Does Lamictal cause hair loss? 

Does Lamictal cause hair loss? 

Lamictal is not usually associated with hair loss as a side effect, but it can affect some people. Studies have indicated that Lamictal may cause an inevitable adverse effect in some people which is quite toxic in nature and is known as epidermal necrolysis. 

It is a painful condition in which the drug causes toxicity in your epidermal or skin cells and the skin may start to peel off. This side effect is associated with hair loss or Alopecia, because of its toxic effects on your skin. 

Other than that, hair loss on Lamictal is not that commonly reported. Even if it does affect some people, it is usually reversible and people may begin to recover once their bodies are adjusted to the medication. Lamictal is most commonly known for other side effects like nausea, upset stomach, and some psychological side effects.

Make sure you report your side effects to your healthcare provider right away. Do not change the dose or frequency without your doctor’s approval and don’t discontinue Lamictal abruptly. 

What does research suggest?

There is limited research on the effects of Lamictal on hair growth. However, some case reports show such cases. A 2010 case report involved 337 patients from 19 countries who were suspected of developing hair loss (alopecia) due to the use of Lamotrigine (1). 

The patients’ ages ranged from 5 months to 84 years, with most of them being under 40 years old. The majority of the patients were females (272 out of 337). In most cases (291 out of 337), Lamotrigine was the only drug suspected to be causing hair loss. 

Other antiepileptic drugs were commonly reported alongside Lamotrigine. Hair loss was reported as the only side effect for 217 patients. 

In 11 patients, the hair loss stopped after discontinuing Lamotrigine. However, one patient experienced a recurrence of hair loss when Lamotrigine was reintroduced. Several other cases of alopecia are also reported (2).

Is hair loss on Lamictal reversible?

Research suggests that in some cases, hair loss caused by Lamictal may improve or reverse after discontinuing the medication. However, this may vary from person to person. It’s important to note that hair regrowth can take time, and results may not be immediate.

How to get rid of Lamictal-induced hair loss?

Talk to your healthcare provider about getting rid of Lamictal-induced hair loss. Your doctor may consider several options, which could include:

  • Adjusting the Dosage: If the hair loss is believed to be related to the dose of Lamictal, your healthcare provider may consider lowering the dosage or exploring alternative treatment options.
  • Switching Medications: In some cases, your healthcare provider may suggest switching to a different medication that may have a lower risk of causing hair loss.
  • Supplementing with Biotin: Biotin is a B vitamin that is sometimes used to promote hair health. Your healthcare provider may recommend supplementing with biotin to support hair growth.
  • Supporting Hair Health: Maintaining overall hair health is important. This can involve following a balanced diet, practising good hair care habits, and avoiding harsh treatments or styles that may further damage the hair.

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References

1.-

Tengstrand M, Star K, van Puijenbroek EP, Hill R. Alopecia in association with lamotrigine use: an analysis of individual case safety reports in a global database. Drug Saf. 2010 Aug 1;33(8):653-8. doi: 10.2165/11536190-000000000-00000. PMID: 20635823. https://pubmed.ncbi.nlm.nih.gov/20635823/

2.-

Solmi M, Tamiello GI, Manuli G. Lamotrigine Induces Hair Loss in a Patient With Treatment-Resistant Major Depressive Disorder. Am J Ther. 2017 Sep/Oct;24(5):e611-e612. doi: 10.1097/MJT.0000000000000586. PMID: 28346304. https://pubmed.ncbi.nlm.nih.gov/28346304/