Lisdexamfetamine-Induced Ischemic Colitis

Abstract

Gastrointestinal bleeding secondary to ischemic colitis (IC) is relatively infrequent. Drug-related etiologies of nonocclusive IC are very rare. Sympathomimetics have been reported to cause IC, with most cases being associated with the illicit use of amphetamines and methamphetamines. There are also a few reported cases of prescription dextroamphetamine-linked IC. However, there are no reported cases of lisdexamfetamine-linked IC. We exhibit a 32-year-old woman presenting with hematochezia after the use of lisdexamfetamine. Colonoscopy findings in this patient were suggestive of IC. In the absence of risk factors, the cause was attributed to the usage of lisdexamfetamine. The patient was managed conservatively and advised to discontinue the medication.