Matthew Perry cause of death: Friends star killed by ketamine and drowning, with his death ruled an accident

Friends’ star Matthew Perry died from the accidental effects of ketamine and drowning, his autopsy revealed.

‘The County of Los Angeles Department of Medical Examiner determined the cause of death for 54-year-old actor Matthew Langford Perry as the acute effects of ketamine,’ the Los Angeles coroner’s office said on Friday.

‘Contributing factors in Mr Perry’s death include drowning, coronary artery disease and the effects of buprenorphine (used to treat opioid use disorder). The manner of death is accident.’

Perry, 54, was found dead at his Los Angeles home at 4.17pm on October 28, stunning the world of showbiz and breaking the hearts of fans worldwide.

Friends’ star Matthew Perry was killed by ketamine and drowning, with his death ruled an accident. He is pictured on October 22 – the last time he was seen in public

In his last post to his Instagram, posted the week he died, the star shared images of him in his pool

In his last post to his Instagram, posted the week he died, the star shared images of him in his pool

He was declared dead at the scene and the medical examiner conducted the autopsy on October 29.

Ketamine can be prescribed as a medical treatment, but it is unclear if the drugs in Perry’s system were bought using a prescription.

Months before his death he released a tell-all memoir that included shocking details of his drug and alcohol addiction.

But he said in October 2022 that he was 18 months sober, though that was a year before his death.

Those who knew him maintain Perry was clean and sober at the time of his death. 

When investigators responded to Perry’s home, they did not find any illegal drugs, but found prescription medication that was properly labeled and kept in storage bottles. 

The Batman logo at the bottom of his pool can be seen here in an aerial daylight shot

The Batman logo at the bottom of his pool can be seen here in an aerial daylight shot 

Police officers taped off the street leading to Matthew Perry's house where he was found dead on October 28

Police officers taped off the street leading to Matthew Perry’s house where he was found dead on October 28

Matthew Perry died of the acute effects of ketamine combined with drowning, Los Angeles' coroners office has revealed

Matthew Perry died of the acute effects of ketamine combined with drowning, Los Angeles’ coroners office has revealed 

WHAT IS KETAMINE?

Ketamine is a powerful general anaesthetic that is used to stop humans and animals experiencing pain during operations.

It started being used as a party drug in the late 2000s, with people taking it before raves for a more intense experience. 

What are the side effects? 

Ketamine causes a loss of feeling and paralysis of the muscles.

It can also lead to people experiencing a distortion of reality, which many call entering the ‘k-hole’.

This is when people believe they have spoken to God or a higher power, which can lead to addiction as they crave that experience.

Ketamine may also cause people to feel incapable of moving, experience hallucinations or lead to panic attacks, confusion and memory loss.

Regular users can seriously damage their bladders, which may need to be surgically removed.

Other risks include a raised heart rate and blood pressure.

Paralysis of the muscles can leave people vulnerable to hurting themselves, while not feeling pain properly can cause them to underestimate any damage. 

Many claim ketamine withdrawal is worse than any other drug, with some feeling so depressed they contemplate suicide. 

If you are having suicidal thoughts, contact the Samaritans here.

How is it taken and what is the law around it? 

For medical use ketamine is liquid but the ‘street’ drug is normally a grainy, white powder.

In 1999, ketamine, became a Schedule III non-narcotic substance under the Controlled Substances Act. It currently has accepted medical uses for short-term sedation and anesthesia. 

In 2019, the FDA approved a version of the drug for treatment-resistant depression, which is only available at a doctor’s office or a clinic.  

Source: Talk to Frank, US Drug Enforcement Association 

The memoir, Friends, Lovers and the Big Terrible Thing, Perry wrote that after his colon exploded in 2018, he was prescribed opiates that he deemed insufficient to deal with his pain.

This prompted him to turn to street dealers to supply him with potentially fatal fentanyl-laced OxyContin. 

‘The street pills were something like $75 per pill, so I was giving the guy $3,000 at a time, many times a week,’ he wrote. 

Perry wrote that he spent $9 million trying to get sober, going to 6,000 AA meetings, 15 times to rehab, and was in detox 65 times.

He said he overcame addiction in 2021 and was leading a healthier lifestyle.

He took up pickle ball – a game similar to tennis and table tennis – and usually played it twice a day, friends said.

Perry was found underwater by his assistant who lifted his head up to try to get him some air, first responders earlier revealed.

Captain Erik Scott, with the LAFD said: ‘Los Angeles City Firefighters responded [and] found an adult male unconscious in a stand-alone hot tub. 

‘A bystander had brought the man’s head above the water and gotten him to the edge, then firefighters removed him from the water upon their arrival. 

‘A rapid medical assessment, sadly, revealed the man was deceased prior to first responder arrival.’ 

Perry wrote in his memoir that throughout his drug addiction and recovery he was helped by a female personal assistant he considered to be his rock and ‘best friend’.

Morgan Moses, referred to in the book only by the pseudonym ‘Erin’, first met Perry when he was admitted to a rehab where she was working.

The pair subsequently struck up a friendship that would last nearly a decade and came to be the closest and most loving – though always platonic – relationship in his life.

Moses, 37, is a ‘sober companion’ whom the troubled Friends star described as ‘the single nicest person in the world’.

On her LinkedIn page, Moses says she has worked ‘full-time’ as a ‘sober companion’ since 2018. 

Among her skills listed are ‘therapeutic crisis intervention’, ‘mental health first aid’, ‘behavioral intervention’ and ‘nutritional counselling’.

Originally a website designer, she is a graduate from Full Sail University in Florida, while her social media suggests she has also had her own addiction struggles and sobriety journey.

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