Nizral shampoo is a liquid solution for topical application containing antifungal agent Ketoconazole in a concentration of 2%. It is useful in controlling flaking, scaling, and itching associated with dandruff. The topical solution has ketoconazole, which is categorized under the antifungal class of medications. These antifungal agents act to treat fungal infections. Dandruff occurs due to a fungus called Pityrosporum ovale. This fungus naturally survives on the skin of normal individuals, but people with dandruff appear to have more than usual. The active antifungal agent acts by destroying the fungus associated with dandruff. The topical therapy is for adults and adolescents. However, some people should not use this liquid solution and seek doctor advice first before using this shampoo.

Shake the bottle before use. Wet hair thoroughly, applies ketoconazole gently to make lather. Leave in place for five minutes. Rinse thoroughly. Use 3 to 4 days for up to eight weeks. One application of the shampoo is sufficient to control dandruff. Then, it should be used as needed to control dandruff. This information guide includes general directions for usage. Stick to doctor’s instructions while using Nizral 2% solution. Adults and adolescents may be asked to use the product two times a week, for at least three days apart, for initial 2 to 4 weeks. Then, one can use the shampoo once every 1 to 2 weeks to diminish dandruff completely. Make sure you do not use more than the recommended amount. If your symptoms, including itching, scaling, or flaking, do not improve after four weeks, speak to your dermatologist.

Let your doctor know if you are already using a steroid product on your scalp, like steroid medications such as betamethasone or hydrocortisone. Avoid direct contact with the eyes. If Nizral shampoo accidentally comes in contact with the eyes, use cold water to rinse the eyes thoroughly. Swallowing this solution is generally harmless. So if you accidentally swallow some of the solutions, rinse your mouth with running water. Talk to your dermatologist if you are concerned about the same.

Do not use Nizral 2% solution on the broken scalp or inflamed area. Avoid using this Ketoconazole solution if you are allergic to the ingredients of this product. Discontinue topical therapy if a rash appears or the scalp condition worsens or does not improve within 2-to-4-week usage. If pregnant or breastfeeding, discuss with your doctor before use. Keep the product away from your children. If accidentally swallowed, get immediate medical help.

Life-threatening allergic reactions, including anaphylaxis, have been reported in the clinical trial of Nizral shampoo. If a hypersensitivity reaction occurs, the use of the medication should be discontinued.

Nizral, a 2% solution, may irritate the mucous membrane of the eyes and avoid contact with the area.  Hair discolouration, abnormal hair texture, itching, burning sensation, hypersensitivity, alopecia, rash, contact dermatitis, dry skin, urticaria, skin irritation and other application site reactions may occur. Individuals who develop allergic reactions such as rash, severe swelling, shortness of breath, angioedema, and skin reactions should discontinue this topical therapy and contact their respective dermatologists straight away.

Most individuals do not have problems with the product, but some may get mild adverse effects. Inform your dermatologist if you get eye irritation, dry skin, change in food taste, swelling of the hair follicles, skin rash, etc.