Hair Loss And NSAIDs – Nonsteroidal Anti-Inflammatory Drug

Is hair loss really that common a side effect of taking NSAIDs? If it is, how long does one need to take them before hair loss occurs?

Hair loss is not a common side effect of taking NSAIDS such as Motrin, Advil, etc. It is so rare, I have not personally met anyone in my 20+ years who came to see me for this complaint.


2015-09-14 20:34:39Hair Loss And NSAIDs – Nonsteroidal Anti-Inflammatory Drug

Hair Loss and Lupus of the Skin?

I’m a 43 year old African American female. I’ve used hair products all my adult life. In addition, I wore weaves from braiding and sewing tracks on my hair to gluing tracks on my hair. To braiding my hair as well. I used extensive heat from flat irons to hair dryers. Everything has come to a halt. The top portion of my hair is bald in the crown area of my head in many large spots. I had a small spot for years smack dead in the middle of my crown area and never thought anything of it. Well a month ago my hairstylist noticed the small spot is no longer there. There are huge spots now that is red and is tender. For years my scalp always felt irritated very strange… Even when I brushed my hair my scalp would hurt. I recently got rid of all the hair products that contain Sodium Laurel Sulfate and Sodium Laurel Lereth Sulfate. I purchased all natural shampoos and conditioners.

Well I went to see a Dermatologist. He kept saying something about a band…? Dead hair follicles that will not grow back. Well they did the Biopsy and now I wait. He thinks it might be Lupus of the skin…. WHAT !@&^*()(*_( What is that… My first cousin has Lupus (enternal). I’m stumped…. I am wearing wigs because my hair is not long enough to cover the bald spots… What a mess…. Your thoughts Doctor?

You will know more when the biopsy comes back. If you don’t have Lupus, you have many causes for hair loss all listed in your first paragraph of your email to me. This is a complicated problem that will have to be evaluated with you sitting right in front of me and my obtaining the biopsy from your dermatologist. For more info, look to the Lupus Foundation of America‘s Lupus of the Skin page.


2009-06-19 13:11:56Hair Loss and Lupus of the Skin?

Hair loss and lost! I try to teach young men what to do (from Reddit)

You should get a HAIRCHECK test to find out if you are losing hair and how much is lost (see here: https://baldingblog.com/haircheck-test-how-it-is-done-video/ . I always tell patients to be smart about hair loss and get Metrics on the degree of hair loss you have and hook up with a good doctor to manage it so that you keep your hairy look as you go through the genetic balding process.

[16][M][Help] Have a family history of Hair loss. None of my 3 brothers got to kept their hair. I would appreciate some advice regarding what i can do to slow down or stop hair loss. from tressless


2019-09-18 12:33:48Hair loss and lost! I try to teach young men what to do (from Reddit)

Hair Loss and Location

Can hair be lost because of change in location/water?

I can not imagine that either the geographic location where you reside or the water you drink will cause hair loss, unless you are stressed or there is something in the water. Though I’d expect if there was contamination in the water, your neighbors would have similar hair loss. Stress from a recent move can possibly cause hair loss.


2009-10-09 15:26:48Hair Loss and Location

Hair loss and conversation with Dermatologist – Value of communication

The Dermatologist told me I could take Rogaine for 4 years and I would keep almost all my hair for the rest of my life. I would even get better results when I use Finasteride with it. I’ve never heard about this 3/4 year cycle and then the hair loss magically stops, any idea what she meant? The appointment was very short, about 5 minutes.

Hair has a 3 year growth cycle. Drugs like finasteride impact both the length of this cycle as well as the quality of miniaturized hairs that are present during the growth cycle. Rogaine does not impact the growth cycle but does stimulate new hair growth in some people. For young men, finasteride is a better treatment for hair loss that minoxidil. It sounds like you did not get all of your questions answered.


2020-07-09 13:54:28Hair loss and conversation with Dermatologist – Value of communication

Hair Loss and Body Heat

Body HeatI am wondering if the areas on the head which lose hair first in Male Pattern Hair Loss are the areas of the head which naturally release the most body heat (e.g. the temples/crown). Is there more blood flow near the skin surface in these areas?

Great thought, but no. Your hair loss pattern is genetic and it really has nothing to do with blood flow. If you lost hair and became bald (let’s say in the crown) then any hair loss will probably occur in the hairy area where the blood supply is more robust.

Hair Loss and Blood Pressure Medication

I have been taking LisinoprilHctz10/12.5 and ziac 2,5 together for high blood pressure i recently stopped the ziac and increased the lisinopril to 20/12.5 my hair started coming out ,my question does a beta blocker block dht to some fashion, because from what i have read it should make my hair fall out when taking it not when stopping it.I thought it was my imagination but it has happened 3 times now, or maybe its the shock of getting off the drug,, any ideas!!!

You are on some medications for controlling of your high blood pressure. I am gathering that you have stopped Ziac, one of these medications, a few times and every time experienced hair shedding afterwards. The medication Ziac combines two antihypertensive agents; a synthetic beta1 selective blocking agent (bisoprolol) and a diuretic (hydrochlorothiazide). There is no report of enhanced hair growth with any of these components. Although physical and emotional stress can enhance hair loss, I don’t believe that getting off medication qualifies as one. Think back and see if there was any other factor enhancing your hair loss, besides changing medication.

Hair Loss and Autoimmune Diseases

I am 42 years old and have had progressive thinning of my hair for about 12 years. Thinning is mostly on the top of my head. I have been to Rheumatology who has referred me to Dermatology. I am a University of Michigan patient. I have had every lab possible (I think) drawn. Only thing that is positive is my ANA. My nuclear antibody titer is >=1:2560 NAB pattern is HOMO. ADNA is negative. Do you think I should ask to have my androgen levels tested? Should I be asking to be referred to Endocrine? I’m at a loss. I’m ready to visit a hair loss center but before that I want everything else ruled out. I NEED YOUR HELP!

If you have an elevated ANA titer, one might worry about autoimmune diseases that can cause hair loss. Please see Lupus.org – My ANA Is Positive… What Does That Mean?

First, I would get your hair mapped out for miniaturization and see if your pattern shows one that is typical for male patterned loss (I am assuming that you are male, if not then there are many other things that can play in the causes of hair loss). Working with a good rheumatologist should shed light on any autoimmune component. Keep with the good doctors you seem to have and pump them for information, adding to it what you might learn from a miniaturization analysis of your hair shafts.


2007-05-15 14:32:17Hair Loss and Autoimmune Diseases

Hair Loss and Accutane

Dr. Rassman,
Thanks for taking the time to review my circumstance. i am 35 yrs old and have been thinning for the last 5-6 years. I currently use minoxidil and the lost has seemed to stop. A dermatologist said it was MPb after a brief exam. There are a couple of reasons why i disagree with this. first there is not one case of any member of my family even thinning much less losing their hair. second my hair doesnt look like a typical MPB patient. i have a real good hairline and decent coverage all over the top its just thin, much thinner than the sides which are quiet full. i also visited a Hair center to discuss some options and the interviewer was agreed that it didnt fit the normal profile. I am wondering if it is a hormonal issue. I took accutane when i was younger if that has any bearing. Also around the time i started losing my hair i started to sweat a bit more than usual Any help would be greatly appreciated

Genetic variations are wide and family patterns do not always show balding. Now with that said, I would want to see you to map out the miniaturization in the head and then determine if this is one of the variations we see in genetic hair loss. Accutane clearly does participate in the process and if you are genetically prone, it may contribute to the genetic hair loss.

Send me pictures as a start (my email address is on the Contact page). You clearly need a diagnosis. Let me know which city you are in and if you are not near one of our offices, I may be able to refer you to someone who can help make a diagnosis.

Hair Loss and Accutane, Part 2

My original blog entry (found here) detailed a reader’s thinning hair, possibly due to taking Accutane when he was a young man. The following is my response to him along with one of his photos, which I was given permission to post.

Thanks for sending your pictures. I am using one of these for the Balding Blog to make good reading for our audience, showing only a top down view without anyone able to identify you. What I see in this photograph along with the other you sent, is that you seem to have miniaturization throughout the Norwood Class 6 pattern. The frontal hairline looks stronger than the area behind it (a good surprise), suggesting that the frontal line has different and stronger genetics than the hair behind it. I can not determine the amount of miniaturization that is there, but a good baseline is needed to determine change over time and any response to medications. Also, the donor area around the back and sides needs to be assessed to determine if you have a condition called Diffuse Patterned Alopecia, a diagnosis that is important to make prior to considering what to do about your problem.

With such an extensive area of thinning, your donor supply, skin laxity, and varying hair characteristics need to be determined before any treatment recommendation can be made. You may be a good candidate for Propecia and/or Rogaine. The pictures help, but I would think that you need to be managed by a competent doctor before going forward from here.