Blood Pressure Medications and Hair Loss: What You Need to Know

Antihypertensive medications and hair loss issues?

Hello Doctor, since three months ago when my blood pressure medication was changed from one tablet of Dantrolene 160mg, one tablet of Metoprolol 5mg, one tablet of Amiodarone 100mg, and one tablet of Amlodipine 50mg to half a tablet of Carvedilol 200mg, half a tablet of Clonidine 20mg, one tablet of Enalapril 10mg, and one tablet of Metoprolol 5mg, I have recently noticed a significant amount of hair in the foam while washing my hair.
Could my hair loss be related to the medication change? During my last visit, I mentioned this to my doctor, who switched my Clonidine to one tablet of Clonidine, but that same day I started experiencing a heart rate that was about ten beats faster than usual, and I could clearly feel my heartbeat.
I even woke up two consecutive nights with my heart rate nearing 100 beats per minute.
By the third day, my heart rate remained elevated, and I experienced some irregularities (a pause in the heartbeat), so I went back to the hospital to switch my medication back.

Doctor, I have a few questions:
1.
Is Clonidine causing my hair loss?
2.
If I don't take Clonidine, my heart rate increases, but taking it seems to cause hair loss.
Are there other medications with similar effects but with fewer side effects related to hair loss?
3.
Since I am overweight, my heart rate is naturally faster.
Is there a way to address the issue of a fast heart rate? It seems that the fast heart rate triggers the irregular heartbeat sensation.
Is there no other solution besides weight loss? Thank you, Doctor!

Wunai de ren, 30~39 year old female. Ask Date: 2010/11/25

Dr. He Dongjin reply Cardiology

Hello, based on my understanding, Carvedilol is a type of beta-blocker that has good effects on blood pressure and heart rate control.
However, during the process of switching medications, it can cause the phenomenon of increased heart rate that you mentioned.
As for hair loss, it is quite rare, and I do not believe it is a direct cause.
There are many reasons for hair loss, including stress and genetics, which you may consider when switching to another medication.
You are correct that weight loss is the most direct and effective way to reduce the burden on the heart, but it can be slow and not easy, so starting with medication might be necessary.
Weight loss is still important.
Changhua Hospital cares about you.

Reply Date: 2010/11/25

More Info

When it comes to blood pressure medications and their potential side effects, including hair loss, it's important to understand the relationship between the medications you are taking and any changes in your body. Based on your description, you have recently switched your blood pressure medications, and you are experiencing hair loss as well as changes in your heart rate. Let's address your concerns one by one.

1. Is the medication causing hair loss?
Hair loss can be a side effect of certain medications, including some antihypertensives. While not all patients experience this side effect, it is documented that medications like beta-blockers (e.g., Inderal) and ACE inhibitors can lead to hair thinning or loss in some individuals. However, the specific medication you mentioned, 可絡暢 (Cilnidipine), is not commonly associated with hair loss. It is essential to consider that hair loss can also be influenced by various factors, including stress, hormonal changes, nutritional deficiencies, and underlying health conditions. If you suspect that your hair loss is related to your medication, it would be wise to discuss this with your healthcare provider, who may consider adjusting your treatment plan.

2. Are there alternative medications with fewer side effects?
If you are experiencing side effects from your current medications, including hair loss and increased heart rate, it is crucial to communicate this with your doctor. There are various classes of antihypertensive medications, including diuretics, ACE inhibitors, angiotensin II receptor blockers (ARBs), calcium channel blockers, and beta-blockers. Each class has a different side effect profile. For example, ARBs like Losartan or Valsartan are often well-tolerated and may have a lower incidence of hair loss compared to other medications. Your doctor can help you explore alternatives that may suit your needs better while minimizing side effects.

3. Managing increased heart rate:
An increased heart rate (tachycardia) can indeed be concerning, especially if it is accompanied by palpitations or a sensation of your heart "skipping" beats. Factors such as anxiety, caffeine intake, dehydration, and certain medications can contribute to an elevated heart rate. If you are overweight, weight loss can also help reduce your heart rate and improve overall cardiovascular health. However, there are other strategies you can consider:
- Lifestyle Modifications: Regular physical activity, a balanced diet, and stress management techniques (like yoga or meditation) can help improve your heart health and potentially lower your resting heart rate.

- Medication Adjustment: If a specific medication is causing your heart rate to increase, your doctor may adjust your dosage or switch you to a different medication that has a more favorable effect on your heart rate.

- Monitoring: Keeping track of your heart rate and blood pressure at home can provide valuable information to your healthcare provider, helping them make informed decisions about your treatment.

In summary, while it is possible that your recent medication changes are contributing to hair loss and changes in heart rate, it is essential to work closely with your healthcare provider to evaluate your symptoms and adjust your treatment plan accordingly. They can help you find a balance between effectively managing your blood pressure and minimizing side effects. Always consult your doctor before making any changes to your medication regimen.

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