No, Evenity (romosozumab-aqqg) is not known to cause hair loss. Clinical studies and FDA-approved prescribing information do not list hair loss or hair thinning as a side effect.
However, some people taking Evenity have reported experiencing hair shedding, which may be caused by other underlying conditions, stress, or age-related hormonal changes, rather than the medication itself.
Evenity, also known by its generic name romosozumab-aqqg, is a medication used to treat osteoporosis in postmenopausal women who are at high risk of fractures. It helps by increasing bone formation and decreasing bone breakdown. While its benefits are clear in strengthening bones, many women express concerns about unwanted side effects, particularly hair loss.
So, the big question is: Does Evenity cause hair loss?
Let’s see deeper into the science, patient experiences, and expert recommendations to understand what’s really going on.
Is Hair Loss a Documented Side Effect of Evenity?
According to the FDA and Amgen (the manufacturer), hair loss is not a recognized side effect of Evenity. The drug’s clinical trials and product label do not list “alopecia” or “hair thinning” as adverse effects.
However, some users have shared personal experiences online reporting hair shedding while using Evenity. These are anecdotal and not supported by medical studies.
Key Point
No scientific evidence currently proves a direct link between Evenity and hair loss. Still, individual experiences may vary due to other health factors.
Other Possible Reasons for Hair Loss During Evenity Treatment
If you’re experiencing hair loss during Evenity injections, here are several indirect causes to consider:
1. Menopause and Hormonal Imbalances
Evenity is prescribed to postmenopausal women — a group already prone to female pattern hair loss due to hormonal decline, especially in estrogen and progesterone.
2. Stress-Induced Shedding (Telogen Effluvium)
The emotional and physical stress of managing osteoporosis, taking injections, or changes in routine can push hair into the shedding phase.
3. Other Medications
You may be on multiple medications such as:
- Thyroid medications
- Blood pressure drugs
- Antidepressants
All of which can contribute to hair thinning.
4. Nutritional Deficiencies
Lack of key nutrients like iron, zinc, biotin, or protein can lead to increased hair fall. Postmenopausal women often face deficiencies in these areas.
What Side Effects Are Associated With Evenity?
Although hair loss is not one of them, here are the common and serious side effects you should be aware of:
Common Side Effects
- Joint pain
- Headache
- Fatigue
- Injection site reactions
Serious Side Effects
- Heart attack or stroke (especially in people with a history of cardiovascular disease)
- Low calcium levels (hypocalcemia)
- Jaw bone problems (osteonecrosis)
- Allergic reactions
Always speak with your doctor if you experience unusual symptoms or severe reactions.
What to Do If You Experience Hair Loss During Evenity Treatment
If you believe Evenity is affecting your hair:
Recommended Steps
- Document your symptoms – Keep a journal or take photos.
- Visit your healthcare provider – Never stop Evenity without medical guidance.
- Ask for blood tests – To check for nutrient deficiencies or hormonal imbalances.
- Consult a dermatologist – To rule out other conditions like alopecia areata or telogen effluvium.
Comparing Evenity with Other Osteoporosis Medications
Here’s a quick comparison of Evenity with Prolia, another commonly prescribed osteoporosis drug:
Feature/Side Effect | Evenity | Prolia |
Hair Loss Risk | ❌ Not documented | ⚠️ Rare, anecdotal reports |
Injection Frequency | Monthly (12-month limit) | Every 6 months (long-term) |
Cardiovascular Risk | ⚠️ Present | ✅ Less prominent |
Risk of Jaw Issues | ✅ Yes | ✅ Yes |
Real Patient Experiences: What Others Say
Although official studies don’t list hair loss, some people on Reddit, forums like Drugs.com, and patient reviews have shared concerns about losing hair after starting Evenity.
Remember: These are personal experiences and not scientific proof. But they are still valid and worth discussing with your healthcare provider.
FAQs: Answers to Your Most Asked Questions About Evenity and Hair Loss
1. Can Evenity cause hair loss or hair thinning?
Evenity is not clinically associated with hair loss. The FDA-approved product label and clinical data from Amgen do not list hair thinning or alopecia as a known side effect. However, some patients have shared anecdotal reports of hair shedding, which may be due to other health conditions, hormonal imbalances, or stress. If you experience hair loss while taking Evenity, it’s best to consult your doctor and explore other possible causes.
2. Should I stop taking Evenity if I notice hair loss?
No, do not stop Evenity without speaking to your doctor. Hair loss may not be related to the medication and could be temporary or caused by something else like thyroid imbalance, iron deficiency, or menopause. Stopping Evenity suddenly may increase your risk of fractures if you’re already dealing with severe osteoporosis. Your doctor can help determine whether to continue or adjust your treatment.
3. What can I do to manage hair thinning while on Evenity?
If you’re noticing more hair shedding than usual:
- Track the amount and timing of your hair loss
- Get tested for iron, vitamin D, B12, and thyroid function
- Improve your diet with protein, zinc, and biotin-rich foods
- Use gentle, sulfate-free hair care products
Consult a dermatologist or trichologist for a proper diagnosis
These steps can help determine if the hair loss is reversible and whether it’s medication-related.
4. Are there any long-term side effects of Evenity I should worry about?
Yes, there are a few serious long-term side effects of Evenity that require attention. These include:
- Increased risk of heart attack or stroke
- Osteonecrosis of the jaw (ONJ), especially in dental procedures
- Low calcium levels, which can lead to muscle spasms or tingling
Most side effects are rare, but it’s crucial to have regular medical checkups and report any unusual symptoms. Hair loss, however, is not considered a long-term side effect of this medication.
5. How do I know if hair loss is due to Evenity or something else?
It can be tricky to determine the exact cause of hair loss. Consider the following:
- Did your hair loss start after beginning Evenity?
- Are you also experiencing fatigue, stress, or dietary issues?
- Are you taking other medications that are known to cause hair thinning?
- Do you have a family history of hair loss?
A medical professional can guide you through blood tests, a hair pull test, or scalp analysis to determine the root cause. Often, hair loss is multifactorial, and Evenity may not be the sole reason.
Final Thoughts: Should You Worry About Hair Loss While Taking Evenity?
While hair loss can be alarming, current research shows that Evenity does not directly cause hair loss. Most people using Evenity will not experience this side effect, and if you do, it could be caused by other treatable issues.
Always communicate with your healthcare team, get the necessary tests, and focus on overall health and nutrition during your osteoporosis treatment journey.
Written By
MBBS, MD
Dr. Pratibha Pradhan is a trusted hair health expert specializing in drug-related hair loss. She provides clear insights into complex topics like Does Evenity Cause Hair Loss, helping patients understand risks and manage hair concerns with confidence and care.
Disclaimer
We’ve made all possible efforts to ensure that the information provided here is accurate, up-to-date and complete, however, it should not be treated as a substitute for professional medical advice, diagnosis or treatment. See Detailed Disclaimers Here.
