restlessness, memory loss, sweating, mental/mood changes (e.g., hallucinations, agitation, anxiety, unusual/disturbing thoughts, depression, rare thoughts of suicide), increased or vivid dreams, vision changes, fainting.

  • Prexige
    Brand Name: Prexige (a British medication)
    Generic Name: Lumiracoxib
    Drug Class: NONSTEROIDAL ANTI-INFLAMMATORY AGENTS (NSAIDS)
    Side effects - NSAIDS may cause an increased risk of serious cardiovascular thrombotic events, myocardial infarction, and stroke, which can be fatal. This risk may increase with duration of use. Patients with cardiovascular disease or risk factors for cardiovascular disease may be at greater risk (See WARNINGS).

    Tell your doctor if you notice any of these side effects and they worry you: • nausea (feeling sick), vomiting • diarrhoea, flatulence (wind) • stomach pains or indigestion • constipation • headache • dizziness, light headedness • depression or feelings of sadness, anxiety • trouble sleeping • chest or throat infections • swelling of hands, ankles or feet • drowsiness • tingling or numbness of the hands or feet • blurry vision and/or difficulty in seeing • bloating • flu-like symptoms, including fever, aches and pains • nosebleeds • inflammation of the gums, toothache • swollen joints, muscle pain • sinus congestion • thrush (a yeast infection).

2 comments:

Unknown said...

Hi you spelled it wrong... its DILAUDID and it's helpful to mention, it's a prescription opiate... the most prized pharmaceutical opiate by drug addicts, it's as close as you get to pharmaceutical heroin.

3degrees said...

Eroshevich did "service connected" disability retirement claims for the County of Los Angeles (LACERA).

It was by her recommendation, that a sick or injured employee would be allowed or denied disability benefits.
My understanding is that she never approved a single applicant.
Since she has been fired by LACERA for violating ethical standards I would think some of those denials should be overturned. Anyone agree?

Mark C.