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Article: Hair Shedding and Sertraline (Zoloft): What to Know

Woman meditating calmly, managing stress and mental health

Hair Shedding and Sertraline (Zoloft): What to Know

If you have noticed hair shedding since starting sertraline (Zoloft), here is the balanced, honest picture: shedding is an uncommon effect of SSRIs and, when it happens, it is usually temporary telogen effluvium that recovers. Crucially, your mental health comes first, never stop or change an antidepressant because of hair changes, as stopping suddenly can cause withdrawal effects and a return of depression or anxiety. Any medication decision belongs with your prescriber. Here is what is known and the gentle care that supports your hair meanwhile.

Do not stop or change your medication on your own. Suddenly stopping an SSRI can cause discontinuation symptoms and a relapse of the condition it treats. If hair shedding is worrying you, talk to the doctor who prescribed it, do not adjust your dose yourself. If you are struggling with your mental health, please reach out to your GP, or in the UK you can call Samaritans free on 116 123 at any time. This article is general information, not medical advice.

Key takeaways

  • Hair shedding is an uncommon SSRI effect and, when it occurs, is usually temporary telogen effluvium.
  • Your mental health takes priority, never stop or change an antidepressant over hair changes.
  • Only your prescriber should adjust or switch your medication, discuss any concerns with them.
  • Depression, anxiety and stress can themselves cause shedding, so the cause is not always the drug.
  • Gentle care and good nutrition support your hair; they do not treat the underlying picture.

Why shedding can happen

When a medication is linked to hair shedding, it is typically through telogen effluvium, more follicles shift into the resting phase and shed a couple of months later. With SSRIs this is uncommon and usually reversible. It is also worth remembering that the conditions being treated, depression and anxiety, along with the stress and appetite changes that come with them, can cause shedding in their own right. So the shedding is not always the drug, which is exactly why an honest conversation with your prescriber, rather than self-diagnosis, matters.

Gentle care that supports your hair

None of this treats a medication effect, that is your prescriber's area, but it keeps your hair and scalp in good shape while things settle.

1. Keep taking your medication and talk to your prescriber

If the shedding bothers you, raise it at your next appointment (or sooner). They can consider whether the medication, the underlying condition, or something else (like low iron or thyroid) is responsible, and weigh any options. That is their call, not a self-start or self-stop.

2. Eat well

Support your hair and mood with protein, iron, zinc, omega-3s and plenty of vegetables. Biotin and zinc contribute to the maintenance of normal hair. Check with your doctor before supplements.

3. Handle hair gently

A mild sulphate-free shampoo, wide-tooth comb, minimal heat and loose styles reduce stress on shedding hair.

4. Look after yourself

Sleep, movement and stress reduction genuinely help both your wellbeing and your hair, and they are part of your recovery, not a gimmick.

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Frequently asked questions

Should I stop sertraline to save my hair?

No, never stop or change an antidepressant on your own. Stopping suddenly can cause withdrawal effects and a relapse of depression or anxiety. Talk to your prescriber about any concerns.

Is medication-related hair shedding permanent?

Usually not. When it occurs it is typically temporary telogen effluvium that recovers over months. Discuss persistent shedding with your doctor.

Could my depression or anxiety be causing the shedding, not the drug?

Yes, quite possibly. Stress and the conditions themselves can trigger shedding, which is one reason not to blame the medication or stop it without advice.

Can I take supplements for it?

Ask your doctor first, some interact with medications. Eating well is a safe starting point.

When should I seek help?

For the hair, see your GP if shedding is heavy or ongoing. For your mental health, reach out to your GP any time, or Samaritans on 116 123 (UK) if you need to talk.

If you are noticing shedding on sertraline, the kindest thing you can do is keep looking after your mental health, keep taking your medication as prescribed, and raise the hair concern with your prescriber, who can look at the whole picture. Support your hair gently meanwhile; it usually recovers. For more on temporary shedding, see our guide to how to stop hair shedding.

Dr. Amy Revene
Medically reviewed by Dr. Amy Revene M.B.B.S. A dedicated General Physician at New Hope Medical Center, holds a distinguished academic background from the University of Sharjah. Beyond her clinical role, she nurtures a fervent passion for researching and crafting hair care and cosmetic products. Merging medical insights with her love for dermatological science, Dr. Revene aspires to improve well-being through innovative personal care discoveries.

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