Hair Loss and Anticoagulants - Atrial Fibrillati...

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Hair Loss and Anticoagulants

Kaz747 profile image
65 Replies

My beautiful thick hair seems to be getting thinner every week. When I wash it I have heaps of hair on my hands and there is hair all over the bathroom floor and sink when I brush or blow dry it. My hairdresser has noticed the difference too. I believe the hair loss is linked to my medication and in particular the anticoagulant (I’m on Rivaroxiban).

I emailed a pharmacist/medical herbalist who is on the radio and tv here in Australia about it. He has been a wonderful support over the past year and has made a number of recommendations about vitamins and supplements and has answered all my queries about drug interactions. Anyway he believes the stress my body has been under is also contributing to the hair loss and has recommended this particular multivitamin with breakfast each day.

swisse.com/en-us/products/v...

Coincidentally I was listening to a radio segment with a local dietician and nutritionist yesterday and a lady rang in and asked about hair loss and medication. The expert recommended selenium and the best source is Brazil nuts - 4-5 nuts a day so I bought a big bag today.

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Kaz747 profile image
Kaz747
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65 Replies
AIW58 profile image
AIW58

Thanks for the tip. I'm on apixiban - ok so far but only started in March. My EP plans to take me off in 4months so I may be ok.

Nuts have lots of health benefits and as a veggie I eat them daily. I hope your hair responds, esp if you have lovely thick hair. I know my sister found it difficult adjusting to the hair loss and thinness following her cancer treatment. She's off all meds now. I'll tell her about your advice too.

Amanda

Kaz747 profile image
Kaz747 in reply toAIW58

Hi Amanda - I eat nuts everyday too - almonds, walnuts, macadamias and cashews. I’m now adding Brazil nuts to the mix 😃. I eat a lot of seeds too - hemp, chia, sunflower, pepitas, etc. My husband used to complain about me feeding him birdseed but now he loves it.

Hopefully this advice helps your sister and others too.

FancyPants54 profile image
FancyPants54 in reply toKaz747

Sadly our soils are depleted from minerals these days. You won't get much help from Brazil nuts unless they specifically say on the packet that they are grown on selenium rich ground. If not, you'd be better off with a supplement. I use a liquid to help with my thyroid. 1 drop a day.

meadfoot profile image
meadfoot

I lost copious amounts of hair when I was started on a beta blocker, atenolol. It came out at the roots where new hair was growing. The basin and bath was full of it. Never regained it unfortunately.

Kaz747 profile image
Kaz747 in reply tomeadfoot

Interesting, I’m on Atenolol- I started on that in October or November.

meadfoot profile image
meadfoot in reply toKaz747

At that time the only drug I took was atenolol so I am certain it was the cause in my case. X

CDreamer profile image
CDreamer

Just remember you shouldn’t take more than 3-4 Brazil nuts a day. Selenium is also found in Mussels.

Interestingly my hair has thickened & is growing at a terrific rate which my hairdresser has noticed. I’ve put that down to Nutrition + all conditions are generally much better managed.

My hairdresser also told me that we go through cycles of hair growth & abundance followed by hair loss in about 7 year cycles, age, general health, stress, Nutrition as well as meds will all affect hair loss and growth.

bigking profile image
bigking

I too suffer from massive hair loss. Before I started all these medications I had a wonderful full head of hair. Now daily loss and my barber also comments on how much hair I have lost. Unfortunately, I can't pin it down on any one medication as I take Xarelto, Metoprolol, lisinopril, ampolodine, and flecainide. My barber thinks it's the Xarelto. Who knows? Bad enough the medicine makes you feel terrible without this problem added on.

myrlyn profile image
myrlyn

I've only been on Sotolol and Rivaroxaban for 8 months and my hair is falling out like crazy. I think also because I have a GI bleed that my body is in a stressed state.

Kaz747 profile image
Kaz747 in reply tomyrlyn

I was on Sotalol for a year or so before starting on anticoagulants and I had no dramas then. It was only when I started on the Rivaroxiban that I noticed the hair coming out. Meadfoot mentioned Atenolol which I’m also on now so perhaps that’s also contributing or perhaps it is just stress on the body.

Mrsvemb profile image
Mrsvemb

I suffer from terrible hair loss. It started when I was put on Apixaban then Dabigatran and I am now on Rivaroxaban. I think that all anticoagulants cause this in some people. I have spent a fortune on various hair products, but none have helped.

opal11uk profile image
opal11uk

I have been on on anticoags now for almost 20 years and also suffered hair loss so thank you for your information.

Hellie54 profile image
Hellie54

Thank you so much for this post. I take Rivaroxaban, Multaq and bisoprolol and I too have suffered significant hair loss, particularly at the front of my head along the hairline. I’ve been using Regaine for about six months and although I havent noticed a difference in the thickness, I haven’t noticed the hair actually falling out. However, my fringe never seems to grow! I have got used to it, but I would love my shiny thick locks back again. Unfortunately, the rivaroxaban is here to stay, even if my (hopefully) imminent cardioversion is successful. I try to eat healthily and take supplements which will now include Brazil nuts. Thank you x

Suemanchew profile image
Suemanchew

I put a post up a few weeks ago about hair loss I'm on warfarin I take a selenium supplement everyday for graves disease and have done since November 2018. I only started to notice hair loss in march, I spoke to my cardiologist about it and he blamed my thyroid but I do think it's the warfarin as my thyroid is responding well to treatment and my tablets have been reduced 30mg in the last 6 weeks but warfarin remains 9mg.

WendyWu20 profile image
WendyWu20

Within two weeks of taking Apixaban my hair started fallling out dramatically. I was devastated. It settled down after about 6 months but then started falling out again after i lost weight, I guess there was more Apixaban circulating for my body weight. I halved my dosage three months ago and stopped taking it altogether 5weeks ago. My hair is starting to grow again :o)

fairgo45 profile image
fairgo45

The answer to hair loss is Biotin 5000mg a day it doesn't interact with any meds

I take warfarin and metoprolol I would also suggest multi b vitamins as well and 1 Brazil nut gives you all the selenium you need biotin available on i herb.com

Kaz747 profile image
Kaz747 in reply tofairgo45

Thanks I’ll check it out. I do take multi B everyday.

Mounder profile image
Mounder in reply tofairgo45

My clinic anticoagulant team (pharmacists) told me I couldn't continue taking biotin with apixoban because biotin acts as an anticoagulant!

fairgo45 profile image
fairgo45 in reply toMounder

Well that's not what ive been told, it has been cleared by my pharmacist as safe to take with all my meds ,I don't take anything that hasn't been cleared by my pharmacist if your worried start on a lower dose it is after all a B vitamin that will be excreted if you have too much.

thyroid is worth checking but wasn't the problem in my case though it is for some also biotin also improves your nails if they are prone to weakness

Violetta25 profile image
Violetta25

Maybe don't just assume it's the medication and get your thyroid checked? Certainly the culprit in my case.

Kaz747 profile image
Kaz747 in reply toVioletta25

Thanks - I have had my thyroid checked recently and that is fine. The body sure is complex 😃

Auriculaire profile image
Auriculaire in reply toKaz747

You say your thyroid is fine. On what do you base this? Are you accepting your doctor telling you it is ok or have you seen the actual figures? Do you know what was tested ? Just TSH or the Free T s ? Just because your TSH was within range does NOT mean your thyroid is fine. A TSH near the top of the range can cause significant symptoms for some people. My TSH never climbed above 7.5 but long before whilst it was still in range I had hair loss. Look at the outer third of your eyebrows. Loss there is a sign of hypothyroidism that most docs are never taught . In fact there is so much reliance on these blood tests that most doctors have no idea of the subtle clinical signs of hyoothyroidism. And so much rigid adherence to them that lots of people ( mainly women) -never get the treatment they would benefit from.

Kaz747 profile image
Kaz747 in reply toAuriculaire

I have a print out of all my test results. I had absolutely everything checked so I have 4 or 5 pages of results. Everything to do with the thyroid was well within the range, in fact I looked amazingly healthy apart from a high reading with one of the liver function tests caused by Amiodarone which I was then taken off (I was only on that for a few weeks).

Auriculaire profile image
Auriculaire in reply toKaz747

Amiodarone used to be used for people with overactive thyroids. It depresses thyroid activity.

Kaz747 profile image
Kaz747 in reply toAuriculaire

I know Amiodarone causes damage to the thyroid in a lot of people. It was a ‘last resort’ drug to settle my heart and it helped with that. Thankfully I was only on it for a few weeks.

Mickhall profile image
Mickhall in reply toAuriculaire

What am I looking for in outer third of eyebrows?

Auriculaire profile image
Auriculaire in reply toMickhall

Absence.

Horse57 profile image
Horse57 in reply toAuriculaire

I always thought that when you lost your eyebrows on the outer third that that was due to adrenal insufficiency. I’ve never heard that it has to do with hypothyroidism

Auriculaire profile image
Auriculaire in reply toHorse57

It is listed as a sign on many thyroid websites. A friend of mine was not diagnosed with hypothyroidism till her TSH was over 100! She lost a lot of head hair , eyebrows and all her body hair. Her legs were so swollen she could hardly walk and her cretinous GP kept saying it was the menopause. Luckily the GP was sacked ( probably for incompetence) . Luckily the replacement had learned the clinical signs of hypo , and the moment she opened her mouth and he heard her hoarse voice said " I'm pretty sure I know what's wrong with you " and sent her for thyroid blood tests.

I have been on apixaban since May 2018 and I have not had any hair loss at all.

Luludean profile image
Luludean

Interesting . My thick hair is not looking good . I am on Rivaraxaban too!

Gilli54 profile image
Gilli54

I can’t say my hair was ever really thick, but I too have suffered hair loss due to thyroid issues and now the combination of meds. Bisoprolol, warfarin and flecainide currently. It is so sad to leave lengths in the comb or the shower! I try to keep it a bit shorter, regularly cut, and eat healthily. Including some nuts. Things have settled. It did get worse when I wasn’t on quite enough levothyrixine. I have had my thyroid removed. The body is very complex, tiny imbalances do affect it. It’s often never just one thing. But it is hard to feel positive sometimes due to these side effects. I try to stay positive and know it would be physically worse without the meds. Trying to get the dose as close to ideal often helps. I do hope your hair stabilises and some of the ideas work for you. The loss does seem to slow down after the initial reaction.

I've not noticed hair loss, but have heard apixaban be related to hair loss before. I have got a few grey hairs coming in the last few years - though I suspect this is probably due to children.

Patsy10 profile image
Patsy10

My hair has thinned a lot although I was fortunate to have very thick hair to start with. A few months ago I was advised by someone who lost her hair with cancer to try Olaplex. I only use No. 3 and it's not cheap but it does work. My hair is looking healthier than it has since all the meds. were introduced.

I no longer leave a trail of hair behind me.

My brushes don't need clearing after every use.

It was so bad at one point that we purchased a vacuum cleaner recommended for users with pets which we now don't need to use.

I can't guarantee that it will work for everyone but I know that I was prepared to try anything.

Kaz747 profile image
Kaz747 in reply toPatsy10

Thanks Patsy I’ll have a look

Tapanac profile image
Tapanac

I too was having hair loss on anti-coagulants (Rivaroxaban then latterly Apixaban). However when I kept moaning to my GP he did a blood test and I was lacking in zinc. He gave me a 3 months course and thankfully although I am still losing a bit, it is not so bad. I did wonder if I needed more zinc, but with everything wrong I don't feel like going back to GP already. Worth a try for you. Good luck

Kaz747 profile image
Kaz747 in reply toTapanac

I don’t think I’ve had my Zinc levels checked but I eat a lot of high zinc food (I just googled the best foods and I eat everything on this list healthline.com/nutrition/be.... Zinc is also in the multi vitamin I’ve been recommended to take so hopefully I’ll have Zinc covered.

Tapanac profile image
Tapanac in reply toKaz747

Yes I thought I did as well as since Afib we have been having a healthy diet and a friend told me about zinc and looked it up and thought I had enough, but the blood test proved wrong. I do hope you will be OK, it's so awful to have not one but loads of thin bad hair days, let alone all the heart problems.

Kaz747 profile image
Kaz747 in reply toTapanac

Next time I’m sent for a blood test I’ll ask my doctor if they can check the levels just in case.

Tapanac profile image
Tapanac in reply toKaz747

👍 xx

Rosemaryb1349 profile image
Rosemaryb1349

My hair has thinned drastically too and I suspected Rivaroxaban but my hairdresser said it could have been the anasthetics (3 ablations and 1 attempted cardioversion) all done under GA. I have found that a caffein shampoo helped but was very wary of the caffein triggering an Afib episode.

Kaz747 profile image
Kaz747 in reply toRosemaryb1349

I’ve had 5 general anaesthetics in the past 12 months so that could play a part too. My friend’s husband is an anaesthetist so I should ask him.

SweetAdelyn profile image
SweetAdelyn

As well as many other side effects,I have also had hair loss while on Riveroxiban, even the texture feels different. In January I changed to Edoxaban with no side effects so far and feel that the hair loss has improved as have many of the other side effects I had with Riveroxiban.

Kaz747 profile image
Kaz747 in reply toSweetAdelyn

I don’t think Edoxaban has been approved on our pharmaceutical scheme in Australia as yet.

SweetAdelyn profile image
SweetAdelyn in reply toKaz747

It isn't covered here in Canada as far as cost goes but should be soon. However, I feel so much better on it that it's well worth the cost. The Riveroxiban was free but I felt so badly on it e.g. muscle and joint pain, swollen legs with terrible itchy rash, nausea and a significant amount of bleeding from back of throat (scary) Since stopping, nausea, bleeding,swollen legs and rash have gone and hopefully the hair loss will too.

Hugo40 profile image
Hugo40

Hi Kaz747

I'm quite new to AF, diagnosed in January, so not much experience. I don't suffer bad side effects easily. I've been on Clopidogrel since haaving a stent fitted 9 months ago, no problem.

When diagnosed with AF I was put on Rivaroxaban, I was ok for a month or so then I started getting joint, back and muscle aches. I Notice it easy as I do regular Gym work, that, as well as a report that I had read that Rivaroxaban causes Hair Loss decided me to come off Rivaroxaban when I started having aches and now I use APIXABAN. Just been taking it over a week but Muscles & Joints seem to have improved. Had some hair loss also with Rivaroxaban. The hair loss meant a lot to me also. Even though my hair is quite old hair I still value it a lot. I do understand that when you have Beautiful Hair, like you have, it must be awesome.

Hugh40

Kaz747 profile image
Kaz747 in reply toHugo40

Hi Hugh

It’s funny how we’re all different. I had dreadful side effects on Apixiban and Pradaxa but apart from the hair loss I’ve been ok on Rivaroxiban.

Hugo40 profile image
Hugo40 in reply toKaz747

Hi Kaz747

Would you please give me some of the side effects you suffered when using Apixaban. As I've only been on them for just over a week maybe the side effects have not shown up yet.

Of course I realise we are all different and respond in different ways.

Regards

Hugo40

Kaz747 profile image
Kaz747 in reply toHugo40

I was super cold and couldn’t stop shaking or get warm, even under the quilt in bed. My fingers and toes were like icicles and my body temperature was low. I had really bad pains in my upper back and chest and my blood pressure was all over the place - really low then spiking to very high. The first time when I was on it for 4 weeks after a cardioversion coincided with me having Shingles so I thought the symptoms were related to that. When my EP found a blood clot in my heart heart in August when they were about to do an ablation he put me back on Apixiban. That was on a Friday and on the Monday, after having the same symptoms (plus post menopausal bleeding) I was readmitted to hospital. My EP didn’t want me at home with a blood clot in my heart and labile blood pressure.

Hugo40 profile image
Hugo40 in reply toKaz747

Thanks for that Kaz747. sorry you suffered so much.

Just come out of my longest 5 days of AF & anxiety, my Cardiologist is in Orlando with his family sent him Kardia ECG, even then he did Text me 3 times advised & reassured planned meds etc. Some wonderful people about not just on this board.

Back in normal Rhythm/Pulse & BP now thanks to everybody and the Gods.

No trace of bad side effects symptoms from APIXABAN, been on them for a week now, just hope it lasts.

Regards

Hugo40

Horse57 profile image
Horse57

It’s so unsettling to loose our hair. So sorry to hear that. One thing I wanted to mention is be careful not to eat too many Brazil nuts. They have a lot of selenium which can be highly toxic. 4-5 is plenty. You might want to do your own research as well about this. You take good care😊

Kaz747 profile image
Kaz747 in reply toHorse57

Yes the nutritionist on the radio said no more than 4 or 5 Brazil nuts a day.

inezelsie profile image
inezelsie

I lost tons of hair when I was on amiodarone, but I stopped taking it in December and my hair seems to be recovering. I'm on Eliquis - apixaban, but I don't think it has been a problem. Amiodarone can affect the thyroid, and my T3 has been low but is slowly getting back to normal.

Kaz747 profile image
Kaz747 in reply toinezelsie

Thankfully I was only on Amiodarone for a few weeks and my thyroid was fine in my recent blood test. It did affect my liver function but I was told that the enzyme level should get back to normal fairly quickly with going off it. I guess I’ll know when I have my next blood test.

Rackham profile image
Rackham

Thank you for posting this, My sister had the same problem with hair loss when taking riveroxaban. She reverted to taking warfarin which she has been on for a few years. I am now taking this drug so a little concerned about this however I seem to be okay. I shall buy the nuts though just as a precaution. Do you mind telling me which vitamins you were advised to take?

Regards R

Kaz747 profile image
Kaz747 in reply toRackham

The multivitamin I was recommended is Swisse Women’s Ultivite (the general one, not the over 50s). I also take Executive B (B group + magnesium), Magnesium and Tumeric (for osteoarthritis).

Madscientist16 profile image
Madscientist16

It may not be your anti-coagulant. Many heart and blood pressure medications can cause temporary or permanent hair loss. Check out this link.

webmd.com/skin-problems-and...

Kaz747 profile image
Kaz747 in reply toMadscientist16

The only drug on that list I’m on is Atenolol but I haven’t been on that for long. That may be contributing but my hair was falling out prior to that. Hopefully when I see my EP in next month I may be able to reduce or come off the beta blocker.

myrnalynn52 profile image
myrnalynn52 in reply toKaz747

That would be great for you , Wishing you great success

myrnalynn52 profile image
myrnalynn52

I am on Xeralto and I notice the same hair loss when I wash my hair brush it or blow dry . Hair dresser informed me hair tbis with age ( did not think I had reached that stage yet).Also said we shed 1000 hairs a day that is natural and may just notice more , I think it could be the stress from developing Afib and question whether it’s the blood thinner but was doing it when I was diagnosed in sept last year and was put in warfarin. I had surgery about 3 years ago and the same thing happened for about a year then quit, I was told it was body reacting to stress and would heal in time. I keep hoping that will be the case as well . I also love my crowning glory and find it hard to accept .

Kaz747 profile image
Kaz747 in reply tomyrnalynn52

I’m only 54 so I’m hoping it slows down. Since my ablation a few weeks ago my AF has been really good so hopefully I’ll be able to come off some drugs soon.

Rackham profile image
Rackham

I wish you all the best for the future. I have been advised to stay on the anti coagulants forever as I had a very tiny TIA last December. I am 62 & otherwise pretty fit & healthy. Apart from gaining about 3lbs in weight since starting the riveroxaban it seems to be suiting me. Here’s hoping that continues!

Regards R

Kaz747 profile image
Kaz747 in reply toRackham

I will probably be on anticoagulants forever too but I’m hoping to get off the other drugs.

Rackham profile image
Rackham

I’m on the waiting list for ablation but it is a year long!! Ah well...........

As long as my risk of stroke is reduced & managed I can handle that.

Kaz747 profile image
Kaz747 in reply toRackham

That’s such a long time to have to wait. Take care x

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