A coroner has called for tighter controls on the sale of laxatives after the death of an Adelaide woman who was taking up to 800 tablets a day because of an eating disorder.
Claudia La Bella, 28, weighed just 35 kilograms when she was admitted to the Royal Adelaide Hospital in June 2014 dangerously dehydrated and with severe abdominal pain.
For two years she had pretended to have terminal ovarian cancer, with her family only finding out she was suffering from anorexia nervosa after her death.
In his findings on Wednesday, SA Coroner Mark Johns recommend that Dulcolax and similar laxatives not be available for self-selection from pharmacy shelves or online stores, with purchases only allowed following consultation with a pharmacist.
He also recommended that when cases of severe weight loss present at hospitals and where there are any suspicions of an eating disorder, that a psychiatric referral must be made as a matter of urgency if the patients wish to self-discharge.
Mr Johns ordered his findings be directed to the SA health minister, the federal health department, the Therapeutic Goods Administration and the Pharmacy Board of Australia.
Before her death, Ms La Bella was buying up to 30 boxes of laxatives at a time and told her husband John they were to flush toxins from her body from her chemotherapy treatment.
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It was only after seeing the autopsy report following her death that Mr La Bella found out that his wife did not have cancer.
In his findings, Mr Johns was also critical of a staff member at a pharmacy where Ms La Bella bought most of her tablets, describing her as an unimpressive witness.
He said she suggested she did not think to put the excessive laxative use and anorexia together.
“In my opinion, she was plainly attempting to mislead the court and avoid responsibility for selling large amounts of laxatives to Claudia or her husband when she was well aware that Claudia likely had an eating disorder,” the coroner said.
However, he cleared the pharmacist at that outlet of having any knowledge of Ms La Bella’s laxative abuse.