I have also been taking Effexor XR 150mg Topamax100mg, and Ativan 1mg for about 14 years. I take Trazadone 50mg at bedtime. My hair fall out in the shower when I wash it in clumps. When I brush it and fix it comes out everywhere. I have been to the Dr for this a couple of times. They have done blood work and ran test and say everything looks fine.