Specimen
Ante-mortem blood (cardiac), gastric aspirate, urine. Collected at post-mortem, Friday 09:35 AM.
Analysis Results
| Substance | Matrix | Concentration | Reference Range |
| Alprazolam | Blood | 0.8 mg/L | Therapeutic: 0.01–0.10 mg/L · Toxic: >0.20 mg/L |
| Ethanol | Blood | 0.04% | Legal limit: 0.08% |
| Caffeine | Blood | Trace | Consistent with coffee consumption |
| Ibuprofen | Blood | Trace | Consistent with prior week ingestion |
| Other controlled substances | All matrices | None detected | — |
Alprazolam — Pharmacological Notes
Alprazolam is a Schedule IV benzodiazepine with a plasma half-life of 6–12 hours. At 0.8 mg/L in combination with 0.04% BAC, clinically expected effects include: severe sedation, ataxia, impaired motor coordination, anterograde amnesia, and markedly reduced capacity for volitional physical action. Peak serum concentration is typically reached 1–2 hours post-oral ingestion.
Gastric aspirate analysis confirmed oral ingestion. No tablet fragments were recovered. The compound had been dissolved in liquid prior to ingestion.
Using standard pharmacokinetic back-calculation (death time 23:10 ± 10 min, half-life midpoint 9 hours, peak conc. window 1–2 hrs):
| Parameter | Value |
| Estimated time of death | 23:10 ± 10 min (from post-mortem report) |
| Back-calculated ingestion window (peak) | 20:30 – 22:30 (Thursday) |
| Margin of error | ± 30 minutes |
Analyst's Statement
The Alprazolam concentration documented in this case substantially exceeds the therapeutic range. Dissolution of the compound in a liquid prior to ingestion is confirmed by gastric analysis. I am not in a position to determine whether ingestion was voluntary or involuntary — that determination falls outside the scope of this report.