Heath Ledger’s death has been ruled an accident and the result of the abuse of prescription medications, according to the medical examiner.

The toxicology report says Heath died as the result of acute intoxication by the combined effects of oxycodone, hydrocodone, diazepam, temazepam, alprazolam, and doxylamine.

The five different medications found in Heath’s apartment after his death included three anti-anxiety medications Alprazolam (Xanax), Diazepam (Valium) and Lorazepam (Ativan), the sleeping medication Zopiclone (Lunesta) and the sedative Temazepam (Restoril).