Does Repatha Cause Hair Loss?

Repatha is a medication prescribed to manage high cholesterol levels, particularly when other treatments may not be sufficient. Individuals may wonder about potential side effects, including hair loss. This article explores the relationship between Repatha and hair loss.

What is Repatha?

Repatha, known generically as evolocumab, is a type of medication called a PCSK9 inhibitor. It targets a specific liver protein, PCSK9. By inhibiting PCSK9, Repatha increases LDL (low-density lipoprotein) receptors on liver cells. These increased receptors help the liver remove more LDL cholesterol, often referred to as “bad” cholesterol, from the bloodstream.

Repatha is primarily used for individuals with high cholesterol, including those with inherited conditions like familial hypercholesterolemia or established cardiovascular disease. It is administered through a subcutaneous injection and can be used alone or in combination with other cholesterol-lowering treatments.

Connecting Repatha to Hair Loss

Clinical studies and post-marketing surveillance data indicate that hair loss is not a commonly reported side effect of Repatha. While Repatha itself is not frequently associated with hair loss, it is important to consider other factors.

Individuals taking Repatha may also be on other medications, such as statins, to manage their cholesterol. Some statin drugs have been linked to hair loss as a rare side effect, meaning that if hair loss occurs, it might be attributable to a co-administered medication rather than Repatha. One analysis of post-marketing data indicated a small percentage, approximately 0.58%, of Repatha users reported hair loss, suggesting it is not a widespread issue but can occur in some individuals.

Common Causes of Hair Loss

If hair loss occurs while taking Repatha, numerous other factors can contribute. Heredity is a primary cause, often resulting in male or female pattern baldness, which is a gradual thinning over time. Age also plays a role, as hair growth naturally slows and thinning can occur as individuals get older.

Hormonal fluctuations can significantly impact hair health. Conditions such as pregnancy, childbirth, menopause, or thyroid imbalances can lead to noticeable hair shedding or thinning.

Stressful events, whether physical or emotional, can trigger a type of temporary hair loss known as telogen effluvium, where hair enters a resting phase and sheds several months after the event. Nutritional deficiencies, particularly a lack of protein, iron, zinc, or biotin, can also affect hair growth and lead to loss. Certain medical conditions, infections, and even tight hairstyles or harsh chemical treatments can cause hair damage and loss.

Addressing Hair Loss Concerns

Experiencing hair loss can be distressing. If it occurs while taking Repatha, discussing these concerns with a healthcare provider is important. It is not advisable to self-diagnose the cause of hair loss or to discontinue Repatha without medical guidance.

A healthcare professional can help determine the actual reason for the hair loss, considering all potential factors, including other medications, underlying health conditions, and lifestyle elements. They can assess whether the hair loss is related to Repatha or another cause and provide personalized advice. Consulting a healthcare provider ensures that any changes to medication are made safely and appropriately, maintaining the benefits of cholesterol management while addressing hair concerns.