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Drugs found in accused gunman's system after Carthage rampage

Posted August 11, 2011

— A state toxicologist testified Thursday that the man charged with opening fire inside a Carthage nursing home two years ago had several prescription drugs in his system at the time of the rampage.

Robert Kenneth Stewart is charged with eight counts of murder in the March 29, 2009, shootings at Pinelake Health & Rehab that left seven patients and a nurse dead and three other people wounded. He could be sentenced to death if convicted.

Stewart submitted to a blood test about 9½ hours after the shootings, and tests showed he had the antihistamine Benadryl, the anti-depressant Lexapro and the sleep aid Ambien in his system, according to Richard Waggoner, a toxicologist with the State Bureau of Investigation.

Waggoner said there was also an indication of the tranquilizer Xanax in Stewart's blood.

Defense attorney Jonathan Megerian told jurors last week that Stewart overdosed on Ambien the night before the shootings, which put him in a hypnotic state that left him powerless over his actions. Stewart doesn't recall what happened the day of the shooting and can't be held legally responsible, Megerian has argued.

A prosecutor asked Waggoner Thursday whether someone could calculate the amount of Ambien in a person's blood from nine hours earlier.

"Not with any type of accuracy," Waggoner replied, noting that people eliminate the drug from their systems at different rates.

The SBI lab only tests for the presence of drugs, he said, adding that analysts don't quantify any precise amounts.

Ambien bottle Drugs found in accused gunman's system after Carthage rampage

Megerian said during cross-examination that Moore County prosecutors never sent Stewart's blood sample to a private lab for review. The defense team did, he said, and the results showed Stewart had 12 times the normal dose of Ambien in his system.

Other crime-scene technicians testified Thursday about the clothing Stewart was wearing at the time of the shootings and about his rifle.

Because of a schedule conflict for one of the jurors, the trial was expected to take Friday off and resume next Monday.

Stewart's former wife, Wanda Neal, is expected to testify next week.

Megerian said he has some concerns about Neal's competency and said Superior Court Judge James Webb might need to hear her testimony outside of the jury's presence first before deciding whether to allow it.

Neal tried to commit suicide by overdosing on medications on July 31 – the day before Stewart's trial began – and was treated at FirstHealth Moore Regional Hospital until Tuesday night, when she was released, prosecutors said.

She signed a consent order Thursday to allow Megerian to review all of her medical records since March 2009.

Prosecutors have argued that Stewart was abusive and controlling of Neal, prompting her to leave him in the weeks before the shootings. He went to Pinelake, where she worked, to track her down and was so heavily armed that nothing was going to stop him, prosecutors have said.


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  • broberts200645 Aug 12, 2011

    Everybody who takes any drug knows you don't take liquar with them . i use amban and have learned take them at bedtime only.This is a poor excuse for a defence

  • carroln Aug 12, 2011

    ambien does not do what they are saying it did to him. That is a way out to instill reasonable doubt.

  • RB aka Spirit Warrior Woman Aug 11, 2011

    "A state toxicologist testified Thursday that the man charged with opening fire inside a Carthage nursing home two years ago had several prescription drugs in his system at the time of the rampage."

    Too bad they didn't lay him low so 8 innocent people would still be alive.

  • sunshine1040 Aug 11, 2011

    And who put those drugs in his mouth and made him swallow. In this state you need to sign for Ambien and every time i get it I am asked the same question do I want someone to read the warnings and tell me what the side effects are and how to take it

  • freedom monkey Aug 11, 2011

    The moral to people who are aware is not to mess with psychotropic narcotics. Study all the mass "lone wolf" killings lately along with mothers killing their own children. You will find that they were all on psychotropics at the time. They still won't release the psychotropic drug the VA Tech shooter was on.

  • backwards Aug 11, 2011

    So is the defense trying to say that if you overdose on drugs then it's ok to go a shooting rampage? This is crazy. The things this country trys to do in court is so sad. This country is falling apart year after year. The U.S.A will fall one day due to the way people take advantage of their "rights" and the thinking that they can do what they want and when they want attitude. The liberal way is ruining this country.

  • smegma Aug 11, 2011

    big deal. so moral to the story (according to wral): take drugs and you'll run a rampage thru a nursing home