TLDR Higher doses and longer use of isotretinoin may increase hair loss risk.
This retrospective study examined the characteristics of patients who experienced hair loss after isotretinoin treatment. Out of 6,330 patients with hair loss, 48 had been prescribed isotretinoin between 2013 and 2018, and 19 of these experienced hair loss concurrently or within 2 years of treatment. The study found that patients who developed hair loss were generally older, had higher cumulative doses, and longer treatment durations compared to those who did not experience hair loss. The study suggested that dosage and duration might be linked to hair loss, although the exact mechanism remained unclear. The findings were intended to aid in counseling patients concerned about hair loss when considering isotretinoin treatment. Limitations included the small number of affected cases and the retrospective nature of the study.
85 citations
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April 2007 in “Dermatologic Clinics” Some drugs can cause hair loss, change hair color and shape, or increase hair growth, and treatment may involve stopping the drug or using specific hair growth treatments.
83 citations
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May 1999 in “International Journal of Dermatology” Hair loss that spreads out can often fix itself or be treated by finding and handling the cause.
September 2025 in “SKIN The Journal of Cutaneous Medicine” Isotretinoin can cause hair loss, and reducing the dose or using supplements like vitamin D and iron may help.
9 citations
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October 2018 in “Journal of Cosmetic Dermatology” Isotretinoin at a low dose for three months does not significantly affect hair growth.
7 citations
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May 2022 in “International Journal of Environmental Research and Public Health” Isotretinoin therapy for acne can cause many reversible side effects, mainly mild skin conditions, and patient understanding of these effects can improve treatment adherence.
January 2016 in “Springer eBooks” Understanding drug interactions, side effects, and patient-specific factors is crucial for effective dermatological care.
63 citations
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March 1995 in “International Journal of Dermatology” Some drugs can cause hair loss, and stopping these drugs often leads to hair regrowth.