LOS ANGELES, Aug 26 – Michael Jackson’s final days saw him plunge into desperate addiction, begging his doctor for drugs, including propofol, the "milk" that ultimately killed him, say investigators.
Just weeks away from launching a series of 50 concerts in London to seal a comeback, revive his tarnished reputation and help lift him out of financial trouble, the King of Pop was tormented by severe insomnia.
Jackson’s personal doctor Conrad Murray is now in the crosshairs of an investigation into the star’s death.
He "stated that Jackson was very familiar with the drug (propofol) and referred to it as his ‘milk,’" Los Angeles Police Department detective Orlando Martinez wrote in a warrant affidavit unsealed in Houston, Texas this week.
The chronology it reveals of Jackson’s final hours showed that in his craving for sleep he had resorted to a drug cocktail so potent that experts describe it as a potential killer.
According to the affidavit, Murray admitted to police that in an effort to help rid Jackson of his insomnia, he administered intravenous injections of 50 milligrams of propofol nightly during the six weeks prior to his June 25 death.
But the cardiologist said he was concerned Jackson was becoming addicted, so on June 22, he halved Jackson’s propofol dose to wean him off the drug and also administered lorazepam and midazolam.
The following night, he administered the latter two sedatives but withheld propofol, and the star was able to sleep. But throughout the next night, Jackson stayed awake.
At 1:30 am on the 25th, Murray gave Jackson a 10 milligram tab of the tranquilizer Valium. At 2:00 am, two milligrams of lorazepam.
At 3:00 am, he administered two milligrams of midazolam. Still no sleep. At 5:00 am, another dose of lorazepam, followed by more midazolam at 7:30 am, according the affidavit.
Murray said that by this time, he was closely tracking the star’s pulse with a monitor attached to his finger.
"Jackson remained awake and at approximately 1040 hours, Murray finally administered 25 milligrams of propofol, diluted with lidocaine via IV drip to keep Jackson sedated, after repeated demands/requests from Jackson," the affidavit said.
Murray was monitoring Jackson closely, it stated, but then stepped away from his bedside to use the bathroom. When he returned two minutes later, Jackson had stopped breathing.
His attempts to revive him were unsuccessful and the singer was declared dead at 2:00 pm.
"There are no treatments for insomnia on Earth that include propofol," Drew Pinsky, an internist and addiction specialist, told AFP.
"His problem wasn’t the insomnia, it was his drug addiction," said Pinsky, who is also a Hollywood personality and host of the cable show "Celebrity Rehab."
For Jeffrey Lieberman, chairman of the psychiatry department at Columbia University Medical Center, Jackson showed the classic pattern of a drug abuser who sought out a stronger arsenal of drugs to overcome his body’s heightened tolerance to medication.
"The risk in increasing the dose or adding new, more potent medications of anything that is sedating is always overdose, and specifically some type of respiratory arrest," Lieberman said.
"You get so sedated that your central nervous system is not able to maintain basic vital functions."
Lieberman said he "would have never prescribed" such an array of drugs.
"This is something that is beyond what most reasonable physicians would ever prescribe, to have these different medications to be given within that timeframe."
Alexandre Rocha Abreu, a professor of medicine at the University of Miami, agreed.
"Propofol is not a drug to treat insomnia in any case whatsoever," Abreu said, adding that the "extremely dangerous" drug should only be administered in a hospital setting.
Investigators found eight bottles of propofol in Jackson’s mansion among other sedatives prescribed by Murray, dermatologist Arnold Klein and doctor Allan Metzger.
Several medical and legal experts have said they expect criminal charges — including homicide — to be brought in the case.
"What Dr Murray did," Pinsky said, "was negligent."