There are many prescription medications that are known to be associated with hair loss. It is important for doctors and patients to be aware of common hair loss risk factors, such as heredity/genetics, as well as other triggers for thinning or shedding hair. Some of the commonly prescribed categories of drugs that can cause hair loss include: antihypertensives (blood pressure), cholesterol / statins, hormone replacement like thyroid, testosterone, etc., mood modulators / anti-depressants, antibiotics, anti-acne, anti-fungals, chemotherapy agents and more. Find out which medications can cause hair loss and what strategy we use to treat the situation. Dr. Alan J Bauman - Diplomate, American Board of Hair Restoration Surgery www.baumanmedical.com

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MEDICATIONS KNOWN TO CAUSE
HAIR LOSS
Hair Loss Risk Factors - What Medications Cause Hair Loss?
ALAN J BAUMAN, MD, ABHRS, FISHRS

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ALAN J BAUMAN, MD, ABHRS, FISHRS
@DRALANBAUMAN
Course Director Background & Bio

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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

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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.

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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.

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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.

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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.

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MEDICAL HAIR LOSS MANAGEMENT
“WHAT CAN BE DONE?”
Treatment Stratagems

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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

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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

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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

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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)

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