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If you’ve ever used Nizoral shampoo, you’ve likely used ketoconazole. At 1% strength, ketoconazole is available over the counter, but 2% ketoconazole requires a prescription. dragana991 / iStock
You can get 1% or less ketoconazole shampoo over the counter at your local drug store or supermarket. Look out for certain products advertised as dandruff treatments, like Nizoral shampoo.
Over-the-Counter (OTC) medicated shampoos are one of the simplest ways you can address the issue, says Dr. Gohara. ... Ketoconazole or zinc pyrithione shampoos: ... If the shampoo route doesn’t ...
Regular use of an over-the-counter or prescription antifungal shampoo or cream is a common treatment. The topical antifungal medications ketoconazole and ciclopirox have the best evidence. [10] Ketoconazole should be used twice per week. [8] Shampoo or soap containing zinc pyrithione or selenium disulfide is also used. [8]
Ketoconazole shampoo in conjunction with an oral 5α-reductase inhibitor such as finasteride or dutasteride has been used off label to treat androgenic alopecia. It was speculated that antifungal properties of ketoconazole reduce scalp microflora and consequently may reduce follicular inflammation that contributes to alopecia.
Zinc pyrithione is approved for over-the-counter topical use in the United States as a treatment for dandruff and is the active ingredient in several anti-dandruff shampoos and body wash gels. In its industrial forms and strengths, it may be harmful by contact or ingestion.
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