8 doctors weighed in:

What medication is best for mild high blood pressure w/o risk to asthmatic & w/o even the 1% possibility of hair loss?

8 doctors weighed in
Dr. Bac Nguyen
Family Medicine
4 doctors agree

In brief: Your doc can choose

We usually avoid a class of med called beta-blocker in treating BP in asthmatics, but beta-1 selective bb has minimal effect on asthma.
Aldactone (spironolactone) can reduce hair growth, but only used in heartfailure or severe bp. BP meds generally don't cause hair loss unless BP is drastically n rapidly reduced (reducing blood to scalp) which may affect hairgrowth for first few months. Minoxidil causes hairgrowth.

In brief: Your doc can choose

We usually avoid a class of med called beta-blocker in treating BP in asthmatics, but beta-1 selective bb has minimal effect on asthma.
Aldactone (spironolactone) can reduce hair growth, but only used in heartfailure or severe bp. BP meds generally don't cause hair loss unless BP is drastically n rapidly reduced (reducing blood to scalp) which may affect hairgrowth for first few months. Minoxidil causes hairgrowth.
Dr. Bac Nguyen
Dr. Bac Nguyen
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2 comments
Dr. Bac Nguyen
minoxidil is the main ingredient of Rogaine..it is a powerful BP med but not used frequently because of side effects, one of which is hairgrowth!
Dr. Bac Nguyen
this med it is not bad for asthma..as I mentioned, you may have some hair loss--actually not loss but a phase-change--the hair your lose is replaced with new ones. So eventually your hair growth will be normalized. remember, if 1% people reporting such, likely a "placebo effect"
Dr. Norman Levine
Dermatology
2 doctors agree

In brief: Hair loss

Rather than look for the drug which will absolutely not cause hair loss, perhaps you should pick a drug with a smaller chance of this happening, with the understanding that unexpected side effects occur with most medications.
Spironolactone is a realtively weak diuretic, but is less likely to cause hair loss than beta blockers or calcium blockers.

In brief: Hair loss

Rather than look for the drug which will absolutely not cause hair loss, perhaps you should pick a drug with a smaller chance of this happening, with the understanding that unexpected side effects occur with most medications.
Spironolactone is a realtively weak diuretic, but is less likely to cause hair loss than beta blockers or calcium blockers.
Dr. Norman Levine
Dr. Norman Levine
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