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Ketoconazole

Cheap OTC antifungal shampoo with measurable scalp anti-androgen + anti-inflammatory effects.

Aliases (4)
Nizoral · ketoconazole 1% · ketoconazole 2% · Nizoral A-D
TYPICAL DOSE
ROUTE
CYCLE
STORAGE

Overview

What is Ketoconazole?

Cheap OTC antifungal shampoo with measurable scalp anti-androgen + anti-inflammatory effects. Pierard-Franchimont 1998 showed hair-density gains comparable to 2% minoxidil in MPB. Reasonable 2×/week add for general scalp health even without MPB.

What to Expect

  • Week 1
    Tolerability and dose-response.
  • Week 2-4
    Early effect window.
  • Week 4-8
    Peak benefit assessment.
  • Week 8+
    Cycle decision point.

Side Effects & Safety

Occasional scalp dryness; rare contact dermatitis. No systemic concerns at topical 2× weekly use.

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