The 36-year-old actress died in South Carolina from the toxic effects of multiple substances, according to the Greenville County Coroner's Office.
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Key facts
- •Hayden Panettiere died at age 36 on August 16 in Greenville, South Carolina.
- •The coroner ruled the death an accident caused by the toxic effects of fentanyl, 4-ANPP, alprazolam, methocarbamol, and quetiapine.
- •Emergency responders attempted advanced cardiac life support, but resuscitation efforts were unsuccessful.
- •The DEA and local police are conducting an active investigation into the circumstances of her death.
- •Panettiere had been open about her history of substance abuse and postpartum depression in her memoir and media interviews.
Actress Hayden Panettiere, known for her roles in the television series "Heroes" and "Nashville," died from an accidental drug overdose. The Greenville County Coroner's Office in South Carolina confirmed that the 36-year-old died on August 16 after being found unresponsive at a residence. An autopsy revealed no signs of trauma, and officials ruled the death an accident caused by the toxic effects of multiple drugs.
By the numbers
Toxicology and Investigation Details
The coroner’s office identified the substances in Panettiere’s system as fentanyl, 4-ANPP, alprazolam, methocarbamol, and quetiapine. Bill Bodner, a former DEA special agent, noted that 4-ANPP is a precursor chemical used in the illicit manufacture of fentanyl, suggesting the drug may have been obtained illegally. The combination of these substances, sometimes referred to as "the Holy Trinity" when involving an opiate, muscle relaxant, and anti-anxiety medication, is considered highly dangerous due to the synergistic effects of the drugs. Local police and the Drug Enforcement Administration are investigating the circumstances surrounding the death. Authorities have stated that the preliminary investigation indicated no signs of foul play.
Events at the Scene
According to a police report, Panettiere’s on-again, off-again boyfriend, Brian Hickerson, and his brother, Zach, were present at the residence when emergency services arrived. The Hickersons reportedly made the 911 call after finding Panettiere unconscious. Zach Hickerson later stated that Brian attempted to administer Narcan, a medication used to reverse opioid overdoses, before first responders arrived. Brian Hickerson also provided officers with a bag of medication he stated Panettiere was taking, though the specific list of substances in that bag was redacted from the police report.
History of Substance Abuse
Panettiere had been public about her struggles with substance abuse, postpartum depression, and physical abuse. In her recent memoir, "This Is Me: A Reckoning," she detailed her history with addiction, which she said began when she was introduced to drugs at age 16. She had previously expressed a desire to share her experiences to help others struggling with similar issues.
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This article was independently rewritten by ManyPress editorial AI from reporting originally published by BBC Entertainment & Arts, CBS News Entertainment, NBC News Pop Culture.

