LISDEXAMFETAMINE DIMESYLATE

72/100 · Elevated

Manufactured by Takeda Pharmaceuticals America, Inc.

Lisdexamfetamine Dimesylate Reports Show Significant Safety Concerns

65,887 FDA adverse event reports analyzed

Last updated: 2026-05-12

About LISDEXAMFETAMINE DIMESYLATE

LISDEXAMFETAMINE DIMESYLATE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Takeda Pharmaceuticals America, Inc.. Based on analysis of 65,887 FDA adverse event reports, LISDEXAMFETAMINE DIMESYLATE has a safety score of 72 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for LISDEXAMFETAMINE DIMESYLATE include DRUG INEFFECTIVE, OFF LABEL USE, FATIGUE, ANXIETY, HEADACHE. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for LISDEXAMFETAMINE DIMESYLATE.

AI Safety Analysis

Lisdexamfetamine Dimesylate has a safety concern score of 72 out of 100, placing it in the elevated concern category based on analysis of FDA adverse event data. The FDA has received approximately 65,887 adverse event reports for this medication, which is primarily manufactured by Takeda Pharmaceuticals America, Inc..

The most commonly reported adverse events include Drug Ineffective, Off Label Use, Fatigue. Of classified reports, 40.1% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. A high percentage of reports (40.1%) describe serious adverse events, including intentional overdose and suicidal ideation.

The most common reactions include fatigue, anxiety, and headache, indicating a broad range of potential side effects. There are significant reports of drug ineffectiveness and off-label use, suggesting issues with product efficacy and misuse. A notable number of reports involve product availability and use issues, indicating potential supply and usage problems.

Patients taking Lisdexamfetamine Dimesylate should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Warnings include the risk of intentional overdose and suicidal ideation, and the drug should be used with caution, especially in patients with a history of mental health issues. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 72/100

Lisdexamfetamine Dimesylate received a safety concern score of 72/100 (elevated concern). This is based on a 40.1% serious event ratio across 31,487 classified reports. The score accounts for 65,887 total adverse event reports and 100 distinct reaction types. This elevated score indicates a notable proportion of serious adverse events and warrants careful monitoring.

Top Adverse Reactions

DRUG INEFFECTIVE4,466 reports
OFF LABEL USE1,949 reports
FATIGUE1,929 reports
ANXIETY1,701 reports
HEADACHE1,664 reports
PRODUCT AVAILABILITY ISSUE1,548 reports
NAUSEA1,469 reports
INSOMNIA1,430 reports
FEELING ABNORMAL1,335 reports
DEPRESSION1,326 reports
PRODUCT USE ISSUE1,289 reports
DISTURBANCE IN ATTENTION1,201 reports
NO ADVERSE EVENT1,184 reports
PRODUCT QUALITY ISSUE1,158 reports
INTENTIONAL OVERDOSE1,125 reports
INTENTIONAL SELF INJURY1,078 reports
SOMNOLENCE1,015 reports
CONDITION AGGRAVATED996 reports
DIZZINESS975 reports
INABILITY TO AFFORD MEDICATION944 reports
WEIGHT DECREASED928 reports
DECREASED APPETITE923 reports
PAIN870 reports
SUICIDAL IDEATION825 reports
DRUG EFFECT DECREASED766 reports
INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION742 reports
VOMITING742 reports
IRRITABILITY736 reports
PRODUCT PHYSICAL ISSUE668 reports
MALAISE663 reports
INSURANCE ISSUE661 reports
WRONG TECHNIQUE IN PRODUCT USAGE PROCESS651 reports
PRODUCT DOSE OMISSION ISSUE641 reports
WEIGHT INCREASED638 reports
AGGRESSION623 reports
RASH620 reports
DYSPNOEA587 reports
PALPITATIONS574 reports
INCORRECT DOSE ADMINISTERED557 reports
DIARRHOEA556 reports
INAPPROPRIATE SCHEDULE OF DRUG ADMINISTRATION553 reports
ASTHENIA514 reports
ABDOMINAL PAIN UPPER510 reports
ARTHRALGIA490 reports
HEART RATE INCREASED490 reports
AGITATION486 reports
MIGRAINE482 reports
ANGER475 reports
HYPERHIDROSIS459 reports
TREMOR448 reports
PAIN IN EXTREMITY438 reports
BLOOD PRESSURE INCREASED429 reports
PRODUCT SUBSTITUTION ISSUE429 reports
PYREXIA426 reports
ABNORMAL BEHAVIOUR424 reports
ABDOMINAL DISCOMFORT421 reports
DEPRESSED MOOD414 reports
CONFUSIONAL STATE408 reports
HYPOAESTHESIA405 reports
STRESS404 reports
UNEVALUABLE EVENT403 reports
COVID 19400 reports
DRUG DOSE OMISSION398 reports
DRY MOUTH392 reports
PRODUCT USE IN UNAPPROVED INDICATION389 reports
LOSS OF PERSONAL INDEPENDENCE IN DAILY ACTIVITIES388 reports
MEMORY IMPAIRMENT383 reports
CRYING367 reports
PRURITUS367 reports
INTENTIONAL PRODUCT USE ISSUE361 reports
HYPERTENSION360 reports
TIC358 reports
FALL357 reports
PARAESTHESIA353 reports
MUSCLE SPASMS342 reports
OVERDOSE341 reports
THERAPEUTIC RESPONSE SHORTENED335 reports
CHEST PAIN330 reports
SLEEP DISORDER327 reports
THERAPEUTIC RESPONSE UNEXPECTED323 reports
ABDOMINAL PAIN320 reports
VISION BLURRED320 reports
COUGH314 reports
PRESCRIBED OVERDOSE314 reports
ADVERSE DRUG REACTION308 reports
NASOPHARYNGITIS306 reports
PSYCHOMOTOR HYPERACTIVITY301 reports
ILLNESS298 reports
BACK PAIN292 reports
HALLUCINATION288 reports
ALOPECIA286 reports
WITHDRAWAL SYNDROME284 reports
CONSTIPATION283 reports
TACHYCARDIA279 reports
HYPERSENSITIVITY277 reports
DRUG INTERACTION271 reports
URTICARIA256 reports
MOOD SWINGS254 reports
EMOTIONAL DISORDER253 reports
DYSGEUSIA251 reports

Key Safety Signals

  • Intentional overdose and suicidal ideation are among the most serious adverse events reported.
  • Drug ineffectiveness and off-label use are frequent, indicating potential misuse or lack of efficacy.
  • Product availability and use issues are common, suggesting supply chain and usage problems.

Patient Demographics

Adverse event reports by sex: Female: 15,979, Male: 10,970, Unknown: 319. The most frequently reported age groups are age 14 (527 reports), age 15 (507 reports), age 16 (497 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 31,487 classified reports for LISDEXAMFETAMINE DIMESYLATE:

  • Serious: 12,620 reports (40.1%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 18,867 reports (59.9%)
Serious 40.1%Non-Serious 59.9%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Female15,979 (58.6%)
Male10,970 (40.2%)
Unknown319 (1.2%)

Reports by Age

Age 14527 reports
Age 15507 reports
Age 16497 reports
Age 17480 reports
Age 9471 reports
Age 8469 reports
Age 13418 reports
Age 10404 reports
Age 11393 reports
Age 12378 reports
Age 7377 reports
Age 18375 reports
Age 19345 reports
Age 6341 reports
Age 30321 reports
Age 22288 reports
Age 35288 reports
Age 28286 reports
Age 38268 reports
Age 20264 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Warnings include the risk of intentional overdose and suicidal ideation, and the drug should be used with caution, especially in patients with a history of mental health issues.

What You Should Know

If you are taking Lisdexamfetamine Dimesylate, here are important things to know. The most commonly reported side effects include drug ineffective, off label use, fatigue, anxiety, headache. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Patients should report any serious adverse events to their healthcare provider immediately. Healthcare providers should carefully monitor patients for signs of suicidal ideation and intentional overdose. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

The FDA continues to monitor the safety of lisdexamfetamine dimesylate, and healthcare providers should be vigilant about potential serious adverse events and ensure proper patient management.

Frequently Asked Questions

How many adverse event reports has the FDA received for Lisdexamfetamine Dimesylate?

The FDA has received approximately 65,887 adverse event reports associated with Lisdexamfetamine Dimesylate. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Lisdexamfetamine Dimesylate?

The most frequently reported adverse events for Lisdexamfetamine Dimesylate include Drug Ineffective, Off Label Use, Fatigue, Anxiety, Headache. By volume, the top reported reactions are: Drug Ineffective (4,466 reports), Off Label Use (1,949 reports), Fatigue (1,929 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Lisdexamfetamine Dimesylate.

What percentage of Lisdexamfetamine Dimesylate adverse event reports are serious?

Out of 31,487 classified reports, 12,620 (40.1%) were classified as serious and 18,867 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Lisdexamfetamine Dimesylate (by sex)?

Adverse event reports for Lisdexamfetamine Dimesylate break down by patient sex as follows: Female: 15,979, Male: 10,970, Unknown: 319. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Lisdexamfetamine Dimesylate?

The most frequently reported age groups for Lisdexamfetamine Dimesylate adverse events are: age 14: 527 reports, age 15: 507 reports, age 16: 497 reports, age 17: 480 reports, age 9: 471 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Lisdexamfetamine Dimesylate?

The primary manufacturer associated with Lisdexamfetamine Dimesylate adverse event reports is Takeda Pharmaceuticals America, Inc.. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Lisdexamfetamine Dimesylate?

Beyond the most common reactions, other reported adverse events for Lisdexamfetamine Dimesylate include: Product Availability Issue, Nausea, Insomnia, Feeling Abnormal, Depression. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Lisdexamfetamine Dimesylate?

You can report adverse events from Lisdexamfetamine Dimesylate to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Lisdexamfetamine Dimesylate's safety score and what does it mean?

Lisdexamfetamine Dimesylate has a safety concern score of 72 out of 100 (elevated concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. A high percentage of reports (40.1%) describe serious adverse events, including intentional overdose and suicidal ideation.

What are the key safety signals for Lisdexamfetamine Dimesylate?

Key safety signals identified in Lisdexamfetamine Dimesylate's adverse event data include: Intentional overdose and suicidal ideation are among the most serious adverse events reported.. Drug ineffectiveness and off-label use are frequent, indicating potential misuse or lack of efficacy.. Product availability and use issues are common, suggesting supply chain and usage problems.. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Lisdexamfetamine Dimesylate interact with other drugs?

Warnings include the risk of intentional overdose and suicidal ideation, and the drug should be used with caution, especially in patients with a history of mental health issues. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Lisdexamfetamine Dimesylate.

What should patients know before taking Lisdexamfetamine Dimesylate?

Patients should report any serious adverse events to their healthcare provider immediately. Healthcare providers should carefully monitor patients for signs of suicidal ideation and intentional overdose.

Are Lisdexamfetamine Dimesylate side effects well-documented?

Lisdexamfetamine Dimesylate has 65,887 adverse event reports on file with the FDA. The most common reactions include fatigue, anxiety, and headache, indicating a broad range of potential side effects. The volume of reports for Lisdexamfetamine Dimesylate reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Lisdexamfetamine Dimesylate?

The FDA continues to monitor the safety of lisdexamfetamine dimesylate, and healthcare providers should be vigilant about potential serious adverse events and ensure proper patient management. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to LISDEXAMFETAMINE DIMESYLATE based on therapeutic use, drug class, or shared indications:

METHYLPHENIDATEAMPHETAMINEMODAFINILGUANFENESINPENTHOXYPHENOL
Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.