The Greenville County Coroner’s Office announced on Tuesday that the death of actress Hayden Panettiere was caused by the toxic effects of fentanyl combined with a mix of other medications, the New York Times reports. Officials have officially ruled the death an accident, noting that an autopsy revealed no signs of trauma that contributed to the outcome.
The report from the coroner indicates that, in addition to fentanyl, Ms. Panettiere had alprazolam, methocarbamol, and quetiapine in her system at the time of her death. These drugs serve different medical purposes, with alprazolam acting as a treatment for anxiety, methocarbamol functioning as a muscle relaxant, and quetiapine being an antipsychotic often used for bipolar disorder, depression, or schizophrenia.