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HAIR LOSS

Hair Loss Risk Factors - What Medications Cause Hair Loss?

ALAN J BAUMAN, MD, ABHRS, FISHRS

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@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 DrugsCommonly 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 DrugsCommonly 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 DrugsCommonly 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 DrugsCommonly 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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“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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Thank You!!doctorb@baumanmedical.com

www.baumanmedical.com www.linkedin/in/alanjbauman

www.twitter.com/DrAlanBauman www.facebook.com/alanjbauman