A post-mortem examination found he died from methadone, amitriptyline, mirtazapine, gabapentin, pregabalin and codeine toxicity
He had a history of substance misuse and was located on an incentivised substance-free living wing, where prisoners are given privileges in exchange for agreeing to stay drug-free.
Prison GPs prescribed a range of pain relief medication and increased the dosage on a number of occasions.
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