Transrectal Methamphetamine Use: A Novel Route of Exposure

  1. F. Lee Cantrell, PharmD;
  2. Helene M. Breckenridge, RN; and
  3. Peter Jost, MD
  1. From the California Poison Control System, San Diego, CA 92103, and Scripps Memorial Hospital, Chula Vista, CA 91910.

    Background: With the widespread abuse of methamphetamine, its toxicity has been well described. The most common reported routes of exposure include intravenous injection, intranasal insufflation, smoking, and ingestion. To our knowledge, transrectal administration of methamphetamine has not been publicized in the medical literature.

    Objective: To report a unique case of methamphetamine toxicity following a self-administered methamphetamine enema.

    Case Report: A 29-year-old woman reported that she mixed between one half to 1 gram of methamphetamine with warm water in an oral syringe and instilled the contents into her rectum. Within minutes, she became anxious …

    This 100-word excerpt has been provided in the absence of an abstract.

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