If you're using any other creams, ointments or lotions on the same area of skin, do not put them on at the same time as ketoconazole cream. After putting on the ketoconazole cream, wait 30 minutes before you use different products on the same area. This gives the ketoconazole time to be absorbed into your skin. How to use ketoconazole shampoo As 2% cream: Apply 1-2 times daily to cover affected and surrounding area until at least a few days after disappearance of symptoms. Excessive use of alcohol or products containing alcohol together with ketoconazole or levoketoconazole may potentiate the risk of liver injury.

Pityriasis versicolor (a fungal infection that causes skin to become scaly and discoloured) gets better within 5 days of treatment with ketoconazole shampoo, or after 2 to 3 weeks of treatment with the cream. However, it can take several weeks or months for your skin colour to return to normal.

Pharmacy product

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. In 2013 due to the risk of liver toxicity, the UK Medicines and Healthcare Products Regulatory Agency (MHRA) formally recommended suspending the license for oral ketoconazole, advising doctors to discuss alternatives with patients [4]. This recommendation specifically excluded topical formulations (e.g. shampoos, creams), because they are not readily absorbed into the bloodstream. Though not usually considered a serious condition, dandruff can be annoying and difficult to treat. Find out if lemon juice is effective at improving… READ MORE

If you have been using a topical corticosteroid on your skin you should talk to your doctor about whether to continue this while you are using Dandrazol shampoo. Other medicines containing the same active ingredient Faergemann, J., Borgers, M., & Degreef, H. (2007). A new ketoconazole topical gel formulation in seborrhoeic dermatitis: an updated review of the mechanism. Expert opinion on Pharmacotherapy, 8(9), 1365-1371.

What is ketoconazole?

It can be used to treat and prevent dandruff, which you may notice as visible flaking of dry skin from the scalp. Gently rub the cream into the infected area and surrounding skin. You'll usually need a small amount, depending on the size of the area you're treating. Be careful not to let the cream get into your eyes or mouth. If it does get into your eyes or mouth, rinse them with water.

RafiA, et al. (2011). Pilot study of 15 patients receiving a new treatment regimenfor androgenic alopecia: The effects of atopy on AGA. DOI: Like other shampoos, Dandrazol shampoo also contains ingredients to clean your hair. How do I useDandrazol shampoo? Prophylaxis of: As patches of pityriasis versicolor become more apparent on exposure to the sun, Dandrazol 2% Shampoo may be used once daily for a maximum of 3 days in a single treatment course before exposure to sunshine. Board certified dermatologist Brent Thomas Goedjen M.D., founder of Live Oak Dermatology in Roswell, GA explains further, “Part of the mechanism behind seborrheic dermatitis is thought to be an inflammatory immune reaction (resulting in redness, itching, flaking) to an otherwise resident yeast that becomes overly represented on the skin. To prevent a rebound effect after stopping prolonged treatment with topical corticosteroids, it is recommended to continue applying the topical corticosteroid together with Dandrazol 2% shampoo and to subsequently and gradually withdraw the steroid therapy over a period of 2-3 weeks.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 Ketoconazole shampoo is helpful for persistent or more severe forms of dandruff. It contains an antifungal agent which kills the yeast-like germs (a type of fungus) which cause the flaking of the scalp. If you feel you have experienced an allergic reaction, stop using this medicine and inform your doctor or pharmacist immediately. Pregnancy and breastfeeding Like all medicines, ketoconazole cream and shampoo can cause side effects, but not everyone gets them.

Dr. Matthew Zirwas, a board-certified dermatologist and founder of Bexley Dermatology in Bexley, Ohio recommended trying a shampoo for, “at least a month because if your old shampoo had ingredients that were causing a dandruff-like rash of their own, it will take 4-8 weeks for that ingredient to work its way out of your body after you start the new stuff.”Ketoconazole shampoo is also prescribed for a skin condition called pityriasis versicolor. Pityriasis versicolor is a skin rash which is also caused by a yeast-like germ. Although small numbers of this germ commonly live on the skin and do no harm, some people are prone to it multiplying on their skin more than usual, which leads to small pale or brown patches of skin developing. In some people, hot, sunny or humid weather seems to trigger the germ to multiply on the skin.