Ketoconazole Shampoo (2%)
Antifungal shampoo with anti-androgenic properties that may help reduce scalp inflammation and DHT levels topically.
🔬 How It Works
Reduces scalp DHT, has anti-inflammatory effects, and may prolong anagen phase
📋 Typical Dosage
2-4 times per week, leave on scalp for 3-5 minutes before rinsing
Evidence Level: Some clinical evidence, but more research needed
🧴 Where to Buy Ketoconazole Shampoo
Available as both OTC (1%) and prescription (2%) formulations:
🏪 OTC Version (1%)
Nizoral A-D at CVS, Walgreens, Target, Amazon
$15-20 for 7oz bottle (2-3 month supply)
💊 Prescription (2%)
Nizoral 2% from pharmacy with prescription
$30-50 per bottle; GoodRx may offer discounts
💡 Effectiveness Note
2% prescription strength is more effective for hair loss than 1% OTC. If using for hair loss (not just dandruff), consider asking your doctor for the 2% prescription version.
⚠️ Important Considerations
- • Use 2-4 times per week (not daily)
- • Leave on scalp for 3-5 minutes before rinsing for best results
- • Can be drying - may need to alternate with regular shampoo
- • Often used as part of "The Big 3" regimen with finasteride + minoxidil
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