young woman checking her hair in a mirror, pills and hair loss

Q. I have been taking Toprol XL for about two years for high blood pressure, and my hair is getting so thin you can see through it. Is there any other medication that can replace Toprol XL that would not cause hair loss? Yes I know, vanity thy name is woman, but I do hate losing my hair.

A. Beta blockers such as metoprolol (Lopressor, Toprol XL) and atenolol (Tenormin, Tenoretic) may cause hair loss. Many cardiologists no longer consider beta blockers the best choice for first line treatment of high blood pressure. Ask your doctor whether another medication might be appropriate for you.

Scores of other medications share this side effect. We are sending you our new Guide to Hair and Nail Care with a list of medications that may lead to hair loss.

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  1. Mary

    I am on labetalol 100 mg and 200 mg with losartan 200 mg and am losing hair. I am seeing a dr next week to get off. Does any one know a bp. med that does not cause hair loss?

  2. elizabeth

    I have had 12 rounds of strong chemo. Of course, lost all my hair. I am now cancer free but have kidney disease and high blood pressure cause by the chemo and CT scans with contrast. I am on 10 mg. Amlodopine, .03 Clonidine patch, Losartin 20 mg., and 40 mg. Bystolic. My last chemo was July 26, 2016 so my hair is starting to come back. Growing very slowly in front. Nails are terrible. Now what.

  3. Mary

    I’ve been on a combination of amolodpine and lisinopril for over 10 years and my hair has gone from thin to extremely thin at the top of my head and on the sides my dr. never said a word yes I love that my BP is under control but I want my hair back is there anything I can do? Any suggestions????

  4. Mary
    Harvey, IL

    I’m on amolodpineand lisinopril and trimateren my hair has thinned to the point I can see my scalp in the top of my head and on the temples washing combing or brushing my hair is scary it comes out in large portions but on the other side my pressure is excellent,. I’ve been on this combination for over 10 years but I newant my hair back any advice would be great I’m going to see my dr. next month and he is in for a real treat,

  5. Donna

    Has anyone a scalp or hair growth problem from taking Avapro over a long.period Of time I have been taking it since I was going through perimenopause and I am now 70 and hair growth pattern has changed and my scalp has grooves in it hand itches and little Tufts of hair that grow patches that make my scalp itch I have plenty of hair but my scalp is soft in places and you can put your finger down in it it feels soft groves like you could pull the Scalp apart. These very fine Groove continue down my forehead and on to the side of my face it is very disturbing even the dermatologist won’t even comment or I can’t even get them to look at my head they think I am crazy. At one time there was a very smooth covering all over my head I like the hair follicles head exuded some kind of stickiness. Then this whole pattern started.

  6. Dorothea
    United States

    my medication is Metoprol myla Tar 100 mg tab

  7. marilyn15
    United States

    I also need help. I had very thick hair. It is thin strands now. I can count 15 strands on my clothes a day. I take40mg quinapril,7.5 meloxican, 75mg clopidogrel 37mg triamterene every other day 5mg amlodipine and 10mg of simvastatin I had a stroke 12 years ago and have high blood pressure.

  8. June
    Vineland, Ontario

    In December of 2014 I was put on many drugs including metropolol (a beta blocker) after triple heart by-pass surgery. I have lost half my hair and am devastated. My GP switched me to bystolic, but it has one of the ingredients that will still cause hair loss, but perhaps not to as great an extent. My health food store
    said that all beta blockers cause severe hair loss. Diet and exercise
    will not help. As long as anyone is on a beta blocker, the hair will
    continue to fall out. It will take approximately 3 months or more for hair to stop falling out, and then who knows how long before it starts to regrow. Hope this helps, and good luck to all.

  9. kathy

    I take 200mg of labetalol & lotrel 10/40. I haven’t had any hair loss, but, my cat scratched me and it bled for 2hrs 48min. normally, I don’t need a band aid after blood samples. now I need 4 paper towels to absorb the blood. Should I find a new doctor?? Mine thinks he’s my dictator.

  10. David

    I’m 62 and have been on Lopressor for over a year. In that time I have probably lost half of my hair. Fortunately I had a very thick head of hair. I stopped taking the Lopressor about month ago. Does anybody who has stopped taking their BP meds noticed that your eventually grew back? I am now exercising more and don’t seem to need the 25mg I was taking. Thanks,

  11. EJH

    After reading all these comments I am totally bewildered and depressed because I don’t stand a chance of having any hair left. I am on Bystolic, Azor, clonidine,( 0.2 and a 0.1 ) chlorthalidone and Doxzosin for BP and Synthroid, also two shots of embrel each week for RA. Almost forgot also take Alprzolam for anxiety to help me sleep. I am seriously thinking about getting a wig but as someone stated I haven’t seen any that looked natural. I think the only hope is praying for my hair loss to stop and be able to hold on to what little I have left. Each time my doctor tries cutting back on my meds. My BP has went up to 232/109 and the bottom number has been higher. My HBP also has caused me to have 3th stage kidney failure or either it is caused by the meds. I wish all of you the best.

  12. Teri

    Any Lopressor thread WRT hair loss–I experienced same while on Lopressor. Switched to Losartan & I didn’t experience that side effect again. Everyone’s different, but I’ve heard hair loss w/Lopressor is m-u-c-h more common than w/Losartan. give it a try. hope this helped.

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