In addition, excessive use of alcohol or products containing alcohol during ketoconazole or levoketoconazole therapy may result in a disulfiram-like reaction in some patients. Your doctor or a pharmacist will be able to recommend the best treatment for you, based on your condition.

Adults and adolescents: Wet hair and scalp and apply enough shampoo to cover the scalp and produce a foam (lather). Leave for 3-5 minutes before rinsing. Use twice a week, at least three days apart, for the first 2 to 4 weeks. Prevention and treatment of infections in which the yeast Malassezia (previously called Pityrosporum) is likely to be involved, such as dandruff, seborrhoeic dermatitis and tinea (pityriasis) versicolor. Gupta, A. K., Daigle, D., & Foley, K. A. (2015). Drug safety assessment of oral formulations of ketoconazole. Expert Opinion on Drug Safety, 14(2), 325-334.

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Its 2% Ketoconazole formula promises to be effective and preventative. However there’s one word of warning, it is not designed for the most allergy prone scalps. Seborrhoeic dermatitis and dandruff are often associated with increased hair shedding, and this has also been reported, although rarely, with the use of ketoconazole containing shampoos (see Undesirable Effects).

Do not keep out-of-date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you. To keep your scalp clear and to prevent dandruff returning, use Nizoral Dandruff Shampoo once every 1 – 2 weeks. If you stop using Nizoral Dandruff Shampoo altogether, your symptoms may become a problem again. In rare cases, ketoconazole shampoo can result in hair loss, so talk to your doctor right away if you notice this side effect. Signs of allergic reaction Aloe vera is a succulent that has several healing properties. Some research seems to show that it may have properties that can help with dandruff… READ MORE

References

Ethan graduated a number of years ago after studying pharmacy in the UK, and is now a practicing pharmacist by day. Cochrane Library. (2015). Antifungal treatments applied to the skin to treat seborrhoeic dermatitis. [Accessed: 28/2/17] www.cochrane.org Hearst UK is the trading name of the National Magazine Company Ltd, 30 Panton Street, Leicester Square, London, SW1Y 4AJ. Registered in England. All Rights Reserved.

As well as the active ingredient, the shampoo also contains sodium laureth sulfate paste, disodium laureth sulfosuccinate, sodium chloride, citric acid monohydrate, benzyl alcohol, tetrasodium EDTA, imidurea, polyquaternium-7, dexpanthenol, laureth-2, sodium hydroxide, erythrosine (E127) and purified water.A very recent study published in 2018 [8] showed a 2% ketoconazole shampoo to dramatically improve symptoms of seb derm over 30 days of use – when used once every 3 or 4 days. If you have a moderate to severe case of dandruff caused by Seborrheic Dermatitis, purchasing the Ketozolin 2% shampoo is potentially a wise decision. It has the maximum EU allowed dose of anti-fungal ketoconazole – effective against the overgrowth of Malassezia yeast seen in cases of seb derm and dandruff. It can be used to clear dandruff within a week and it can be used to prevent dandruff recurrence when used once weekly. You can obtain shampoos that contain 2 percent or more of ketoconazole with a prescription from your doctor. Brands available by prescription include: If you forget to use your ketoconazole cream or shampoo, just skip the missed dose and then keep to your usual routine. What if I use too much? Allergic reactions to ketoconazole shampoo are extremely rare, but should be taken seriously. Seek immediate medical attention if you have signs of an allergic reaction like: