Hair loss after transplant, probably Tacrolimus: Anyone change meds?

Posted by hello1234 @hello1234, Mar 26, 2022

In the beginning, my hair loss seemed minimal and I took Biotin supplements. Now, approaching my 2nd anniversary for my kidney transplant, my hair is coming out in gobs. I believe it's probably the Tacronlimis. If you had this problem, what did you do to solve it? Rogaine for Women, Hairmax laser comb, change your medication, or something else? Please let me know your experience (I think I am going bald).
Many thanks!

Interested in more discussions like this? Go to the Transplants Support Group.

I too am suffering with severe hair loss and am 3 months post liver transplant . I've probably lost 2/3 of my hair over the past month and it's still shedding .I'm with you in thinking I'm going to be bald too.
Did your doctors prepare you to the fact that this could happen?
I don't know the fix but im about to try a growth serum you put on your scalp which is supposed to encourage new growth. I'll give it some time and let you know how it goes.

REPLY
Profile picture for theaelizabeth @theaelizabeth

I too am suffering with severe hair loss and am 3 months post liver transplant . I've probably lost 2/3 of my hair over the past month and it's still shedding .I'm with you in thinking I'm going to be bald too.
Did your doctors prepare you to the fact that this could happen?
I don't know the fix but im about to try a growth serum you put on your scalp which is supposed to encourage new growth. I'll give it some time and let you know how it goes.

Jump to this post

@theaelizabeth
Good Morning, Elizabeth, and welcome to Mayo Connect! I also extend "Congratulations" for your recent liver transplant and your ongoing recovery.
I am also a transplant recipient, and my hair was also thinning after my transplant. In fact, so did my nails become brittle ugly.
That was 17 years ago, and I remember the frightening feeling that accompanied my hair loss, as I was not expecting it.
Elizabeth, Please be patient, and do not use any chemical or treatment without consulting with your transplant team. Our post transplant bodies are in recovery from a very complex surgery, plus we are on very strong medications. So, in the meantime, be gentle with your hair, use gentle hair products and skip that perm or coloring for a while.
I was fortunate to have a hairdresser who is certified to assist cancer patients with their hair losses. She recommended a shampoo and a conditioner that she has recommended for her cancer clients. In addition, my dermatologist suggested taking Biotin, which my transplant approved. I actually began to feel 'good' about my hair after 8-9 months.

Elizabeth, other than hair loss, How are you coming along? ?

REPLY
Profile picture for theaelizabeth @theaelizabeth

I too am suffering with severe hair loss and am 3 months post liver transplant . I've probably lost 2/3 of my hair over the past month and it's still shedding .I'm with you in thinking I'm going to be bald too.
Did your doctors prepare you to the fact that this could happen?
I don't know the fix but im about to try a growth serum you put on your scalp which is supposed to encourage new growth. I'll give it some time and let you know how it goes.

Jump to this post

@theaelizabeth
Hi, It's me again.

Here is another discussion with members sharing their hair loss experiences: After transplant I have hair loss due to meds: Will it come back? https://connect.mayoclinic.org/discussion/liver-transplant-hair-loss/

REPLY

Hi there! @rachel5239

I experienced hair loss with pograf. The hair loss was quite significant. I asked to be switched to the tacrolimus and it is less significant now. I use Rogaine foam for women . The generic Rogaine does not work as fast or as well. It helps to keep what I have. I use it every day. When I first experienced the hair loss early on, I bought hair toppers (wigs for top only) from amazon. I began wearing these mostly until I had enough hair of my own to cover. It has not grown in much since I started the treatment late, but it works great. I am also on a very low dose of Imuran and do not have hair loss with it. Hope this helps. I stopped the prograf.

Josie
@jlferro1

REPLY
Profile picture for jennifer0726 @jennifer0726

I was losing hair like crazy after transplant, and my team allowed me to take biotin. They said it was the Tacrolimus. The trauma probably contributed to it as well. It did eventually slow down and started filling in some. However, after I was sick in February I noticed it has started coming out more again, but not the handfuls that it was at first post transplant. Tacrolimus, stress, illness, weight loss, so many things can contribute in addition to normal cycles of shedding. Perhaps talk to your team?

Jump to this post

@jennifer0726 Hi hon. my dermatologist informed me that Biotin does not promote hair growth. Rogaine for Women does. hope this helps

REPLY
Profile picture for hello1234 @hello1234

Hi @jennifer0726 and @mollyv 😊 You both definitely gave me some hope....THANK YOU BOTH! I was told that Tacronlimis has hair loss as a definite side effect but I also think you are correct that the trauma of major surgery may contribute too. How many years post transplant are you and what dosage of Tacronlimis do you take? I take 6mg Envarsus XR once a day long-acting and it will be two years in July. I am getting ready for surgery to ligate (shut off) my hemodialysis fistula in two weeks so I think that stress may also be contributing to my significant hair loss. I am not looking forward to surgery of any kind. I am hopeful that my hair loss is not permanent hair loss because I can see my scalp in the front of my head very clearly. Thank you again for letting me know your experience with hair loss. You were both super helpful in providing me a reason to be optimistic.
Jen, how are you feeling since your illness in February. Are you feeling better now?

Jump to this post

@hello1234 I am 30 years post kidney transplant. I started using tacrolimus approximately 10 years ago. I am on 3 per day. 1 in the morning and 2 at night. Just start using Rogaine for Women and not the generic. It works very well to maintain what you have.
Good Luck!

REPLY
Profile picture for jennifer0726 @jennifer0726

Hi @hello1234,
My transplant and bilateral nephrectomy for PKD was 12/7/20, so I am a bit over 1 year post. My Tacrolimus was just reduced to 2 mg am and 1 mg pm. I was very sick with Noro Virus and C. Diff mid February. I am much better, but need to revert to toast and rice off and on. Thankfully, I work from home now! I thought I was losing a bit of hair right before TX, but nothing like after. I avoided dialysis by getting a preemptive living donor transplant, but my function was getting very low. I hope your surgery goes well! It’s wonderful you don’t need it anyone!

Jump to this post

@jennifer0726 I forgot to mention that tacrolimus and prograf are both chemo drugs, such are the side effects of hair loss.

REPLY
Profile picture for hello1234 @hello1234

Hi @jennifer0726 and @mollyv 😊 You both definitely gave me some hope....THANK YOU BOTH! I was told that Tacronlimis has hair loss as a definite side effect but I also think you are correct that the trauma of major surgery may contribute too. How many years post transplant are you and what dosage of Tacronlimis do you take? I take 6mg Envarsus XR once a day long-acting and it will be two years in July. I am getting ready for surgery to ligate (shut off) my hemodialysis fistula in two weeks so I think that stress may also be contributing to my significant hair loss. I am not looking forward to surgery of any kind. I am hopeful that my hair loss is not permanent hair loss because I can see my scalp in the front of my head very clearly. Thank you again for letting me know your experience with hair loss. You were both super helpful in providing me a reason to be optimistic.
Jen, how are you feeling since your illness in February. Are you feeling better now?

Jump to this post

@hello1234 here is a tip told to me by my dermatologist: Pluck a strand of hair from your scalp. If you see a ball at the end of the hair, it will grow back. It not, it will not grow back. If male pattern baldness runs in your family, then hair loss will occur in your older year. (50 and up). Hope this helps.

REPLY
Profile picture for jlferro1 @jlferro1

@jennifer0726 I forgot to mention that tacrolimus and prograf are both chemo drugs, such are the side effects of hair loss.

Jump to this post

@jlferro1
Thanks for the input! I am now 5.5 years post transplant, and I have experienced hair loss and improvement three times post surgery since my TX. Most recently I had my left hip replaced end of March at Mayo, and I was back to dropping hair again. I think it is the anesthesia and trauma from surgery that does it for me. Eventually, it comes back, maybe not like when I was much younger, but to my new normal. About a month ago they upped my Tac from 2 in the morning to taking 3 in the morning and still 2 in evening. Trough is 5-7, and I dipped below 5. It is a lifelong thing keeping it all stable.

REPLY
Profile picture for jlferro1 @jlferro1

@hello1234 I am 30 years post kidney transplant. I started using tacrolimus approximately 10 years ago. I am on 3 per day. 1 in the morning and 2 at night. Just start using Rogaine for Women and not the generic. It works very well to maintain what you have.
Good Luck!

Jump to this post

@jlferro1
Good morning! It's a pleasure to meet you. Congratulations on your 30 years post transplant milestone. That's so awesome. Was your donor a relative?
Also, thank you so much for all your tips on how to handle Tacrolimis and hair loss. It sounds like you were able to find an excellent dermatologist that gives very helpful advice!
Has your 30 years as a kidney transplant been a pretty smooth ride for you?

REPLY
Please sign in or register to post a reply.