Does Glimepiride cause hair loss? 

Does Glimepiride cause hair loss? 

Glimepiride may or may not cause hair loss. This side effect is not common, but it could still affect some people. The exact reason why the medication may make some people lose hair has yet to be fully discovered. 

However, experts believe that there could be some factors responsible for your hair loss, including diabetes itself- as this chronic disease is known for causing hair loss. Other factors like another underlying condition or use of the drug with incompatible drugs can also contribute to hair loss.

Many such cases were reported where Glimepiride was paired with an incompatible medication, which opened doors for side effects which were not commonly observed. 

What does research indicate?

There is limited research on Glimepiride-induced hair loss and it is not a commonly reported side effect of Glimepiride (1). However, individual cases of hair loss have been reported with its use.

On the other hand, several research studies indicate that diabetes can cause hair loss. A 2016 research study showed that hair loss could be an early symptom of type-2 diabetes, as the disease can start affecting hair follicles and trigger hair loss. (2)

Another study found that type 2 diabetes is associated with a higher risk of severe central scalp hair loss in African American women. The study followed a group of participants and observed 850 cases of severe hair loss during the follow-up period. (3)

The hazard ratio for severe hair loss associated with diabetes was 1.68 overall and 2.05 for diabetes duration of 10 years or more. Based on these findings, it is recommended that patients with type 2 diabetes should be closely monitored for central scalp hair loss and offered appropriate treatment.

In general, antidiabetics are not that commonly associated with hair loss as compared to other drugs, including antihypertensives – especially beta-blockers like Labetalol, Bisoprolol, etc. 

What to do if Glimepiride causes hair loss?  

It’s best to talk to your healthcare provider if you think Glimepiride is causing hair loss or hair thinning. Your doctor will determine the most appropriate way to prevent this side effect. 

If Glimepiride is indeed the one making you lose hair, your doctor might opt for dose reduction, which does work in a lot of cases. However, if your side effect persists, your doctor may switch you to another medication. Make sure you continue using Glimepiride until your doctor tells you otherwise. 

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References

1.-

Trerattanavong K, Tadi P. Glimepiride. 2023 May 31. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 32119487.https://pubmed.ncbi.nlm.nih.gov/32119487/

2.-

Miranda JJ, Taype-Rondan A, Tapia JC, Gastanadui-Gonzalez MG, Roman-Carpio R. Hair follicle characteristics as early marker of Type 2 Diabetes. Med Hypotheses. 2016 Oct;95:39-44. doi: 10.1016/j.mehy.2016.08.009. Epub 2016 Aug 16. PMID: 27692164; PMCID: PMC5073072. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5073072/

3.-

Coogan PF, Bethea TN, Cozier YC, Bertrand KA, Palmer JR, Rosenberg L, Lenzy Y. Association of type 2 diabetes with central-scalp hair loss in a large cohort study of African American women. Int J Womens Dermatol. 2019 Jun 6;5(4):261-266. doi: 10.1016/j.ijwd.2019.05.010. PMID: 31700983; PMCID: PMC6831789. https://pubmed.ncbi.nlm.nih.gov/31700983/