If you’ve been prescribed methotrexate to manage an autoimmune condition like rheumatoid arthritis or psoriasis, you might be wondering about its potential side effects, particularly concerning your hair. Noticing more strands in your brush can be worrying, and it’s natural to question if your medication is the cause. You’re not alone in this concern.
Methotrexate works by slowing down rapidly dividing cells in the body, which is why it’s effective at calming an overactive immune system. However, this same mechanism can sometimes affect other fast-growing cells, including those in your hair follicles. The good news is that hair loss from methotrexate is often manageable and not a guaranteed outcome for everyone.
How Methotrexate Can Affect Your Hair
Hair loss from methotrexate is generally not like typical male or female pattern baldness. Instead, it often presents as a general thinning of the hair across your scalp, known as telogen effluvium. This happens when the medication pushes a larger number of hair follicles into the resting phase, leading to increased shedding a few months later. The extent of this effect can depend on your individual dosage and how your body responds to the treatment.
Practical Steps to Support Your Hair Health
If you’re experiencing thinning hair, the most important step is to talk to your doctor. They can check if your folate levels are adequate, as taking a folic acid supplement is often recommended to help reduce methotrexate’s side effects, including hair loss. Never adjust your dosage without their guidance.
In the meantime, treating your hair gently can make a big difference. Consider using a soft, wide-tooth comb and gentle, sulfate-free shampoos. It’s also a good idea to limit the use of high-heat styling tools like blow dryers and straighteners, which can put additional stress on your hair.
When to Speak with Your Doctor
While some shedding can be normal, it’s important to keep your healthcare provider informed. You should definitely schedule a conversation if you notice large clumps of hair coming out, if your scalp becomes tender or inflamed, or if the thinning is causing you significant distress. Your doctor can help determine if the hair loss is truly linked to the methotrexate or if another underlying issue might be at play.
Remember, managing a chronic condition is a balance, and your treatment plan is unique to you. Hair thinning can be a temporary and manageable side effect for many. By working closely with your healthcare team and practicing gentle hair care, you can navigate this challenge while continuing your path to better health.