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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Severe Hair Loss Be Treated While On Wellbutrin And Warfarin After A Stroke?

HI...I have been on several meds since stroke 1998 and medical retirement and disability...NOW my meds include warfarin and wellbutrin plus.My hair falling out fast....i used to have extremly thick hair and now its thin enough I am almost scared to wash and comb it because the brush/comb is full of hair when i comb it out.Any help would be greatly appreciated. I called my dr. and no answer after 3 days when i asked if meds could be changed to help.
Wed, 19 Dec 2018
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Ayurveda Specialist 's  Response
**
Thanks for contacting with your health concern

1. as you are a diagnosed case of stroke and taking anticoagulant and antidepressant thus prior to treating hair loss, following points should be remembered:

- hair loss is a documented side effect of warfarin and also data on its time course and on treatment is not available, so consult with your attending Physician as to how to tackle the problem [if this is the cause]

PS. As you are on warfarin, check with your INR [international normalized ration] level since high levels signify bleeding problems and low level predisposes to thrombosis.

2. Wellbutrin [bupropion] is primarily used as an antidepressant and in smoking cessation aid and hair loss is an infrequent side effect of the medication occurring in 1 in 100 or 1 in 1000 people taking Wellbutrin.

3. you should talk with your doctor to know whether hair loss is due to the ADR [adverse drug reaction] of the drug or is there any underlying secondary cause: hormonal or fungal infection of the scalp.

4. In the meantime, some dietary and lifestyle changes which you can incorporate into your daily activities are:

. take high protein diet
. for hair bath, do not use very hot water.
. comb hair when they are dry, Wet hair is weak.
. dry the hair naturally, avoid blow dryer and strong heat.
. cover hair while traveling in the sun or on a scooter.
. Soap nut (reetha) and shikakai along with Bhringraj and Neelini oil act as a natural conditioner and you can use it safely.

PS. Initially one can start with Immunomodulation [Rasayan Chikitsa] Treatment and later restore to non- surgical hair replacement
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How Can Severe Hair Loss Be Treated While On Wellbutrin And Warfarin After A Stroke?

** Thanks for contacting with your health concern 1. as you are a diagnosed case of stroke and taking anticoagulant and antidepressant thus prior to treating hair loss, following points should be remembered: - hair loss is a documented side effect of warfarin and also data on its time course and on treatment is not available, so consult with your attending Physician as to how to tackle the problem [if this is the cause] PS. As you are on warfarin, check with your INR [international normalized ration] level since high levels signify bleeding problems and low level predisposes to thrombosis. 2. Wellbutrin [bupropion] is primarily used as an antidepressant and in smoking cessation aid and hair loss is an infrequent side effect of the medication occurring in 1 in 100 or 1 in 1000 people taking Wellbutrin. 3. you should talk with your doctor to know whether hair loss is due to the ADR [adverse drug reaction] of the drug or is there any underlying secondary cause: hormonal or fungal infection of the scalp. 4. In the meantime, some dietary and lifestyle changes which you can incorporate into your daily activities are: . take high protein diet . for hair bath, do not use very hot water. . comb hair when they are dry, Wet hair is weak. . dry the hair naturally, avoid blow dryer and strong heat. . cover hair while traveling in the sun or on a scooter. . Soap nut (reetha) and shikakai along with Bhringraj and Neelini oil act as a natural conditioner and you can use it safely. PS. Initially one can start with Immunomodulation [Rasayan Chikitsa] Treatment and later restore to non- surgical hair replacement