Expert: Dr Alan Galbraith - 4/14/2009

Question
QUESTION: I have been prescribed irbesartan to treat hypertension, I have noticed that since starting the treatment 6 months ago my occasional mild alopecia areata has flared up severely for the first time in 10 years.   Is there any evidence of this being a side effect of irbesartan or is it just coincidence.   I've also noticed a definite moustache...

ANSWER: Dear Michelle

This is a rare effect of irbesartan so you are unlucky. If it is very bothersome you could ask for a change in antihypertensive drug.

Regards

Alan Galbraith

---------- FOLLOW-UP ----------

QUESTION: Thank you for confirming my suspicions that the alopecia MAY have been aggravated by this drug.   Is it possible that other similar drugs might have the same result and is there a family of anti hypertensive drugs that may be more suitable for someone like me with a propensity for hair loss?

Answer
Dear Michelle

There are so many classes of anthypertensives that you really need guidance from your prescriber who knows your case, but the ACE inhibitors are closely related in action to the sartans and should not cause you hair problems. They may be worth a try but do not concenn yourself as I am certain an alternative will be prescribed appropriately.

Regards

Alan Galbraith