Does Infliximab Cause Hair Loss? Biologic Treatment Side Effects

WrittenbyDr. Edna Skopljak, M.D.
Last updated

Infliximab is a monoclonal antibody that is primarily used in the treatment of autoimmune diseases such as rheumatoid arthritis, Crohn's disease, and psoriasis. While it effectively manages these conditions, patients often have concerns about potential side effects. One such concern that arises frequently is the impact of infliximab on hair health, particularly whether it causes hair loss. In this article, we aim to explore the relationship between infliximab and hair loss, providing a thorough understanding for those considering or currently using this medication.

Does infliximab cause hair loss?

Infliximab is not commonly associated with hair loss as a direct side effect. While some patients report experiencing hair thinning or loss, these instances are relatively rare and not universally documented in clinical studies. The potential for hair loss may be more strongly related to the underlying autoimmune condition being treated rather than the medication itself. It is essential for patients to discuss any changes in hair health with their healthcare provider, as other factors such as stress, nutritional deficiencies, or concurrent medications may also contribute to hair loss.

The mechanism of action for infliximab involves blocking tumor necrosis factor-alpha (TNF-alpha), a substance in the body that leads to inflammation. By reducing inflammation, infliximab helps manage symptoms of diseases like rheumatoid arthritis and Crohn’s disease. However, the relationship between inflammation and hair follicles is complex. Chronic inflammation can lead to hair loss, and by mitigating this inflammation, infliximab might indirectly support hair health.

In some cases, patients undergoing treatment for autoimmune conditions may notice hair changes due to the disease itself. For example, conditions like lupus or alopecia areata can directly affect hair follicles, leading to hair thinning or loss. It’s crucial to distinguish between hair loss caused by the disease and that potentially linked to treatment.

In clinical practice, if patients experience hair loss while on infliximab, a thorough evaluation is necessary. This evaluation may include assessing the patient’s overall health, reviewing their medication list, and considering other lifestyle factors that could contribute to hair loss. The healthcare provider may recommend a blood test to check for deficiencies in vitamins such as B12 or iron, which are known to affect hair health.

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Potential Side Effects of Infliximab

While hair loss is not a commonly reported side effect of infliximab, the medication can lead to other side effects. Some patients may experience:

  • Infusion reactions, including fever, chills, and rash
  • Increased risk of infections
  • Headaches
  • Nausea and abdominal pain
  • Fatigue

Awareness of these side effects is crucial for patients starting infliximab therapy. Regular follow-up appointments are essential to monitor the patient's response to treatment and adjust as necessary.

Managing Hair Loss While on Infliximab

If a patient experiences hair loss during infliximab treatment, there are several strategies that can help manage this issue:

  • Consult a Dermatologist: A specialist can provide insights into whether the hair loss is related to infliximab or other underlying factors.
  • Healthy Diet: Ensuring a balanced diet rich in vitamins and minerals can support hair health. Foods high in omega-3 fatty acids, iron, and biotin are particularly beneficial.
  • Stress Management: Techniques such as meditation, yoga, or counseling can reduce stress levels, which may positively impact hair health.
  • Gentle Hair Care: Using mild shampoos and avoiding harsh treatments can minimize damage to hair and promote healthier growth.

Ultimately, discussing any concerns about hair loss with a healthcare provider is vital. They can help determine the best course of action and explore alternative treatments if necessary.

Conclusion

In summary, infliximab is not typically linked to hair loss, and while some patients may report changes in hair health, these instances are not commonly substantiated. The relationship between autoimmune diseases and hair loss is more pronounced, and managing underlying conditions may help improve hair health. Patients should remain vigilant about any changes they experience and maintain open communication with their healthcare providers to address concerns effectively.

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Dr. Edna Skopljak, M.D.

About the Writer

Edna Skopljak, MDUniversity of Ljubljana, Faculty of Medicine

Edna Skopljak, MD is a clinical doctor at the University Medical Center Ljubljana and a PhD candidate in Biomedicine at the University of Ljubljana. She combines clinical work with research and medical editing, bringing a clear, evidence-based lens to patient education. Previously, she held roles in the pharmaceutical sector (product management and chief medical officer) and served as a medical production editor for the journal Biomolecules and Biomedicine.

Dr. Skopljak’s publications span clinical topics, including urology and orthopedics. She has co-authored work affiliated with the Department of Orthopedic Surgery at University Medical Centre Ljubljana. She trained in medicine with early clinical experience in Slovenia, reflecting a long-standing focus on practical, patient-facing care.

She strictly follows our Editorial Standards: All medical statements are grounded in authoritative guidelines, FDA labels, and peer-reviewed studies, with clear distinction between approved treatments and adjunctive options.