©2015BaumanMedicalGroup,P.A.AllRightsReserved.
MEDICATIONS KNOWN TO CAUSE
HAIR LOSS
Hair Loss Risk Factors - What Medications Cause Hair Loss?
ALAN J BAUMAN, MD, ABHRS, FISHRS
©2014BaumanMedicalGroup,P.A.AllRightsReserved.
ALAN J BAUMAN, MD, ABHRS, FISHRS
@DRALANBAUMAN
Course Director Background & Bio
©2015BaumanMedicalGroup,P.A.AllRightsReserved.
General Categories of Medications Known to
Cause Hair Loss
• Mood Modulators
– Antidepressants
– Antianxiety
• Antihypertensives / Blood
Pressure Medications
• Cholesterol Medications
– Especially statins
• Hormone Treatments
– Oral Contraceptives
– Hormone Replacement
– Testosterone, Thyroid
• Anti-Acne
• Bariatric “Weight Loss”
Medications
• Chemotherapy
• Blood thinners
• General Anesthesia
©2015BaumanMedicalGroup,P.A.AllRightsReserved.
Prescription Drugs

Commonly Associated with Hair Loss (partial list!)
• Antidepressant and Antipsychotic
Prescription Drugs
– Amoxapine
– Amitriptyline
– Bupropion
– Clomipramine
– Desipramine
– Doxepin
– Fluoxetine
– Haloperidol
– Imipramine
– Nortriptyline
– Paroxetine
– Sertraline
• Blood Thinning Medications
– Panwarfin (warfarin sodium)
– Sofarin (warfarin sodium)
– Coumadin (warfarin sodium)
– Heparin injections
• Parkinson's Disease
– Levadopa / L-dopa (Dopar, Larodopa)
• Thyroid Disorder Prescription
Medications
– Many of the drugs used to treat the thyroid (i.e.
Thiouracil)
• Ulcer Medications (Over-the-Counter
and Prescription)
– Famotidine (Pepcid™)
– Ranitidine (Zantac™)
– Cimetidine (Tagamet™)
• Gout Medications
– Lopurin (Allopurinol)
– Zyloprim (Allopurinol)
• Antibiotics and Antifungal drugs
– Levo Floaxin
– Amoxicillin
– Penicillin (Amoxicot, Kelfex)
Note: DO NOT discontinue or reduce prescription
medications before talking to your doctor.
©2015BaumanMedicalGroup,P.A.AllRightsReserved.
Prescription Drugs

Commonly Associated with Hair Loss (con’t)
• Depression – Antidepression
Prescription Medications
– Prozac (fluoxetine hydrochloride)
– Zoloft (sertraline hydrochloride)
– Paxil (paroxetine)
– Anafranil (clomipramine)
– Janimine (imipramine)
– Tofranil (imipramine)
– Tofranil PM (imipramine)
– Adapin (doxepin)
– Sinequan (doxepin)
– Surmontil (trimipramine)
– Pamelor (nortriptyline)
– Ventyl (nortriptyline)
– Elavin (amitriptyline)
– Endep (amitriptyline)
– Norpramin (desipramine)
– Pertofrane (desipramine)
– Vivactil (protriptyline hydrochloride)
– Asendin (amoxapine)
– Haldol ( haloperidol)
• Acne Medications
– Isotretinoin (Sotret®, Claravis®, Amnesteem®,
Accutane)
– Tretinoin (various – Retin A®)
– Tazarotene (Tazorac®)
– Acitretin (Soriatane®)
– Adapalene – (Differin®)
• Glaucoma
– Timoptic Eye Drops (Timolol)
– Timoptic Ocudose (Timolol)
– Timoptic XC (Timolol)
• Heart (High Blood Pressure)
– Tenormin (Atenolol)
– Lopressor (Metoprolol)
– Corgard (Nadolol)
– Inderal and Inderal LA (Propanolol)
– Blocadren (Timolol)
Note: DO NOT discontinue or reduce prescription
medications before talking to your doctor.
©2015BaumanMedicalGroup,P.A.AllRightsReserved.
Prescription Drugs

Commonly Associated with Hair Loss (con’t)
• Cholesterol Medications
– Atronid-S (Clofibrate)
– Metoprolol (Toprol XL)
– Atenol (Tenoretic)
– Lopid (Gemfibrozil)
• Convulsions/ Epilepsy –
Anticonvusant Prescription
Medications
– Tridone (Trimethadione)
– Carbamazepine
– Phenytoin
– Sodium Valproate
• Diet / Attention Deficit Disorders
– Amphetamines
– Methamphetamines
– Methylphenidate
• Chemotherapy Medications
– Adriamycin
– Bleomycin
– Cactinomycin
– Cyclophosphamide
– Cytarabine
– Dactinomycin
– Daunorubicin
– Docetaxel
– Doxorubicin
– Etoposide
– Fluorouracil
– Ifosfamide
– Irinotecan
– Methotrexate
– Paclitaxel
– Topttecan
– Vinorelbine
Note: DO NOT discontinue or reduce prescription
medications before talking to your doctor.
©2015BaumanMedicalGroup,P.A.AllRightsReserved.
Prescription Drugs

Commonly Associated with Hair Loss (con’t)
• Medications for Hormonal Conditions
– All hormone-containing prescriptions
prescribed for hormone-related, sexual
dysfunction, reproductive, male and female-
specific conditions have the potential to cause
hair loss, including:
– Birth Control Medications
– Hormone-replacement therapy (HRT) for women
(estrogen or progesterone)
– Male androgenic hormones and all forms of
testosterone and pre-testosterone (i.e. Testex,
Depo-Testosterone, and Delatestryl)
– Anabolic steriods
• Fluoxymesterone (Halotestin)
• Methyltestosterone (Android, Metandren,
Oreton, Testred, Virilon)
• Stanozolol (Winstrol)
• Danazol (Danocrine)
– Prednisone and other steroids
• Non-Inflammatory Prescriptions
– Naprosyn (Naproxen)
– Anaprox (Naproxen)
– Anaprox DS (Naproxen)
– Celecoxib (Celebrex)
– Daypro (Oxaprozin)
– Diclofenac (Voltaren)
– Etodolac (Lodine)
– Fenoprofen (Nalfon)
– Indocin (indomethacin)
– Indocin SR (indomethacin)
– Ketoprofen (Orudis, Oruvail)
– Relafen (Nabumetone)
– Clinoril (Sulindac)
– Methotrexate (MTX)
– Rheumatex (Methotrexate)
– Folex (Methotrexate)
Note: DO NOT discontinue or reduce prescription
medications before talking to your doctor.
©2015BaumanMedicalGroup,P.A.AllRightsReserved.
MEDICAL HAIR LOSS MANAGEMENT
“WHAT CAN BE DONE?”
Treatment Stratagems
©2015BaumanMedicalGroup,P.A.AllRightsReserved.
Stratagems for Hair Loss Management
• Evaluate, Measure & Diagnose
– Chief Complaint, Symptoms/Signs, Dermoscopy, Trichometry, Labs
– Establish Realistic Goals
• Identify & Eliminate / Reduce Triggers
– Medical conditions, medications, social habits, stress, etc.
• Block androgen effects: 5α-R Inhibition
– Pharmaceutical & Nutritional
• Stimulate Hair Follicles / Override Miniaturization
– Topical medications, Low Level Laser Therapy, Cell Therapy (PRP)
• Surgically Redistribute (Transplant) Permanent Follicles
– Minimally-invasive hair transplantation (FUE)
• Cosmetic & Psychological
– Hair care, camouflage, compassionate support & coping skills
• Compliance
– Tracking, Measurements, Dermoscopy/Photography, Follow-Ups
©2014BaumanMedicalGroup,P.A.AllRightsReserved.
Alan J. Bauman, M.D., A.B.H.R.S.
• Certifications & Affiliations
– Diplomate, American & Int’l Board of Hair Restoration Surgery
– Fellow, International Society of Hair Restoration Surgery
– Faculty, American Hair Loss Council
– Recommended, American Hair Loss Association
– Accepted, International Alliance of Hair Restoration Surgeons
– Member, Pantene ProV Hair Research Institute
• Training
– M.D. – New York Medical College
– B.S. in Psychobiology – University of California, Riverside
– Surgical Internship – Beth Israel Medical Center in NY
– Surgical Residency – Mt. Sinai Medical Center in NY
– Hair Transplant Surgery – Garden City, NY
• Founder & Medical Director, Bauman Medical Group - 1997-present
– 8,000+ surgeries
– 18,000+ patients treated
©2014BaumanMedicalGroup,P.A.AllRightsReserved.
Bauman Medical Group
• 1000 hair loss patients/year
• 50:50 Male/Female
• 250+ hair transplants/year
• NEW 11,000 sqft facility!
B A U M A N M E D I C A L G R O U P
Hair Transplant & Hair Loss Treatment Center
Est.1997 - Boca Raton, FL
©2014BaumanMedicalGroup,P.A.AllRightsReserved.
Alan J. Bauman, M.D. 

“In the News”
• CNN, MSNBC, FOX News, NY Times, WSJ, Men’s Health, Women’s Health
• W, Vogue, Elle, Cosmo, Redbook, Harpers Bazaar, Newsweek, USA Today
• CBS Early Show, NBC Today Show, ABC Good Morning America, Extra!, Access Hollywood
• Telemundo, Il Terreno (Milan), Plastica y Estetica (Sao Paolo), China Daily (Bejing)
©Copyright2014BaumanMedicalGroup,P.A.AllRightsReserved.
Thank You!!
doctorb@baumanmedical.com
www.baumanmedical.com
www.linkedin/in/alanjbauman
www.twitter.com/DrAlanBauman
www.facebook.com/alanjbauman

Medications That Cause Hair Loss - Dr. Alan Bauman

  • 1.
    ©2015BaumanMedicalGroup,P.A.AllRightsReserved. MEDICATIONS KNOWN TOCAUSE HAIR LOSS Hair Loss Risk Factors - What Medications Cause Hair Loss? ALAN J BAUMAN, MD, ABHRS, FISHRS
  • 2.
    ©2014BaumanMedicalGroup,P.A.AllRightsReserved. ALAN J BAUMAN,MD, ABHRS, FISHRS @DRALANBAUMAN Course Director Background & Bio
  • 3.
    ©2015BaumanMedicalGroup,P.A.AllRightsReserved. General Categories ofMedications Known to Cause Hair Loss • Mood Modulators – Antidepressants – Antianxiety • Antihypertensives / Blood Pressure Medications • Cholesterol Medications – Especially statins • Hormone Treatments – Oral Contraceptives – Hormone Replacement – Testosterone, Thyroid • Anti-Acne • Bariatric “Weight Loss” Medications • Chemotherapy • Blood thinners • General Anesthesia
  • 4.
    ©2015BaumanMedicalGroup,P.A.AllRightsReserved. Prescription Drugs
 Commonly Associatedwith Hair Loss (partial list!) • Antidepressant and Antipsychotic Prescription Drugs – Amoxapine – Amitriptyline – Bupropion – Clomipramine – Desipramine – Doxepin – Fluoxetine – Haloperidol – Imipramine – Nortriptyline – Paroxetine – Sertraline • Blood Thinning Medications – Panwarfin (warfarin sodium) – Sofarin (warfarin sodium) – Coumadin (warfarin sodium) – Heparin injections • Parkinson's Disease – Levadopa / L-dopa (Dopar, Larodopa) • Thyroid Disorder Prescription Medications – Many of the drugs used to treat the thyroid (i.e. Thiouracil) • Ulcer Medications (Over-the-Counter and Prescription) – Famotidine (Pepcid™) – Ranitidine (Zantac™) – Cimetidine (Tagamet™) • Gout Medications – Lopurin (Allopurinol) – Zyloprim (Allopurinol) • Antibiotics and Antifungal drugs – Levo Floaxin – Amoxicillin – Penicillin (Amoxicot, Kelfex) Note: DO NOT discontinue or reduce prescription medications before talking to your doctor.
  • 5.
    ©2015BaumanMedicalGroup,P.A.AllRightsReserved. Prescription Drugs
 Commonly Associatedwith Hair Loss (con’t) • Depression – Antidepression Prescription Medications – Prozac (fluoxetine hydrochloride) – Zoloft (sertraline hydrochloride) – Paxil (paroxetine) – Anafranil (clomipramine) – Janimine (imipramine) – Tofranil (imipramine) – Tofranil PM (imipramine) – Adapin (doxepin) – Sinequan (doxepin) – Surmontil (trimipramine) – Pamelor (nortriptyline) – Ventyl (nortriptyline) – Elavin (amitriptyline) – Endep (amitriptyline) – Norpramin (desipramine) – Pertofrane (desipramine) – Vivactil (protriptyline hydrochloride) – Asendin (amoxapine) – Haldol ( haloperidol) • Acne Medications – Isotretinoin (Sotret®, Claravis®, Amnesteem®, Accutane) – Tretinoin (various – Retin A®) – Tazarotene (Tazorac®) – Acitretin (Soriatane®) – Adapalene – (Differin®) • Glaucoma – Timoptic Eye Drops (Timolol) – Timoptic Ocudose (Timolol) – Timoptic XC (Timolol) • Heart (High Blood Pressure) – Tenormin (Atenolol) – Lopressor (Metoprolol) – Corgard (Nadolol) – Inderal and Inderal LA (Propanolol) – Blocadren (Timolol) Note: DO NOT discontinue or reduce prescription medications before talking to your doctor.
  • 6.
    ©2015BaumanMedicalGroup,P.A.AllRightsReserved. Prescription Drugs
 Commonly Associatedwith Hair Loss (con’t) • Cholesterol Medications – Atronid-S (Clofibrate) – Metoprolol (Toprol XL) – Atenol (Tenoretic) – Lopid (Gemfibrozil) • Convulsions/ Epilepsy – Anticonvusant Prescription Medications – Tridone (Trimethadione) – Carbamazepine – Phenytoin – Sodium Valproate • Diet / Attention Deficit Disorders – Amphetamines – Methamphetamines – Methylphenidate • Chemotherapy Medications – Adriamycin – Bleomycin – Cactinomycin – Cyclophosphamide – Cytarabine – Dactinomycin – Daunorubicin – Docetaxel – Doxorubicin – Etoposide – Fluorouracil – Ifosfamide – Irinotecan – Methotrexate – Paclitaxel – Topttecan – Vinorelbine Note: DO NOT discontinue or reduce prescription medications before talking to your doctor.
  • 7.
    ©2015BaumanMedicalGroup,P.A.AllRightsReserved. Prescription Drugs
 Commonly Associatedwith Hair Loss (con’t) • Medications for Hormonal Conditions – All hormone-containing prescriptions prescribed for hormone-related, sexual dysfunction, reproductive, male and female- specific conditions have the potential to cause hair loss, including: – Birth Control Medications – Hormone-replacement therapy (HRT) for women (estrogen or progesterone) – Male androgenic hormones and all forms of testosterone and pre-testosterone (i.e. Testex, Depo-Testosterone, and Delatestryl) – Anabolic steriods • Fluoxymesterone (Halotestin) • Methyltestosterone (Android, Metandren, Oreton, Testred, Virilon) • Stanozolol (Winstrol) • Danazol (Danocrine) – Prednisone and other steroids • Non-Inflammatory Prescriptions – Naprosyn (Naproxen) – Anaprox (Naproxen) – Anaprox DS (Naproxen) – Celecoxib (Celebrex) – Daypro (Oxaprozin) – Diclofenac (Voltaren) – Etodolac (Lodine) – Fenoprofen (Nalfon) – Indocin (indomethacin) – Indocin SR (indomethacin) – Ketoprofen (Orudis, Oruvail) – Relafen (Nabumetone) – Clinoril (Sulindac) – Methotrexate (MTX) – Rheumatex (Methotrexate) – Folex (Methotrexate) Note: DO NOT discontinue or reduce prescription medications before talking to your doctor.
  • 8.
    ©2015BaumanMedicalGroup,P.A.AllRightsReserved. MEDICAL HAIR LOSSMANAGEMENT “WHAT CAN BE DONE?” Treatment Stratagems
  • 9.
    ©2015BaumanMedicalGroup,P.A.AllRightsReserved. Stratagems for HairLoss Management • Evaluate, Measure & Diagnose – Chief Complaint, Symptoms/Signs, Dermoscopy, Trichometry, Labs – Establish Realistic Goals • Identify & Eliminate / Reduce Triggers – Medical conditions, medications, social habits, stress, etc. • Block androgen effects: 5α-R Inhibition – Pharmaceutical & Nutritional • Stimulate Hair Follicles / Override Miniaturization – Topical medications, Low Level Laser Therapy, Cell Therapy (PRP) • Surgically Redistribute (Transplant) Permanent Follicles – Minimally-invasive hair transplantation (FUE) • Cosmetic & Psychological – Hair care, camouflage, compassionate support & coping skills • Compliance – Tracking, Measurements, Dermoscopy/Photography, Follow-Ups
  • 10.
    ©2014BaumanMedicalGroup,P.A.AllRightsReserved. Alan J. Bauman,M.D., A.B.H.R.S. • Certifications & Affiliations – Diplomate, American & Int’l Board of Hair Restoration Surgery – Fellow, International Society of Hair Restoration Surgery – Faculty, American Hair Loss Council – Recommended, American Hair Loss Association – Accepted, International Alliance of Hair Restoration Surgeons – Member, Pantene ProV Hair Research Institute • Training – M.D. – New York Medical College – B.S. in Psychobiology – University of California, Riverside – Surgical Internship – Beth Israel Medical Center in NY – Surgical Residency – Mt. Sinai Medical Center in NY – Hair Transplant Surgery – Garden City, NY • Founder & Medical Director, Bauman Medical Group - 1997-present – 8,000+ surgeries – 18,000+ patients treated
  • 11.
    ©2014BaumanMedicalGroup,P.A.AllRightsReserved. Bauman Medical Group •1000 hair loss patients/year • 50:50 Male/Female • 250+ hair transplants/year • NEW 11,000 sqft facility! B A U M A N M E D I C A L G R O U P Hair Transplant & Hair Loss Treatment Center Est.1997 - Boca Raton, FL
  • 12.
    ©2014BaumanMedicalGroup,P.A.AllRightsReserved. Alan J. Bauman,M.D. 
 “In the News” • CNN, MSNBC, FOX News, NY Times, WSJ, Men’s Health, Women’s Health • W, Vogue, Elle, Cosmo, Redbook, Harpers Bazaar, Newsweek, USA Today • CBS Early Show, NBC Today Show, ABC Good Morning America, Extra!, Access Hollywood • Telemundo, Il Terreno (Milan), Plastica y Estetica (Sao Paolo), China Daily (Bejing)
  • 13.