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"Medications fentanyl and alprazolam were the cause of death, Urine tests also showed the presence of multiple powerful opiates, including Hydrocodone, Hydromorphone (Dilaudid), Oxycodone and Oxymorphone, Tramadol amd Cocaine"
Hydromorphone and Oxymorphone are both very rare and very powerful and are generally only ever used in hospitals for people dying in extreme pain. Oxycodone and Hydrocodone are also really strong. Some of the strongest drugs you would find in a 21 year old. Most 21 year olds don't have access to these rare and expensive hospital painkillers. He must have been using these drugs for a while and had built up a massive tolerance. Only thing stronger than those drugs is Fentanyl, which is impossible to take safely (100 times more potent than pure morphine/heroin), he also took multiple xanax pills which on their own isn't deadly but combine that with Fentanyl and now you are 100% dead.