
Shampoo · 2%

Ketoconazole reduces the yeast that drives dandruff and seborrheic dermatitis, calming the inflammation that comes with it. In hair protocols it plays a supporting role — an inflamed scalp undermines everything else you are doing, and settling it helps the rest of the routine work.


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Apply to wet hair, lather and leave in place for three to five minutes, then rinse; use two to three times weekly
Prescription ketoconazole shampoo is FDA approved for tinea versicolor, and the 1 percent strength is approved for dandruff. Using it for hair loss is off-label.
Tell your care team straight away if you get trouble breathing or throat swelling, swelling of your face or lips, hives or a widespread rash, severe burning or blistering of the scalp, or eye pain after contact.
Common side effects
Rare but serious
Do not take this if you are allergic to ketoconazole. Do not use it on broken or inflamed scalp.
This is not a complete list of side effects. Message your care team about any symptom that worries you.
Two to three times a week is typical. Daily use tends to dry the scalp without adding benefit.
Three to five minutes before rinsing. Rinsing immediately does not give the active time to work.
It is not a hair-growth treatment. It reduces scalp inflammation, which supports the treatments that are.
Usually, though it can occasionally affect chemically treated or coloured hair. Test on a small section first if that is a concern.

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