Skip to main content

Does metoprolol cause hair loss?

Medically reviewed by Kristianne Hannemann, PharmD. Last updated on Aug 30, 2024.

Official answer

by Drugs.com

Hair loss was not a commonly-reported side effect during clinical trials of metoprolol. However, rare reports of reversible hair loss have been reported by patients taking it. After stopping the medication, hair grows back again.

Typically, hair loss doesn’t occur until a few months after starting metoprolol. This is because it can take 2-5 months for hair to fall out after a trigger, like metoprolol, is present. At this time, you may notice clumps of hair coming out during brushing or showering.

Why does metoprolol cause hair loss?

It is thought that beta blockers like metoprolol can cause hair that is in the anagen (growth) phase to switch into the telogen (resting) phase. When they switch back into the growth phase, the hair strands fall out. This can cause a large amount of hair shedding to occur, which is called telogen effluvium.

What should I do if I am having hair loss from metoprolol?

If you notice more hair falling out than usual while taking metoprolol, speak to your healthcare provider. They will evaluate you and help you determine whether the hair loss is due to metoprolol or another cause. If it appears likely that your hair loss is being caused by metoprolol, your healthcare provider may suggest an alternative treatment option.

References

Graeber, C. W., et. al. 1981. Metoprolol and alopecia. In: Cutis. Accessed on August 30, 2024 at https://pubmed.ncbi.nlm.nih.gov/7318502/

Hughes, E. C., et. al. 2024. Telogen Effluvium. In: StatPearls [Internet]. Accessed on August 30, 2024 at https://www.ncbi.nlm.nih.gov/books/NBK430848/

Metoprolol succinate [package insert]. Updated March 2024. BluePoint Laboratories. Accessed on August 30, 2024 at https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=99ecc717-38ab-4d00-8bf2-86a41b1c7977

Metoprolol tartrate. Updated May 2023. Alembic Pharmaceuticals Limited. Accessed on August 30, 2024 at https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=cb76a73f-549a-4170-b96a-f93ed7e09464

Phillips, T. G., et. al. 2017. Hair Loss: Common Causes and Treatment. In: American Family Physician. Accessed on August 30, 2024 at https://www.aafp.org/pubs/afp/issues/2017/0915/p371.html

Read next

What is the best time of day to take blood pressure medication?

Research has suggested that taking your blood pressure medication at night instead of in the morning can provide better blood pressure control at night without compromising daytime blood pressure control and reduce your overall risk of dying because of cardiovascular disease by 45%. Continue reading

Metoprolol Succinate vs Tartrate: What's the difference between them?

Metoprolol is available as two different salts: metoprolol tartrate and metoprolol succinate.

The main difference between metoprolol tartrate and metoprolol succinate is that metoprolol tartrate is only available as an immediate-release tablet which means it must be taken several times per day, whereas metoprolol succinate is an extended-release tablet that can be taken once a day. As a result, there are differences in the dosages and indications for both metoprolol tartrate and metoprolol succinate and they are not considered interchangeable. Continue reading

Does metoprolol lower resting heart rate?

Yes, metoprolol can lower resting heart rate. It is a beta-blocking medication that is used to lower blood pressure, as well as relieve chest pain from angina pectoris. It is also used for the treatment of heart failure and heart attack. Metoprolol comes in both immediate-release and long-acting formulations. Continue reading

Related medical questions

Drug information

Related support groups