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Ketoconazole shampoo is available OTC at drugstores, pharmacies, and online. In addition, more potent formulas are available by prescription.
OTC ketoconazole shampoos usually contain 1% ketoconazole. The most common brand is Nizoral. To use OTC shampoos, follow these steps:
Make sure the skin on your scalp is not cracked before you use the shampoo, as it could lead to irritation. OTC shampoo is usually applied every three or four days for up to eight weeks, then as needed.
Shampoos with 2% ketoconazole usually require a prescription from a healthcare provider. To use prescription shampoos, follow these steps:
A prescription shampoo is usually just applied one time to treat the infection. But you should follow the instructions of a healthcare provider exactly.
These medicated shampoos are intended only for the skin. Avoid getting them in your eyes or mouth, and rinse thoroughly if they go into your eyes while shampooing.
Sphagnum Botanicals Medicated Psoriasis Shampoo with Salicylic Acid has been recognized by the National Psoriasis Foundation to be safe and effective for psoriasis.
The National Psoriasis Foundation Seal of Recognition is a prestigious seal that is given to organizations and products that have been found to be safe and helpful for people with psoriasis. This award is only given to a select few organizations and products that meet the strict criteria set forth by the National Psoriasis Foundation. This seal is well-known and respected in the medical field, and it is seen as a sign of excellence in the treatment and care of psoriasis.
The shampoo works by slowing the growth of fungus that causes infection. Ketoconazole treats many fungal and yeast skin infections, including tinea versicolor , the fungus associated with dandruff.
Ketoconazole shampoo is primarily used to control dandruff, a skin condition that results in a red, flaky scalp. Dandruff is considered the mildest form of seborrheic dermatitis. More severe seborrheic dermatitis results in inflammation and skin discoloration.
Untreated dandruff can sometimes result in secondary bacterial or fungal infections, so keeping it under control is important.
In addition to treating dandruff, people also use ketoconazole shampoo for a few conditions.
Tinea corporis (ringworm) is a fungal skin infection that forms a ring-like rash. When it occurs on the scalp, ketoconazole shampoo can treat it.
While ketoconazole shampoo is not intended for hair loss, some people use it to try to regrow hair. Little evidence supports this use, but some smaller studies have found that ketoconazole may help regrow hair.
That's not to say that all flora is bad, indeed, these natural bugs help keep our skin and scalp healthy. Rather, it's when their numbers change and there's an imbalance — one bacteria becomes more or less prominent, for example — that triggers psoriasis.
Kellie Reed, MD, a dermatologist based in Austin, Texas, also likes this shampoo because it contains tea tree oil (which minimizes inflammation), along with soothing green tea and vitamins E, C and B5. "It also has 3 percent salicylic acid, which helps with scaly skin," she says.
As a bonus, this 2-in-1 formula is gentle enough to be used on color-treated and gray hair.
This is the most commonly prescribed treatment. Your plan may include one or more of the following medicines.
Corticosteroids: This is the #1-prescribed treatment for scalp psoriasis in children and adults. Corticosteroids work quickly to reduce redness, swelling, itch, and scale. This makes it more effective than any other treatment that you apply to the scalp.
When used as directed, this medicine is safe. Because side effects can occur with long-term use, your dermatologist may recommend another treatment to use with the corticosteroid. This reduces possible side effects.
Medicated shampoos: This is often part of a treatment plan.
If you have stubborn scalp psoriasis, your dermatologist may prescribe a shampoo that contains clobetasol propionate. This can be quite effective when used in a shampoo. Studies show that patients can safely use this shampoo every day for up to four weeks. It’s also safe to use it once or twice a week to maintain results.
Rubbing, scrubbing, and scratching your scalp can worsen existing psoriasis.
Scale softeners: If the psoriasis on your scalp is thick, it can be hard for the treatment you apply to work. A product that contains salicylic acid can soften thick, stubborn patches. Other ingredients can also help.
Calcipotriene: Most people apply this manmade form of vitamin D to the scalp before going to bed. Your dermatologist may also recommend covering your scalp with a shower cap after applying the medicine. This helps the medicine penetrate the thick patches of psoriasis.
If you need stronger medicine, your dermatologist may prescribe a medicine that combines calcipotriene with a strong corticosteroid. This combination can also help reduce scalp irritation. Most people apply the medicine once a day for two weeks. It can be used longer if necessary.