A 58-year-old man from Papua New Guinea presented with lower back pain and lower limb paralysis. Investigations revealed prostate cancer with metastasis to the spine, lungs and kidneys. He was diagnosed with prostate carcinoma with bone metastases. His treatment included diclofenac, morphine, surgical castration, LHRH antagonists, bisphosphonates, ketoconazole, broad spectrum antibiotics and dexamethasone. The presentation discussed the dangerous drug dispensing procedure at the local hospital which requires prescription validity checks, logging dispensed drugs, and dual pharmacist verification before dispensing controlled substances.