Accutane, while effective for acne, can cause hair thinning. Distinguishing it from other causes requires careful observation and potentially, medical tests. Focus on the Timing of hair loss: did it start during or shortly after Accutane treatment? This is a strong indicator. However, many things cause hair loss, so don’t assume Accutane is the culprit without proper investigation.
Timing and Pattern
Accutane-related hair loss usually manifests as telogen effluvium, a temporary shedding triggered by stress (including medication). This typically begins one to three months after starting Accutane and involves a generalized thinning across the scalp, not concentrated patches. The hair loss often resolves once the medication is stopped.
Other Potential Causes
Consider these alternative explanations for hair loss, which a dermatologist can help differentiate:
| Androgenetic alopecia (male or female pattern baldness) | Gradual thinning, often starting at the temples or crown. Hereditary component. |
| Alopecia areata | Sudden appearance of round, smooth patches of hair loss. Autoimmune condition. |
| Nutritional deficiencies | Thinning often accompanied by fatigue or other symptoms of deficiency. Blood tests can diagnose. |
| Stress | Can trigger telogen effluvium, but usually resolves with reduced stress. |
Seeking Professional Help
Schedule an appointment with a dermatologist or trichologist. They can assess your hair and medical history, perform relevant tests (like a blood test to check for deficiencies or a scalp biopsy), and provide a definitive diagnosis. This will help determine the best course of action, whether that’s managing the hair loss or addressing underlying issues.
Important Note
Never stop Accutane abruptly without consulting your prescribing dermatologist. They will help manage any side effects and ensure your acne treatment remains effective.
