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Expert: Doctor should have weaned Smith from drugs

Aug 30, 2010 9:33:00 PM - thestate.com
The amount of opiates and sedatives prescribed to Anna Nicole Smith could have made her behave like "a space cadet," slurring her words and losing cognitive abilities, a prosecution expert testified Monday at the drug conspiracy trial of Smith's two doctors and lawyer-boyfriend.

Dr. James Gagne, a specialist in addiction and pain management medicine, said Dr. Sandeep Kapoor was acting "outside the standard of practice" when he prescribed large amounts of medications to the former Playboy model to treat her for pain.

Gagne suggested Kapoor should have concluded from the records of the doctor who preceded him on her case that Smith was addicted to opiates and sedatives known as benzodiazopenes. He said Kapoor should have tried to wean Smith from the drugs rather than continuing to prescribe them.

Asked how the sedatives would have affected her behavior, he said, "The closest lay term I think of is space cadet."

Gagne said those who take such large quantities of drugs are "out of it. Emotionally, they're up and down, not functioning cognitively."

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