Does Trazodone Cause Hair Loss?

Trazodone is a medication prescribed to manage conditions such as depression and anxiety. Patients often have questions about potential side effects, including the possibility of hair loss. While rare, this side effect is important for those considering or currently taking the medication to understand.

Trazodone and Hair Loss: The Connection

Hair loss, specifically telogen effluvium, is an uncommon side effect associated with Trazodone. This occurs when many hair follicles prematurely enter the resting (telogen) phase of the hair growth cycle, leading to increased shedding. Hair typically cycles through three main phases: anagen (growth), catagen (transition), and telogen (resting), before shedding.

Hair loss due to Trazodone is rare, affecting approximately 1% or less of patients. For comparison, other psychotropic medications like lithium have a higher reported incidence of hair loss, ranging from 12% to 19%. When drug-induced telogen effluvium occurs, shedding becomes noticeable two to four months after starting the medication or the triggering event.

This form of hair loss is generally temporary and reversible. Hair growth commonly resumes once the medication is discontinued or the dosage is adjusted under medical supervision. Regrowth usually begins within six to nine months after the causative factor is removed.

Addressing Hair Loss Concerns

If you experience hair loss and suspect it might be related to Trazodone, consult a healthcare professional. Never stop taking your medication abruptly without medical guidance, as this can lead to withdrawal symptoms or a return of underlying conditions. A doctor can help determine the actual cause, as many factors beyond medication can contribute to hair loss.

Hair loss can stem from various sources, including physical or emotional stress, nutritional deficiencies like insufficient iron or protein, hormonal imbalances, and other medical conditions such as thyroid disorders or autoimmune diseases. Your doctor will conduct a thorough evaluation, which may include reviewing your medical history, a physical examination of your scalp, and blood tests to check for deficiencies or other health issues.

Once other potential causes are ruled out, your doctor might consider adjusting your Trazodone dosage or exploring alternative treatments if medically appropriate. They can provide personalized advice and develop a management plan to address your hair loss concerns while ensuring your overall health and well-being.