Drugs (Cause Hair Loss) – Page 29

September 24, 2007

Hair Loss from Testosterone Replacement Therapy? – Hair Loss Information – Balding Blog

Dear Dr. Rassman,

I have been under the care of an anti-aging doctor for two years. I have been taking testosterone (TRT). I have had hair transplants 10 years ago. I have been recently experiencing
more hair in my comb. Can Testosterone replacement cause transplanted hair to be lost?

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Testosterone replacement may cause androgenic alopecia, but it should not cause hair loss in the permanent hair that was transplanted from the back and sides of your head (these hairs are not affected by DHT). You may be experiencing hair loss from your native non-transplanted hair.

September 6, 2007

Fluticasone Propionate and Hair Loss – Hair Loss Information by Dr. William Rassman

I was reading some of your blogs and in “Sudden Hair Loss Years After Transplant” from November 23 2005 it makes mention of nasenx possibly causing hair loss. I am taking a similiar medication called Fluticasone Propionate, could this cause hair loss? I use it as directed which is 1 spray per nasal per day. I actually started it the same time I started Propecia which has been 4 months ago. I am 28 years old and MBP runs in my family. Propecia has slowed down the hairloss and hopefully I will see some regrowth in the near future.

I doubt fluticasone is causing hair loss. Fluticasone is a medication used for seasonal allergy. If you have been reading this site, you should know that medications (such as fluticasone) are the last on the list of the cause of hair loss. If you are losing hair, it may be due to male pattern balding in which you are taking Propecia for. You should get your scalp hair mapped out for miniaturization and get a diagnosis from a reputable and competent physician.

September 5, 2007

Enablex and Hair Loss? – Hair Loss Information by Dr. William Rassman

Hi,

I’m writing because my hair has been falling out for four months after I stopped the medication (Enablex) that I believe was causing my hair to fall out. Nowhere on the internet can I find an association with Enablex and hair loss and my doctor has not heard of this either. Do you have any knowledge of an assocation? I am sure this is the problem as the only other times my hair has fallen out is when I’ve been on other medications (Accutane, Zonegran). My hair stopped falling out in about 2-3 months after stopping the other medications but this time my hair continues to fall out at a rapid rate even though I’ve been off Enablex for four months.

Help! Is there anything I can do? Do you think it will stop falling out soon? Will highlighting my hair aggravate the problem?

I’m trying not to worry too much and be patient but I’m running out of patience. I already have straight thin hair and am worried I’m going to get bald spots soon!

Thank you

The Enablex website says, “Enablex is a prescription medicine that’s proven to treat the symptoms of Overactive Bladder (OAB).” Enablex (darifenacin) is an antimuscarinic that relaxes the bladder muscles to prevent urgent, frequent, or uncontrolled urination.

Hair loss is not a known side effect of Enablex; known side effects include dry mouth, constipation, abdominal pain, etc (see list). Even in the worst case scenario if Enablex was the cause, there is not much you can do to reverse the hair loss. Before thinking that this is the cause of your hair loss, you need to see if there are other medical conditions (including genetic balding) that is the source of your hair loss. The medication may just be a coincidence. I hope you consulted your doctor before you stopped taking the drug. You should never start or stop a medication without consulting with your prescribing physician.

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September 5, 2007

Lupron and Hair Loss – Hair Loss Information by Dr. William Rassman

A had a shot of Lupron in May. Since then I have noticed I am losing my hair. I have several areas where I can see my scalp. I was wondering if the Lupron was responsible and if it is permanent. Is there something I can take to reverse it? Thanks!

Many drugs can cause hair loss, but it is generally the last on the list of other more common causes of hair loss. Also, you should consider the medical reason why you are taking a certain medication. The medical condition itself may be the reason for hair loss. I cannot tell you why you are losing hair or what may be the cause, but Lupron is reported to produce hair loss, although it is an unusual side effect. You need to speak with your doctor and address these issues with him/her. Before starting or stopping any medication you need to talk with your physician.

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August 29, 2007

Hair Loss InformationDHEA and Hair Loss – Hair Loss Information – Balding Blog

Hi,

I have read confilicting information regarding DHEA supplements and Hair Loss.

Can DHEA increase hair loss?

Is this due to DHEA converting to Androstenedione then this converting to Testosterone and then on to DHT which causes the hair loss?

Does DHEA cause direct problems to the hair follicles like DHT does?

If you were to take a 5 alpha Reductase inhibitor like Finasteride would this help with any potential hair loss problems associated with taking DHEA? and if so would it be because it blocked the Testosterone (converted from the Androstenedione converted from the DHEA) from converting to DHT?

Thanks for your help

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Dehydroepiandrosterone (DHEA) does not directly cause androgenic alopecia (AGA), but may accelerate it.
DHEA can potentially affect DHT levels, thus indirectly causing hair loss (via DHT).
Dihydrotestosterone (DHT) does cause hair loss in men who are genetically susceptible to AGA.
Finasteride is a prescription medication for men who have AGA. It is not meant for use with DHEA.

August 24, 2007

NuvaRing and Hair Loss – Hair Loss Information – Balding Blog

I have been on the Nuvaring birth control since January. Prior to that I was on the patch for 2 years. I started noticing thinning hair in March. First thing I noticed was a bald patch! Since I have a history of underacive thyroid and am on Levoxyl, I figured my thyroid was messed up. It wasn’t. It was just recently that I thought the Nuvaring was to blame. Went to a dotor or specializes in women’s hair loss. He said it could be caused by switching from patch to ring. He said I shouldn’t stop ring or switch to pill because that could make things worse. HELP. My hair loss gets worse every day. I am 38 and have been completely checked out. All blood tests came back fine. What should I do? Should I stop ring? Should I stop birth control all together? Or is that more risky? Please help me.

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NuvaRing Despite the fact that your hair loss was due to medication changes or thyroid problems or other undetermined medical conditions, female hair loss is very difficult to treat or stop. Many women who are going through menopause will also notice some degree of hair loss. With respect to treatments for hair loss, there is only one medication proven to work for women — Rogaine (minoxidil), though its effects are minimal and you do not get drastic results.

I do not recommend that you stop taking your prescribed medication on your own. You need to discuss this with your doctor. The NuvaRing is a flexible plastic ring inserted into the vagina that releases progestin and estrogen over 3 weeks (then you must remove it for a week). Birth control methods like the pill or the ring or the patch can trigger hair loss.

More info can be found at:

Photo credit: Wikipedia

August 24, 2007

Hair Loss After Malaria – Hair Loss Information – Balding Blog

I am a 23 yr old male.till about 5 months back my hair density was fine .but it has really come down now.2 months back i had an episode of malaria for which i took artesunate and primaquine following which my hair loss has just gone up.i occasionally have dandruff problems.but i have no family history of balding.what could be the reason.

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Malaria Sometime a major stressful event (such as malaria) can trigger hair loss, but the hair usually grows back within a year. You may also have male pattern hair loss (even if it does not run in your family history) There is no way to tell you what is causing your hair loss without a physical exam, detailed history, and miniaturization study. The medication (artesunate) for treating malaria is known to cause hair loss.

August 20, 2007

Cialis and Hair Loss? – Hair Loss Information – Balding Blog

Hi Doctor. I like your site. Thanks for the great info. I suffer from mail pattern baldness but my hair loss had seemed to have stopped for the last few years. I take 80 milligram Strattera dailey and 10/12.5 mg Lisinopril.

I recently started experiencing hair loss again in alarming amounts. The only thing thatÂ’s changed much has been that I just started using cialis to counteract the effects of both, IÂ’m 55 years of age and also take 10 mg Sivastatin (Zocor?). I just had blood work done and everything checks out perfectly so IÂ’m told. Could there be an increase in hormones from cialis use that result in more DHT causing this are could the Lisinopril be the culprit. IÂ’ve been using it for two years.

Thanks for any help you may provide. IÂ’d say this has me pulling my hair out but no need. I just pull it out of the bath tub drain.

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Your question is very complex — too much for me. Each drug can cause hair loss. Taking one to offset another, well, that might not work. Cialis is not known to cause hair loss and should not impact DHT levels. Lisinopril can cause hair loss — see Lisinopril and Hair Loss.

August 17, 2007

Hair Loss InformationIs There a Beta Blocker That Won’t Cause Hair Loss? – Hair Loss Information – Balding Blog

In the last 3 months my brush is full of hair. I will go for 3 days and not brush through it to keep from loosing hair! I have tried new shampoos. No luck. I can almost trace this back to when my doctor took me off the blood pressure med I was used to (Metoprolol) and changed it to Topral. I had a really high heart rate and needed a beta blocker that would work. I am now on 200 mg. of Topral a day, which is a big dose, but keeps my heart rate where it should be. (around 65 to 70) So I can’t do without the medicine, which is also time released. My question is: Is there another beta blocker that won’t cause hair loss and is time released? I cannot take calcium blockers. They make my pressure and heart rate go sky high.
Please help! Thank you

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It might be a trial and error thing. Put your priorities in order. First, get the medication right for your heart and then learn to deal with any hair impact. Changing your beta blocker (putting you at risk with your heart) to find out about hair (which could take months) does not make sense to me.

August 7, 2007

Using Rogaine for 15 Years — Just Developed an Allergy? – Hair Loss Information by Dr. William Rassman

Hi Doc,

Taking Rogaine for 15 years. Have had a lot of shedding the last year. I stopped the rogaine for a week and noticed a definate decrease in shedding almost immediately. Could Rogaine be irritating the scalp and cause shedding? After so many years would Rogaine still be effective? If it does become less effective over time is it safe to stop without more loss?

Thanks

There is no way to tell with anecdotal accounts. It may just be coincidental. Generally, I would doubt Rogaine has been causing hair loss, but you might have developed a skin allergy to the drug. Generally speaking, some drugs may lose its effective clinical value over time, but it should not lose all of its potency.

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