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I went downstairs and then came back up about 40 minutes later with a cup of tea and there was no response from her. She was pale and no longer snoring.<br><br>'I tried to wake her up and then I called 999 and they advised me to give her CPR until the ambulance arrived. They came and declared that she had passed away. Donna was receiving tablets from friends. I knew she was taking tablets and she would need to take tramadol tablets to get her to bed.<br><br>'She made no comments about self-harm to me. She would not have taken her own life - we had a future together.'<br><br><br><br><br><b>RELATED ARTICLES</b><br><br>Previous<br><br>1<br><br>2<br><br>Next<br><br><br><br>Troubled Ryan Lochte plays the doting dad as photos emerge... Mother-of-six is killed by her estranged husband in horrific... <br><br><b>Missing Maine teacher's body is found in woodland a week and...</b><br><br><br><br><b>Share this article</b><br><br>Share<br><br><br>Miss Spiby's mother Jean Roach, added: 'She was never right after she was given those Subutex. I was told that it is what you take when you are on heroin to get off it. As soon as she sat down, it was like a light switch went out.'<br><br>Miss Spiby's GP Dr Tomas Ko of the Adlington Medical Centre in Lancashire said: 'She registered with our practice in February of this year.<br><br>'When I first saw her, she complained particularly of anxiety, feeling upset and a long history of lower back pain that radiated to her legs. I think that because she complained of pain very frequently, that would impact on her mental health and worsen her depression.<br><br>'The plan that had been agreed was that she would undergo a series of physiotherapy. She had an MRI scan that showed wear and tear in her lower back. We wanted to refer her to a pain clinic but we didn't get to that stage.<br><br>'She was prescribed tramadol. It is a type of opioid, so it's in the morphine family and it's a moderately strong pain killer - one of the stronger ones. The only step above that in pain relief is to give someone liquid morphine.<br><br>'Looking at the frequency that she was requesting tramadol, she was using the recommended limit at least. <br><br>'If she would come in appearing stressed or in tears, there was normally an external trigger, something that happened in her personal life. She was taking an anti-depressant called Mirtazapine. <br><br>'I prescribed her with Gabapentin. The reason for this was because she was at the top level of tramadol and we couldn't go any higher without moving her onto a stronger morphine medication.'<br><br>When asked about Subutex, Dr Ko added: 'Subutex is another type of opioid. It is used for pain control and also to help people with an addiction to opioids get off it. But she never mentioned Subutex to me.'<br><br><br><br><br><b>Tests showed traces of tramadol, diazepam and morphine in D system</b><br><br>Pathologist Dr Mark Pitt who carried out a post mortem said: 'The findings showed traces of tramadol, diazepam and some morphine in her system with the levels of morphine in the fatal range. <br><br>'There was blood concentrations of tramadol which was higher than usual for therapy. The concentrations of diazepam was in the therapeutic range so unlikely to have caused her death.<br><br>'She died as a result of combined morphine and tramadol toxicity. The combination of the two can cause respiratory problems.'<br><br><i><u>Police found no evidence of third party involvement.</u></i><br><br>Recording a conclusion of death by misadventure coroner, James Newman, said: 'Donna had a long and documented history of medical pain and had been prescribed strong painkillers. She had taken her tablets but then also taken too much of other tablets that were not prescribed to her.<br><br>'She would sometimes obtain tablets from friends to help her get through her pain. It was around Christmas time when she obtained the Subutex and this really affected her. On April 29, she went to bed shortly after 11pm and she fell asleep very quickly. Unfortunately she passed away the next morning. 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