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Ask the Rheumatologist: Latest Answer

Q:

Cathy from the Unites States asks: I am losing my hair from methotrexate.  Is there anything I can do?

A:

While not common, hair loss is a known side effect from methotrexate.  Usually, complete hair loss is not seen at the doses used to treat inflammatory joint and skin conditions, although it certainly can be concerning for individual patients.  Options to reduce this side effect include ensuring you are taking appropriate doses of folic acid, even up to 10 mg per day.  A related medication, called folinic acid, can sometimes be helpful, but should be discussed with your physician.  A dose reduction in methotrexate can also be helpful.  If none of these are effective, have a discussion with your physician to review alternate treatment options.

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