Metoprolol and Hair Loss

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I often receive messages from visitors to this website who feel that their hair loss may be connected to the medication they are taking. One drug that sometimes comes up in these messages is metoprolol, the generic form of brand name drugs Lopressor, Metoprolol Succinate, Metoprolol Tartrate and Toprol XL.

Metoprolol is a beta-blocker and is used to treat high blood pressure, chest pain and other heart-related conditions.

PLEASE NOTE: This information is given for guidance purposes only. 

It is VERY important to continue taking metoprolol at the dosage prescribed and to thoroughly discuss your hair loss with your doctor, only stopping the medication if advised to do so. Discontinuing this medication unsupervised could lead to a major cardiac event.

Sue - a visitor to this website - described her experience of discontinuing metoprolol ...

"My primary doctor along with a cardiologist told me discontinuing immediately would not cause problems, because of the low dose I was on.

Four days after stopping the medication, after I - on my own - decreased the dose in half for 5 days, I began having adrenalin rushes and rapid heart rate over 100 . Because panic/ anxiety attacks give a similar history, the doctors alluded to the fact that this was the cause. On my own I felt compelled to have a cardiac stress test and echo cardiogram - both were normal. During that time period as the cardiologist got to know me, he finally admitted that coming off the beta blocker too fast was probably the cause and not panic attacks."

So does metoprolol cause hair loss?

Metoprolol hair loss

As with many medications, the answer to this depends on who you ask!

Invariably, visitors to this website have been told categorically by their doctors that the drug is not to blame for their thinning hair.

However, the websites WebMD  and The Mayo Clinic both list hair loss as a 'rare' side effect. So if you've noticed an increase in shedding since taking this drug, then it could quite possibly be the cause.

Another website - eHealthme - amalgamates information about different drugs and conditions that are reported to the FDA or social media, then presents its findings as statistical data. Whilst this information can in no way be construed as concrete fact, it perhaps gives some indication of the scale of the connection between metoprolol and hair loss.

According to the statistics presented, hair loss due to Metropolol Tartrate is most common in women aged 60+, who have taken the drug for 1 to 6 months. Out of 39,532 reports of side effects from the drug, 311 were regarding hair loss (this represents 0.79% of reported side effects). For Metoprolol Succinate, the figure was 0.85%.

These statistics do seem to confirm that hair loss from metoprolol is relatively rare, but not unheard of. The fact that it is most common in women over 60 is not particularly surprising, given that the majority of men and women prescribed beta-blockers fall into this age group.

What can you do if you believe metoprolol is causing your hair loss?

First, talk to your doctor.

Yes, it's important to know if it's the drug that's causing it, but it's equally important to let your doctor know so that he/she can test for other causes (low iron, for example, or a thyroid problem).

It's also worth remembering that our hair does tend to thin somewhat as we age, particularly if there is a family history of female pattern hair loss, or after menopause.

If your doctor is unable to diagnose any other cause...

...then ask if it would be possible to adjust your dose, or if there is another medication you could try. Hair loss caused by a particular medication usually stops when that medication is stopped.

(Incidentally, a visitor to this website told me how she recommends having a chat with your local pharmacist. Pharmacists, of course, have an enormous amount of knowledge to share on issues like these, yet few of us think of consulting them!)

Whilst this page looks at hair loss seemingly triggered by metoprolol, some women report this problem with other similar medications. Please see my page about Medications that Cause Hair Loss for further information.

What can you do if the hair loss continues?

Even if your doctor agrees that there's a connection between the metoprolol and your hair loss, lowering your dose or prescribing a different medication may not be an option.

In that case, it is important to take particularly good care of your existing hair, and to do all you can to maximize hair growth. If the hair loss is severe, then you can bolster your confidence by using techniques to camouflage the problem.

  • Try to avoid using heat - and harsh chemical treatments - as much as possible. If you really want to color your hair, opt for a dye like Clairol Natural Instincts Loving Care, which is free from ammonia and hydrogen peroxide.
  • Think about trying a hair loss shampoo. They cannot make your hair grow back, but often contain ingredients to nourish existing hair and promote scalp health.

  • Visit your stylist for a cut to help disguise the hair loss. A good cut can make a huge difference!

  • Try a volumizer - they can be very useful for making thin, limp hair a lot easier to work with.

  • If your hairline is affected, try wearing a soft, wide headband to cover it (ensuring that it is not pulling on the roots).

  • If your hair loss is so severe that you can see your scalp, think about using a product designed to camouflage it.

To report adverse side effects to the FDA...

If you suspect that your hair loss is caused by metoprolol, use the Medwatch Online Voluntary Reporting Form to report it as a possible side effect

Please Share Your Experiences!

Do you believe your hair loss is due to metoprolol or have you previously experienced thinning hair after taking this drug?

Have you experienced regrowth after switching from metoprolol to a different medication?

Whatever your experience, I'd love to hear from you! Please share your story by completing the simple form below...

Share Your Experiences With Metoprolol

Please note that all fields followed by an asterisk must be filled in.

Comments from our readers...

I take Metropolol.  I am losing my hair and have been wondering what is causing this increase in my hair loss.  I have been tested for thyroid but it always comes out fine.  I do have my hair colored by a professional.  I will be seeing my doctor Tuesday and I'm going to ask him to switch my blood pressure meds.

From Marsha, New Jersey, USA

Began 12.5 mgm April 29th. Dose increased to 25 mgm on 6/25. Hair loss began end of August. Hair brush filled with long strands with each brushing. Blood work by dermatologist all negative for causes. I refused scalp biopsy. Metoprolol stopped Sept. 12. In 3 weeks much improved. Docs still won't confirm caused by metoprolol!!?

From Susan, Maryland, USA

I have been taking Metoprolol 50 mg for 12 years. No hair loss. Dose was increased to 100 mg about 6 months ago. About 2 months into taking the increased dose I started losing a lot of hair. For the past year I have also been taking Xarelto 20 mm.

From Dorothea,  USA

My hair stylist and I noticed hair loss recently around my forehead.  She thought tying a scarf to the front of my head was chopping it off but I stop using the scarf and it's continuing breaking and thinning exactly in front.  I've never experienced this sort of problem.  Had beautiful healthy hair, at one time as long as all the down to my lower back.  I've been taking metoprolol for about a year now.  I also been taking Zetia for approximately three months.  I'm calling my MD asap on Monday to make appointment.

From Liz, Tennessee,  USA

I am taking 50 mg of metoporol, my hair has been falling to the point that is very thin now. I finished a box of capsules which are indicated for severe hair loss and my hair has not stopped falling.The only medication I take is Metroporol, that is why I started to investigate if other people have had hair loss while taking  it.

From Alexandra, NY, USA

I am a 33-yr old male. I started taking metoprolol in May '16 and immediately my hair started falling. My cardiologist believed it wasn't for the medication. Visited one of the best dermatologists in the nation and he said with confidence that my hair problem is not because of metoprolol because I've had a family history of LPP (Lichen Planopilaris). Another cardiologist believed it was weird that none of my doctors were suspicious of my medication. Anyway, the timings make me suspicious, but it could also be wishful thinking. I'm stopping metoprolol this week to see what happens.

From Alan, NY, USA

NOTE FROM EDITOR: It is very important to consult your doctor before stopping metoprolol - please see this warning

Started taking 25mg Metropolol daily, 4 months ago. Metropolol is the only meds I'm taking. Hair thinning was noticeable after 1 month, thinning continues can now see scalp and sun burn through hair. Can actually gently pull hair like one would to a dog to test for shedding, yup I'm shedding. Will talk to doctor about reducing meds or weaning off. Not good. I'm 48 male with what was a full head of hair, genetically I'm supposed to have a full head of hair, older brothers are not experiencing hair loss, nor on Metropolol. I'm going to get of this stuff.

From Matt, USA

I was taking Metoprolol (50 mg) at night and 20 mg of Lisinopril in the morning. I started losing some hair when I combed my hair. I also had a dry cough that started when I started taking Lisinopril. The cardiologist recently took me off of the Lisinopril and told me to just take the Metoprolol twice a day. I have been taking it about 3 wks and now my hair is falling out even more. (The doctor gave me a prescription for 50 mg of Metroprolol instead of 20 mg so I have been cutting them in half but that's still more than the 20 mg of Lisinopril I was taking. I'm going to my family physician and see what he says before going back to the cardiologist.

From Shirley, Louisiana, USA

I am bald. I took Metoprol 25mg twice a day for almost 3 months. I had a big loss of the eyebrows! I had very dense eyebrows and much body hair. My mother - who had the same dosage for a year and a half - had total loss of eyebrows, hair loss and thinning of hair. I also observe shrinkage of little haemagiomas that I had. Totally disappointed with cardiologists who didn't warn me about hair loss from Metoprolol .The company who produces the drug should add to the specs of the drug VERY COMMON side effects: HAIR LOSS

From Vasileios, Greece

I was on Metoprolol tartrate 50mg for about 5yrs this caused temple thinning. My Dr. recently (6/27/2017) changed to Metoprolol ER Succinate 25mg daily and I now have major hair loss. I have no temple hair on either side.I am so concerned about losing all of my hair.

From Mary, Indiana, USA

I have been taking metoprolol for a few years. I noticed my hair thinning but not the balding! My husband noticed it too. I have tried Rogaine. Biotin. Vitamin B complex. Higher grade shampoos. No results. Then I had an idea to google side effects of my high blood pressure meds. Only other med I take is Estrodial since 1994. I believe my problem is Metoprol.

From Jacqueline, Texas, USA

I have been on Metoprolol since July 25, 2017.  In September, I noticed a great deal of hair coming out.  I have always had very fine hair, so this is devastating.  I went to the doctor and they did blood work.  I received a call "all is fine".  I am getting off of this medication.  This can't go on because I will be bald.  I am looking for wigs right now.

From Barbara, USA

I have experienced extreme hair loss. I am a 33 year old woman and started taking metoprolol for high blood pressure and anxiety. These are my only health issues. The hair loss began about 1 month into taking it.

From Lynn, IN, USA

I've been on the medication for about a year now and I've experienced so much hair loss I thought I had alopecia. I was tested and I don't! My doc informed me it wasn't due to the pills. I must add I had a hysterectomy at the age of 38, I'm now 42, I was informed it could be due to early menopause. I truly believe it's the pills! I've been  off the pills for about a week now, therefore I haven't noticed any change! I will be sure to update either way!

From Tanya, USA

I am a female who started noticing unusual hair loss about 2 months ago. I come from a family where both females and males have black thick hair, so I found that unusual. Trying to think of a possible cause, I noticed that a little before that my doctor changed my hypertension medication to Metoprolol Tartrate 50 mg. When reading about its side effects, I read that hair loss using this medication is rare, but not unheard of. Recent lab tests show no anemia, thyroid problems or any other condition that may explain the situation. I will be talking to my doctor to see if it is possible to change medication. I never experienced this with my previous medication (Atelonol) which is no longer manufactured.

From Helvetia, OK, USA

I am 66 years old. I have been on Metoprolol for a year. My hair began to get thinner and began to fall out.

From Debra, WV, USA

I have been on Metoprolol 25 mg for about 10 years. I am now 70. I have been experiencing hair loss since being on the medicine and my scalp is now showing.

From Elizabeth, MA, USA

I'm a 25 y/o female and have been taking 50mg of Metoprolol for a little over 10 years. Starting in April 2017 I noticed more hair loss than normal. Now Jan 2018, I have thinning patches on both sides of my head as well as extreme thinning on the right. I'm easily able to pull my hair out from my scalp as well. Family has NO history of hair loss. All of the elders in the family NEVER lost their hair. Talked to doc and trying new medication w/ less chance of hair loss. Will take biotin during.

From Shaye, Ohio, USA

I've had heavy, thick hair all my life. Now shedding, with large amounts in drain. I can see all scalp on top and sides of head. Horrified.

From Pat, Florida, USA

I am 67 and was switched to Metoprolol about 5 months ago. Prior to taking it, my hair was doing good and was growing. I noticed in the last 2 to 3 months my hair is thinning and breaking off. The only thing that has changed in my life during the time period in question is this medication.

From Renona, Ohio, USA

I am 47 yrs old and started having heart problems last year, and  have been using Metoprolol and Flecainide for the last eight months and have so far lost half of my hair. Hair line isn't affected, however the scalp is noticeable. I am taking biotin, vitamin D and using a very good shampoo from Kerastase, that makes my hair look and feel thicker. I used to have heavy and curly hair, now it's limp and almost straight. Desperation took me over at the beginning but I am trying not to panic and accept it as it comes.

 From Cris, ON, Canada

My doctor put me on Metoprolol to help with migraine headaches. I am only 33, and this medication worked wonders for my headaches. But I started losing clumps of hair. So devastating. Took about 2 months to start losing a lot of hair, and when I realised I stopped immediately. Was only on a small dose and had no other side effects. It’s only been a week since stopping and  still losing hair. Hoping this will stop soon!!! 

From Haley, Australia

I have been taking Metropolol for 20 years and up until about two years ago had a full head of hair.  I have been losing a lot of hair in the front top and sides, a small amount at first but now only covered by a good haircut with bangs.  I went to the cardiologist today and he immediately told me that it was due to the Metropolol. He told me that he has 15 patients already with hair loss due to Metropolol and switched all of them to the only beta blocker that doesn't cause that problem. I have an appt. with a dermatologist hair loss specialist in a week so we are waiting for her opinion before changing meds.

From Pam, IL, USA

I have taken Metoprolol a few yrs now. Started with 100 mg twice a day then switched to 50 mg twice a day. I have slow growing hair, am 71. I don't know exactly when but in the last year I have really noticed my hair is very fine & thin, receding at temples bad & long hairs falling out. Hair everywhere. I hate it but when I miss a dose my heart races. I quit my statin for 3 months but has made no difference. Anyone have any answers?

From Phyllis, SD, USA

Being a hair stylist for 27 years I recently was diagnosed with PoTS (Postural Tachycardia Syndrome). So my heart rate goes all crazy, varying between 55-100 bpm with in seconds. The first 4 days on metoprolol were rough with dizziness and nausea. Than I was fine, with no effects, until month 2 when suddenly my hair started falling out ridiculously. Which is even harder considering my line of work. Within 30 days,  over 60%+ had fallen out. So I asked to be removed.  You must taper slowly - it's very dangerous if you don't.  I tried to taper too fast and got rebound high blood pressure. Taper slowly or the rebound pressure and the rebound high heart rate occurs.

From Cindy, Utah, USA

Since starting this drug, that I have been taking for three months, I have had considerable hair loss.  If I run my fingers through my hair, at least 10 to 15 hairs, at one time, come out. 

From Mary, GA, USA


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