0 sources cited

Wellbutrin Hair Loss: Causes, Symptoms and Management Options

Last Updated: February 27, 2024

Reviewed by Dr. Norman Chazin

As one of the most commonly prescribed antidepressant medications, millions of individuals rely on Wellbutrin to manage symptoms of depression, anxiety, and even smoking cessation.

Bupropion use has significant relevance for psychiatric medicine. While Wellbutrin is generally well-tolerated, it is not without its side effects. Users may experience common side effects such as insomnia, dry mouth, changes in appetite, and hair loss. In light of the potential for Wellbutrin hair loss, we will provide professional guidance, safety tips, and actionable strategies to help users minimize this side effect.

What’s Wellbutrin (Bupropion)?

Brand name: Wellbutrin®

Generic name: Bupropion

Wellbutrin, an atypical antidepressant, primarily inhibits the reuptake of norepinephrine and dopamine in the brain. Unlike many other antidepressants, Bupropion has minimal effect on serotonin. This unique mechanism is thought to contribute to its efficacy and tolerability.

Bupropion antidepressants are less likely to cause severe side effects, yet they are still present. Its efficacy in managing depressive symptoms, coupled with these favorable side effect profiles, makes it a valuable option for individuals with specific concerns or sensitivities to other antidepressant classes.

Wellbutrin (Bupropion) Uses

Bupropion, a medication with a diverse pharmacological profile, serves several medical purposes. Its primary medical uses include:

Treatment of Major Depressive Disorder (MDD)

Bupropion is approved as an antidepressant, offering an alternative for individuals with MDD. It works by inhibiting the reuptake of norepinephrine and dopamine in the brain. Bupropion is the only approved antidepressant with this chemical capacity.

Seasonal Affective Disorder (SAD)

Significant mood changes when the season changes fall under the winter-pattern SAD or winter depression. The symptoms typically start in late fall or early winter, dissipating during spring and summer. Bupropion is prescribed to alleviate symptoms associated with SAD.

Aid to Quit Smoking

Marketed as Zyban, Bupropion has been a significant pharmacotherapy for smoking cessation over the past decade. Unlike other smoking cessation pharmacotherapies, it constitutes a non-nicotine treatment. By reducing withdrawal symptoms and cravings, it assists individuals in overcoming nicotine dependence.

Attention-Deficit/Hyperactivity Disorder (ADHD)

ADHD, a common neurobiological condition, features behavioral and cognitive symptoms like inattention, impulsivity, and/or excessive activity. It often comes with psychiatric comorbidities and links to educational and occupational underachievement.

While not a first-line treatment, Bupropion is sometimes considered in the management of ADHD, either as a monotherapy or in combination with other medications.

Off-Label Uses

Besides treating off-label diagnoses like ADHD, Bupropion’s unique pharmacological profile has led to its off-label use in conditions such as bipolar depression, anxiety disorders, and neuropathic pain.

3 Clinical Reasons for Wellbutrin Hair Loss

Although the relationship between Wellbutrin and hair loss remains unclear and research on this specific side effect is limited, the increased risk of alopecia, particularly in the form of shedding while taking Wellbutrin, can be attributed to:

  • Wellbutrin Causes Hormonal Fluctuations

The increased risk of alopecia with Wellbutrin use may be attributed to a sudden change in hormone levels. Hormonal fluctuations, which can result from medication or other factors, impact hair follicles. These fluctuations can induce a resting state in the follicles, leading to alopecia.

  • Telogen Effluvium

Telogen effluvium is a form of temporary nonscarring alopecia categorized by diffuse, often acute hair shedding, and it’s been linked to antidepressants.

Among this class of drugs, Bupropion had the highest risk of alopecia where 95% of the users experienced shedding as an effect. Thus, the premise of Wellbutrin hair loss is correct. Women in particular, may experience widespread thinning and increased hair loss, especially during periods of stress or when adjusting to a new antidepressant. Yet, it’s safe to state that Wellbutrin hair loss is commonly reversible upon drug discontinuation.

  • Dose-Dependent Effect

Higher doses of Bupropion can intensify the occurrence of telogen effluvium in shorter periods. This suggests a potential dose-dependent relationship between Wellbutrin and hair loss, emphasizing the importance of carefully managing medication dosage.

When diagnosing drug-induced hair loss, it is essential to rule out other potential causes and consider the correlation between hair loss and the initiation of drug treatment or changes in Wellbutrin dosage.

Practical Approaches to Wellbutrin Hair Loss

Addressing Wellbutrin-related hair loss requires practical approaches focusing on overall hair health and the specific factors associated with this side effect. Here are practical strategies to manage Wellbutrin-induced hair loss:

  • Consultation with Healthcare Provider: Contact your healthcare provider to discuss your concerns about hair loss.
  • Nutritional Support: Maintain a balanced diet of essential vitamins and minerals. Consider incorporating foods high in biotin, iron, and other nutrients beneficial for hair growth.
  • Gentle Hair Care Practices: Use mild shampoos and conditioners to avoid excessive hair damage. Limit heat styling tools and be gentle when brushing.
  • Stress Management: Incorporate stress-reduction techniques such as meditation, yoga or deep breathing exercises to support well-being, including hair health.
  • Consider Hair Supplements: Consult with your healthcare provider about the potential benefits of hair supplements. Biotin supplements, for example, are often recommended for hair, skin, and nail health.

Bottom Line

Wellbutrin-induced hair loss is often temporary. Hair growth should resume once the medication is discontinued or the body has adjusted to the dose. Patience and close monitoring during this process are crucial for safe and effective Wellbutrin use.

If you continue to experience concerns about hair loss and you want to stop the medication, remember to approach medication adjustments with caution. Abruptly discontinuing an antidepressant, including Wellbutrin, can lead to more severe Wellbutrin side effects beyond hair loss. Discontinuation should be done under the guidance of a healthcare professional to minimize potential risks.

People Also Ask

How common is hair loss with Wellbutrin?

Hair loss is considered a relatively uncommon side effect of Wellbutrin (Bupropion). While it’s listed as a potential adverse reaction in the medication’s prescribing information, not everyone who takes Wellbutrin will experience hair loss.

Which antidepressants are most likely to cause hair loss?

Hair loss can be a side effect of several antidepressant medications. Some of the antidepressants that have been associated with hair loss include selective serotonin reuptake inhibitors (SSRIs) such as fluoxetine (Prozac) and sertraline (Zoloft), as well as tricyclic antidepressants (TCAs).

Is Lithium hair loss reversible?

Lithium, commonly used for bipolar disorder, may cause reversible hair loss. Discontinuing the medication often allows hair growth resumption, but the extent of reversibility varies among individuals. Consult with a healthcare provider if experiencing this side effect.


Page Sources

  1. Fava, M., Rush, A. J., Thase, M. E., Clayton, A., Stahl, S. M., Pradko, J. F., & Johnston, J. A. (2005). 15 Years of Clinical Experience With Bupropion HCl: From Bupropion to Bupropion SR to Bupropion XL. Primary Care Companion to The Journal of Clinical Psychiatry, 7(3), 106-113. https://doi.org/10.4088/pcc.v07n0305
  2. Clark, A., Tate, B., Urban, B., Schroeder, R., Gennuso, S., Ahmadzadeh, S., McGregor, D., Girma, B., Shekoohi, S., & Kaye, A. D. (2023). Bupropion Mediated Effects on Depression, Attention Deficit Hyperactivity Disorder, and Smoking Cessation. Health Psychology Research, 11. https://doi.org/10.52965/001c.81043
  3. Vardanyan, R., & Hruby, V. (2016). Antidepressants. In Synthesis of Best-Seller Drugs (pp. 111-143). https://doi.org/10.1016/B978-0-12-411492-0.00007-9
  4. National Institute of Mental Health. (n.d.). Seasonal affective disorder. NIMH. https://www.nimh.nih.gov/health/publications/seasonal-affective-disorder
  5. Mooney, M. E., & Sofuoglu, M. (2006). Bupropion for the treatment of nicotine withdrawal and craving. Expert Review of Neurotherapeutics, 6(7), 965–981. https://doi.org/10.1586/14737175.6.7.965
  6. Verbeeck, W., Bekkering, G. E., & Kramers, C. (2017). Bupropion for attention deficit hyperactivity disorder (ADHD) in adults. The Cochrane Database of Systematic Reviews, 2017(10). https://doi.org/10.1002/14651858.CD009504.pub2
  7. Berigan, T. R. (2002). The Many Uses of Bupropion and Bupropion Sustained Release (SR) in Adults. Primary Care Companion to The Journal of Clinical Psychiatry, 4(1), 30-32. https://doi.org/10.4088/pcc.v04n0110a
  8. Hasan, R., Juma, H., Eid, F. A., Alaswad, H. A., Ali, W. M., & Aladraj, F. J. (2022). Effects of Hormones and Endocrine Disorders on Hair Growth. Cureus, 14(12). https://doi.org/10.7759/cureus.32726
  9. Hughes, E. C. (2023, May 29). Telogen effluvium. StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK430848/
  10. Etminan, M., Sodhi, M., Procyshyn, R. M., Guo, M., & Carleton, B. (2018). Risk of hair loss with different antidepressants. International Clinical Psychopharmacology, 33(1), 44–48. https://doi.org/10.1097/yic.0000000000000191
  11. Pitton Rissardo, J., Fornari Caprara, A. L., Casares, M., Skinner, H. J., & Alford, R. (2020). Bupropion and Hair Loss: A Case Report and Review of the Literature. Journal of Clinical Psychopharmacology, 40(4), 416-418. https://doi.org/10.1097/JCP.0000000000001215

Retrieved on february 27, 2024

Published on: July 5th, 2019

Updated on: February 27th, 2024

María José Petit-Rodríguez

About Author

María José Petit-Rodríguez

Medically Reviewed by

Dr. Norman Chazin

Free Insurance Verification

Our team is available to guide you through the steps of assessing your insurance coverage for addiction treatment.