Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2012 Jul;4(3):176-8.
doi: 10.4103/0974-7753.100090.

N-acetylcysteine in the Treatment of Trichotillomania

Affiliations
Case Reports

N-acetylcysteine in the Treatment of Trichotillomania

Ana Rita Rodrigues-Barata et al. Int J Trichology. 2012 Jul.

Abstract

Trichotillomania is as medical condition caused by the patient himself by pulling out of is own hair, resulting in a perceptible hair loss pattern that frequently is associated with other psychiatric processes. Generally has a chronic course in most patients, and a challenging therapeutical management. There are several available options for is treatment, but the clinical response is not satisfactory in many patients. Recently, N-acetylcisteine, a glutamate modulator, has shown efficacy in the treatment of trichotillomania and other compulsive behaviors, and is considered a new alternative in the management of this condition. We describe two patients with trichotillomania successfully treated with N-acetylcysteine. Nevertheless, further studies need to be conducted to establish the appropriate treatment regimen and to evaluate it long-term efficacy in improving this chronic condition.

Keywords: Compulsive behavior; N-acetylcysteine; treatment; trichotillomania.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
(a) Patchy alopecia in frontal area with presence of hairs with different length; (b) Complete regrowth in the frontal area after two month treatment with N-acetylcysteine
Figure 2
Figure 2
Dermoscopic examination before (a) and after (b) three month treatment with N-acetylcysteine 1,200 mg/day

References

    1. Grant JE, Odlaug BL, Kim SW. N-acetylcysteine, a glutamate modulator in the treatment of trichotillomania. Arch Gen Psychiatry. 2009;66:756–63. - PubMed
    1. Papazisis G, Tzellos T, Kouvelas D. Practice corner: managing trichotillomania – no need to pull your hair out. Evid Based Med. 2008;13:66–7. - PubMed
    1. Hautmann G, Hercogova J, Lotti T. Trichotillomania. J Am Acad Dermatol. 2002;46:807–21. - PubMed
    1. Bloch MH, Landeros-Weisenberger A, Dombrowski P, Kelmendi B, Wegner R, Nudel J, et al. Systematic review: Pharmacological and behavioral treatment for trichotillomania. Biol Psychiatry. 2007;62:839–46. - PubMed
    1. Stein DJ, Hollander E. Low-dose pimozide augmentation of serotonin reuptake blockers in the treatment of trichotillomania. J Clin Psychiatry. 1992;53:123–6. - PubMed

Publication types