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Q. My doctor prescribed 100 milligrams of metoprolol to control my blood pressure. After taking it for some time, I noticed that my once-thick blond hair had thinned considerably. I saw it on my hairbrush every morning when I styled my hair.
When I complained to my primary care provider, she suggested hair products like Rogaine! I was furious because she didn’t seem to be taking my concern seriously. Research online suggested that the metoprolol was responsible. I cut the pills in half and took 50 milligrams for about six months. Voila! My hair grew back.
At my next check-up, I told my primary care physician how disappointed I was that she did not come forward with the information when I first complained. She professed surprise. How could doctors not know about the hair loss side effect? My blood pressure was still fine at 50 milligrams, and so my PCP changed my prescription.
Now, even at that dose, my hair has again started thinning. I am at my wits’ end. Is there any treatment for high blood pressure that doesn’t cause hair loss?
A. Beta blockers such as atenolol, metoprolol and propranolol used to be first-line prescriptions for high blood pressure. That is no longer true. And such drugs have been associated with hair loss in some people.
Your doctor has many other options for blood pressure control. Our “eGuide to Blood Pressure Solutions” discusses non-drug approaches along with a variety of prescription drugs. This online resource can be found under the Health eGuides tab at www.PeoplesPharmacy.com.
Hair loss appears less likely with angiotensin receptor blockers (ARBs) such as losartan or valsartan. Do ask your doctor whether such a drug would be appropriate for you.
Q. I developed atrial fibrillation, and my doctor prescribed Eliquis to prevent a stroke. At that time, it would have cost me over $600 a month. That was way out of my financial reach.
My doctor suggested that I order it from a Canadian pharmacy to save money. It cost me $159 for a three-month supply. I have read on your website that I will no longer be able to purchase my medicine from Canada. What can I do?
A. In atrial fibrillation, the upper chambers of the heart do not always eject blood effectively. As a result, blood clots may form and end up in the brain. This is why doctors frequently prescribe anticoagulant medication to prevent strokes from such clots. Never stop a drug such as Eliquis (apixaban) suddenly! The result could be disastrous due to an increased risk of stroke.
Customs and Border Protection (CBP) is expected to block importation of medications from Canada and other countries starting on Oct. 22, 2026. Your physician will need to help you find an affordable alternative so that you can make an appropriate transition before the deadline.