Skip to content
recurance

Christopher Brazil

23 Apr 2025 · Coroner Louisa Corcoran · Ceredigion

This report repeats 2 earlier warnings. See the linked reports.

The coroner's concerns

  1. 1. unregulated and unlawful online pharmaceutical providers

    “There are unregulated and unlawful websites offering prescription only medicines and controlled drugs, which look legitimate and are found easily from simple online searches; and these sites give rise to the following points (2) to (6)”
  2. 2. exposure to counterfeit or unsafe medications

    “Vulnerable and susceptible people are exposed to counterfeit or unsafe medications”
  3. 3. insufficient or no measures to verify patient medical history before selling medication and drugs

    “There are insufficient or no measures to verify patient medical history before selling the medication and drugs”
  4. 4. lack of guidance regarding dosage

    “There is a lack of guidance regarding dosage”
  5. 5. lack of safeguards to prevent incorrect self-diagnoses or misuse by consumers

    “There are a lack of safeguards to prevent incorrect self-diagnoses or misuse by consumers”
  6. 6. inadequate age and identity verification

    “There is inadequate age and identity verification, potentially allowing minors to access restricted medicines and drugs”

Linked reports

Repeats an earlier warningKimberley Liu21 Dec 2023 · 1 year 4 months earlier
Closely relatedConfidence 0.85 · high

Earlier report

“The evidence revealed that from at least 2019, [name redacted] had regularly accessed websites specifically aimed at selling prescription-only medications (predominantly medications with a sedative effect) that allowed repeat orders on the same day and did not require a prescription.”
Original on judiciary.uk ↗

This report

“(1) There are unregulated and unlawful websites offering prescription only medicines and controlled drugs, which look legitimate and are found easily from simple online searches; and these sites give rise to the following points (2) to (6)”
Full chain: Unregulated sale of prescription sedatives online
Repeats an earlier warningDavid Mitchener19 Jan 2024 · 1 year 3 months earlier
Closely relatedConfidence 0.90 · high

Earlier report

“Current food labelling requirements do not require these risks and side effects to be written on the packaging. (3) Absence of appropriate warnings and guidance about dosage”
Original on judiciary.uk ↗

This report

“(3) There are insufficient or no measures to verify patient medical history before selling the medication and drugs (4) There is a lack of guidance regarding dosage”
Full chain: Lack of dosage guidance for medications

Responses

  • Built with
  • NVIDIA Nemotron Nano, Super and Ultra
  • Nebius Token Factory inference
  • Qwen3 Embedding 8B on Token Factory
  • Tavily follow-up web search
  • Postgres and pgvector search
  • Next.js site

Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error