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Can timolol cause hair loss?

Published in Medication Hair Loss 2 mins read

Yes, timolol can cause hair loss.

Understanding Timolol and Hair Loss

While not among its most common side effects, hair loss, specifically a condition known as telogen effluvium, has been observed in individuals using timolol. This effect has been particularly noted with topical applications, such as timolol eye drops used for conditions like glaucoma.

What is Telogen Effluvium?

Telogen effluvium is a temporary form of hair loss characterized by excessive hair shedding. It occurs when a higher-than-normal number of hair follicles prematurely enter the resting (telogen) phase of the hair growth cycle. This leads to generalized hair thinning across the scalp rather than distinct bald patches.

Characteristics of Timolol-Related Hair Loss

When hair loss is linked to timolol, it typically exhibits certain features:

  • Type: The most commonly observed form of hair loss is telogen effluvium, resulting in diffuse hair thinning.
  • Onset: Hair loss can develop after starting the medication, though the exact timeframe can vary among individuals.
  • Reversibility: A key characteristic is that this type of hair loss is often reversible. In documented instances, hair volume has shown significant restoration, with pre-treatment hair density potentially returning within several months (e.g., up to 14 months) following the discontinuation of the drug.
  • Formulation: Although systemic timolol could theoretically contribute, reported cases frequently involve topical formulations, such as those used in ophthalmology.

What to Do If You Experience Hair Loss

If you notice unusual hair shedding or thinning while using timolol:

  1. Consult Your Doctor: It is essential to discuss any side effects, including hair loss, with your healthcare provider. Never stop taking your medication without professional medical advice.
  2. Medical Evaluation: Your doctor can help determine if timolol is the cause of your hair loss or if other factors might be contributing. They can also explore alternative treatment options if necessary and appropriate for your condition.
  3. Monitoring: If timolol is identified as the likely cause and it's medically appropriate to discontinue or switch medications, monitor your hair regrowth. Patience is important, as the process of hair restoration can take time.

Quick Overview of Timolol-Induced Hair Loss

Feature Description
Type of Loss Telogen effluvium (diffuse hair thinning)
Associated With Timolol use, particularly topical formulations (e.g., eye drops)
Reversibility Often reversible upon discontinuation of the medication
Recovery Time Hair volume can be restored over several months, potentially up to 14 months