6 Best Ketoconazole Shampoos Of 2023 For An Itch-Free Scalp

The listed ketoconazole shampoos promote an itch-free scalp and boost hair volume.

Reviewed by Alexandro VasquezAlexandro Vasquez, Hairdresser
By Kirtana DivakarKirtana Divakar  • 
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Everybody daydreams about luscious hair straight out of a shampoo commercial, and the best ketoconazole shampoo might be the reality you are looking for, for an itch-free scalp. Sure, DIY hair hacks and fancy advertising might take the cake when you buy your products, but it is also equally important to pay attention to the ingredients in your products. Ketoconazole is found in most medicated shampoos and is promoted by many dermatologists as a very safe and effective ingredient. If you are looking to ward away bacterial infection in your scalp to attain thick, strong, and healthy hair, this might be it.

Having said that, if you prefer OTC hair cleansers due to their affordability, there are many such cleansers in the market that contain ketoconazole, even though they will be present in a smaller amount. We have put together a list of the 6 best shampoos infused with ketoconazole for 2023.

Top Picks

6 Best Ketoconazole Shampoos – Say Goodbye To Flakes

Best Overall:Nizoral A-D Ketoconazole Anti-Dandruff Shampoo 1%

Dandruff, an itchy scalp, and flakiness are all the outcomes of dermatitis. If you’re on the lookout for an OTC ketoconazole 1% shampoo, look no further. The Nizoral ketoconazole shampoo is an effective and potent formula that fights dandruff outbreaks. The shampoo works like magic, even for color-treated hair without stripping the hair of color. It is a gentle formula, and if you’re wondering how frequently you should use it, twice a week will fetch you optimal results. This video will help you make an informed decision about your purchase.

  • Gentle formula
  • Relieves itchiness
  • Lathers well
  • Suitable color-treated hair


  • Contains artificial fragrance

protip_icon Pro Tip
Avoid washing your hair with hot water as it causes dryness and sensitivity of the scalp. Use cold water as the last step of your wash to seal the moisture in the cuticles.

Why It’s Worth Buying: The overwhelming 70,099 positive reviews on Amazon show how popular this product is with happy users.
Price at the time of publication: $26.83

The most immediate outcome of developing dandruff is hair fall. Try this hair loss ketoconazole shampoo to fight buildup for hair loss prevention and effective dandruff treatment. It gets rid of any debris and DHT on the scalp and deeply cleanses, so your follicles get the nourishment they need to promote healthy hair growth. While some of the key ingredients are salicylic acid and ketoconazole, it is also infused with nourishing elements like jojoba oil, emu oil, niacin, vitamin B3 and B6, and aloe vera. Give this shampoo containing ketoconazole a shot if you prefer chemical-free hair care products.


  • Combats hair loss
  • Hydrates
  • Free of harsh chemicals
  • Sulfate and paraben-free


  • May not add volume to hair

protip_icon Quick Tip
If you are facing hair loss due to scalp dryness, use the product for three months for visible results.

Price at the time of publication: $70.0

Best Hypoallergenic:Pura d’or M.D. Maximum Defense Anti-Hair Thinning Shampoo

If your hair falls prey to thinning and you also face dandruff problems, you need a chemical-free, enriching anti-dandruff ketoconazole shampoo for thinning hair like this one. It is the perfect combination of science and nature as it blesses your hair follicles with a blend of oils, green tea leaf extract, vitamin E, and 0.5% coal tar for a clean and healthy scalp. It also helps lock in moisture, so that you don’t have frizzy hair soon after washing your hair. Couple your regular shampoo with this and you’ll witness an extraordinary hair transformation. Watch this video to get a detailed review of the product.

  • Fights dryness in the scalp
  • Hypoallergenic
  • Non-GMO ingredients
  • Free of harmful chemicals
  • Cruelty-free


  • May not be suitable for extreme buildup

protip_icon Pro Tip
For maximum effect shake the shampoo well before use and massage it for 2 minutes onto the wet scalp before rinsing.

Price at the time of publication: $33.99

Best DHT-Blocking:Hair Restoration Laboratories Professional Strength Hair Restore Shampoo

Hair Restoration Laboratories Professional Strength Hair Restore Shampoo Image: Hair Restoration Laboratories

This is yet another thoughtfully formulated dandruff shampoo with ketoconazole that boasts a long, impressive list of natural ingredients. Haircare products from Hair Restoration Laboratories, including this one, are popular for containing 25% more DHT blockers. DHT is a hormone that causes hair loss. This shampoo is a blend of caffeine, aloe vera, ginger extract, hops extract, vitamin E, pea extract, lemon oil, white nettle extract, cayenne pepper extract among many other ingredients that enrich your hair strands right from the roots to the tips. Invest in this OTC ketoconazole shampoo for a clean scalp and longer, stronger, and thicker hair. Here’s a video to help you know more about this product.

  • Blocks DHT
  • Thickens hair
  • Reverses hair loss
  • Free of sulfates and parabens
  • Silicone-free


  • May not be as hydrating as expected

Price at the time of publication: $37.99

Best For Hair Growth:Wick & Strom Hair Revitalizing Caffeine Infused Shampoo


If you’re a fan of tropical scents, make the most out of this shampoo with ketoconazole with pleasant notes of mango. It gives your hair follicles a good wash while nourishing them with a blend of vitamins, aloe vera juice, hops extract, mango seed butter, among other natural elements. It also stimulates the follicles to promote hair growth. To add to the host of benefits, the shampoo contains biotin that gives your hair the strength and resilience it needs to be healthy and look supple.

  • Prevents hair loss
  • Invigorating formula
  • Promotes hair growth
  • Suitable for all hair types


  • Contains sulfates

Price at the time of publication: $29.96

Best Clinically TestedSent From: Earth Caffeine & Saw Palmetto Biotin Ketoconazole Shampoo

Sent From Earth Caffeine & Saw Palmetto Shampoo Image: Sent From Earth

This vegan ketoconazole shampoo from Sent From Earth is worth the splurge if hair fall prevention is at the top of your hair goals. It is a fusion of ingredients that consists of caffeine, saw palmetto, ketoconazole, biotin, and organic oils that clean the hair follicles and scalp to stimulate hair growth. This over-the-counter ketoconazole shampoo is formulated without sulfates, parabens, synthetic fragrances, phthalates, and formaldehydes, which gives us more reasons to depend on it without worrying about harsh chemicals weakening our hair in the long run.

  • Promotes hair regrowth
  • Prevents hair breakage
  • Nourishes
  • Natural formula
  • Clinically-tested


  • Slightly expensive
Price at the time of publication: $45.0

Ketoconazole shampoos primarily work toward controlling the itchy scalp. Most of the products help reduce hair loss and promote hair growth to a great extent. Alexandro Vasquez, renowned hairdresser, says, “All those products really help customers with scalp issues, itchiness, dandruff, and many other problems they may have. Just pay close attention and observe in case you see the problems persisting. If so, you may also look for help from a specialist.”

How To Choose The Best Ketoconazole Shampoo?

  • Ketoconazole concentration

Most over-the-counter, generic ketoconazole shampoos that are as effective as medicated ketoconazole shampoos generally contain 2% ketoconazole. This can be very beneficial for those who have a severe case of buildup and hair fall. However, you can only use a high concentration ketoconazole shampoo once a week. However, shampoos with lower concentration can be used almost daily.

  • Hair type

Some of the ketoconazole shampoos may cause dryness. If you have dry hair, you can look for a shampoo that has essential oils, aloe vera, or other hydrating ingredients. For oily hair, it is best to avoid shampoos that contain oils. You can check the product label to see if the shampoo suits your hair type. Make it a point to specifically check if or not the shampoo is suitable for color-treated or chemically processed hair if you have colored or treated your hair.

  • Additional ingredients

While ketoconazole in itself is quite effective at tackling hair fall, a few other ketoconazole shampoo ingredients such as biotin, caffeine, and saw palmetto blocks, and herbal extracts can improve the results for your hair fall problem.

  • Additional benefits

Using ketoconazole shampoo for hair fall shouldn’t mean that you forget about other hair problems. If you’re dealing with other issues like thinning and dandruff flakes or just want your shampoo to work its wonders to stimulate hair growth, you can look for additional ingredients like tea tree oil, almond oil, green tea extract, chamomile extract, etc. that delivers a positive outcome for overall healthy hair.

Are you confused about how to use a shampoo with ketoconazole? Here’s a segment that will help you understand how to use ketoconazole shampoo.

How To Use Ketoconazole Shampoo?

  • Step 1: Wet your hair
  • Step 2: Pour some ketoconazole shampoo of your choice on your palm according to your hair length and volume and massage your scalp with it, evenly spreading it across the length of your hair.
  • Step 3: Once it lathers well, rinses the shampoo off and follow it up with a conditioner of your choice.

If you’re wondering what are the many benefits of using ketoconazole shampoo, here are the several ways in which it can transform your hair to be healthy.

Benefits Of Ketoconazole Shampoo

  • Ketoconazole helps rid the scalp of fungi and other microbes that lead to buildup and chronic dandruff with its antifungal and antimicrobial properties.
  • It remediates dryness and flakiness.
  • It promotes hair growth.
  • It prevents hair loss.

Finding the right ketoconazole shampoo can be an ordeal. But we hope that our list of the 6 best ketoconazole shampoos and our comprehensive buying guide gives you enough options to weigh the pros and cons and settle for one that does justice to your hair. Ketoconazole can be a blessing in a shampoo bottle if you witness increased hair fall, buildup, and hair thinning. Depending on the concentration of ketoconazole in your shampoo, it can take anywhere between 2 weeks to 2 months for you to witness results. However, we can assure you that the outcomes will be worth the wait.

Infographic: Ketoconazole Shampoos Uses

Go through the infographic below to learn more about the various ways of using Ketoconazole shampoos. The infographic suggests a list of points to be considered such as your intention of using the shampoo, safety measures, and dosage. However, it is best to consult a hair care professional for the best results.

Infographic: light food recipes

Illustration: StyleCraze Design Team

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Why Trust StyleCraze?

Kirtana Divakar is a hair care enthusiast who loves experimenting with hair products while keeping up with the latest hair trends. She has compiled a list of the best ketoconazole shampoos that help you prevent the growth of fungus on your scalp, keeping it itch-free. She went through multiple user reviews from trusted sources and checked the ingredients list before picking the perfect product for your hair needs.

Does ketoconazole shampoo cause hair loss?

No, on the contrary, ketoconazole shampoos are used to remediate hair loss and to promote hair growth. If you’re witnessing hair loss from a ketoconazole shampoo, it could be other ingredients causing this problem.

Does ketoconazole shampoo have side effects?

Some of the rare side effects caused by ketoconazole shampoo are itching, hair discoloration, burning sensation, contact dermatitis, hypersensitivity, etc. This is why it is recommended to do a patch test before you start using the shampoo.

Does ketoconazole shampoo treat dandruff?

Yes, ketoconazole shampoos can treat dandruff and buildup.

Is ketoconazole shampoo safe to use during pregnancy?

It is always recommended to consult a doctor before you use a specific ketoconazole shampoo when you’re pregnant.

Is ketoconazole shampoo good for acne?

If your facial acne is caused by dandruff and hair buildup, using a ketoconazole shampoo may help reduce your acne by getting rid of the buildup.

How many times a week should I use ketoconazole shampoo?

While higher concentration ketoconazole shampoos should be used once or twice a week, you can use a gentle ketoconazole shampoo like a regular shampoo. You can read the product label to check how many times you can use the shampoo.

Can you use regular shampoo after ketoconazole?

Since ketoconazole shampoo helps clean the scalp and hair pretty much like any regular shampoo, you wouldn’t need to follow up with another shampoo when you use ketoconazole shampoo.

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