Ketoconazole shampoo prescription

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Table of Content:
What is ketoconazole? | How to get ketoconazole shampoo? | Get the prescription | How does ketoconazole work? | Ketoconazole prescription request faq

Medically reviewed by:
Dr. Carolina Fernandez
Dermatologist

treating skalp yeast with nizoral shampoo

What is ketoconazole shampoo and what is it used for?

Dr. Fernandez says that ketoconazole shampoo (usually sold under the brand name Nizoral) is a medicated shampoo that contains the antifungal agent ketoconazole. It is primarily used to treat yeast-related scalp and skin conditions such as dandruff, seborrheic dermatitis, and tinea versicolor (a yeast overgrowth). In addition to its antifungal properties, ketoconazole has mild anti-androgenic effects, meaning it can reduce the activity of hormones like dihydrotestosterone (DHT) on the scalp. Because of this, it is sometimes recommended as part of a hair loss treatment regimen. The regular use of ketoconazole shampoo (typically 1–3 times per week) may help reduce scalp inflammation, improve hair follicle health, and support other hair loss treatments.¹ ²

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Ketoconazole shampoo RX

A dermatologist may prescribe a compounded ketoconazole shampoo prepared by Foothills Pharmacy based on your individual needs. Simply select Foothills as your pharmacy of choice, and your dermatologist will determine the appropriate ketoconazole strength and, when clinically appropriate, may incorporate additional ingredients based on professional judgment and patient-specific factors such as scalp condition, sensitivity, and treatment goals.

Important Disclaimer: Compounded medications are not reviewed by the FDA for safety or efficacy.

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How to get ketoconazole shampoo online?

Do you need a prescription to buy ketoconazole shampoo?

You can purchase ketoconazole shampoo 1% over the counter, but you need a prescription to buy ketoconazole shampoo 2%. This higher strength is used when the over-the-counter version has not worked effectively for you.

How to get a prescription for ketoconazole shampoo online?

To get a prescription for a ketoconazole shampoo online, you can have a consultation with a dermatologist via Miiskin, if medically adequate for you, they will issue a prescription. Consultation price is $59 for new consultations and $39 for medication refills.

Where to buy my ketoconazole shampoo online?

If you want your ketoconazole shampoo delivered to your doorstep, simply select Foothills as your preferred pharmacy and order your treatment on the Miiskin platform.

how to get ketoconazole shampoo prescription

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Request a ketoconazole shampoo prescription via Miiskin

Select “Start consultation” to sign up.
Fill out the consultation form and take photos of your skin.
An independent dermatologist will prescribe ketoconazole to you, if medically appropriate.
Buy ketoconazole affordably from the pharmacy of your choice.

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How to get a prescription for ketoconazole shampoo online:
Start with an online consultation to connect with a board-certified dermatologist. After reviewing your case, the dermatologist will prescribe ketoconazole shampoo if they find it appropriate for your condition and send the prescription to your preferred pharmacy.

What patients say about Miiskin

Very happy with this service. Quick and easy. With someone with not the greatest insurance and super busy. This was perfect. Got my prescription next day and great advice for my condition.

Marcus Liniarski,
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I had a great experience with Miiskin – I was able to get my prescription very quickly and their app is easy to use. It was very convenient and their team is very responsive. I highly recommend them and will likely use them in the future for other skin issues.

Susie Tse,
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What a technology! I was very impressed by the speed of communication with a doctor using the Miiskin app. Losing my hair has been my biggest concern, but I didn’t have the courage to reveal my bald spot to a doctor in person. Miiskin solved all my issues instantly. I just took a photo in my own room, uploaded it, and wrote about my concerns. That’s it. The best part is that without insurance, the consultation fee was much lower than any health insurance. I submitted my photo at midnight and received a prescription the very next morning. The doctor at Miiskin was very professional and empathetic, which really helped ease my emotional distress. Although I’m just at the beginning stage of my treatment and haven’t seen significant results yet, I feel reassured and supported. I will definitely upload my progress in 3 to 4 months to show my appreciation for the prescription from Miiskin.

Jiyeon Kang,
Patient Review →

My dermatologist was extremely quick, reviewed my consultation request within 2hrs and I had my Rx the next day! The Miiskin team also responds within minutes and are very polite and communicated concisely. I’ll never make a in person appointment again after experiencing this outstanding and affordable telehealth service!

Dion H,
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Quick response from the dermatologist — I wanted a fast turnaround for a skin concern that would be more immediate than going through health insurance, making an appointment, traveling to the doctor.

Timothy C.
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Ketoconazole Shampoo Explained

How does ketoconazole shampoo work?

Ketoconazole shampoo works by reducing the overgrowth of the Malassezia yeast, which is often related with these conditions. By addressing the root cause, ketoconazole shampoo alleviates symptoms like itching, redness, flaking, and irritation, promoting a healthier scalp and skin environment.³

Provider & Prescription Information

Miiskin connects patients with independent dermatologists who provide care through their private practices. Compounded prescriptions can be ordered via Miiskin and are dispensed by Foothills pharmacy. Generic prescriptions can be filled at any local or online pharmacy.

Got more questions about ketoconazole shampoo?

What does ketoconazole shampoo do for your hair?

Ketoconazole shampoo helps improve the health of your scalp by addressing yeast-related conditions, such as dandruff and seborrheic dermatitis, which can lead to itching, redness, and flaking. By reducing yeast overgrowth, it alleviates these symptoms and creates a healthier scalp environment that can support normal hair growth. Some studies suggest that ketoconazole may also have anti-inflammatory properties and could contribute to improved hair density when used as part of a hair care routine.⁴

What are the negatives of ketoconazole shampoo?

Ketoconazole shampoo can cause side effects, though they are generally mild. Common negatives include dryness, irritation, or a stinging sensation on the scalp. In some cases, it may lead to changes in hair texture or slight hair shedding initially as the scalp adjusts. Rarely, individuals may experience an allergic reaction, which can include rash, swelling, or severe itching. Long-term or excessive use can potentially dry out the scalp or damage hair, particularly if the shampoo is not used as directed.⁵

What happens if you use ketoconazole shampoo daily?

Dr. Fernandez says that using ketoconazole shampoo daily is generally not recommended unless specifically directed by your healthcare provider. Frequent use can dry out your scalp and hair, potentially causing irritation or breakage. For most conditions, ketoconazole shampoo is used 2 to 3 times per week, and alternating with a gentle, non-medicated shampoo can help maintain scalp and hair health while still effectively treating the condition.

Does ketoconazole shampoo treat scalp psoriasis?

Dr. Fernandez says that ketoconazole shampoo is not a primary treatment for scalp psoriasis, as it targets yeast infections rather than the immune-mediated inflammation underlying psoriasis. However, it may help if there is a secondary fungal or yeast overgrowth contributing to symptoms. For scalp psoriasis, medicated shampoos containing coal tar, salicylic acid, or corticosteroids are more effective. A dermatologist can recommend the most appropriate treatment based on the severity of your psoriasis.

Can I leave ketoconazole shampoo overnight?

According to Dr. Fernandez, leaving ketoconazole shampoo overnight is not recommended. It is designed to be left on the scalp for a specific amount of time, usually 3 to 5 minutes, before rinsing thoroughly. Prolonged contact may cause irritation or dryness and is unlikely to enhance its effectiveness. Always follow the usage instructions provided on the product label or by your healthcare provider.

How long does it take to see results from ketoconazole shampoo?

Dr. Fernadez says that the time it takes to see results from ketoconazole shampoo depends on the condition being treated. For dandruff and seborrheic dermatitis, you may notice an improvement in symptoms like flaking and itching within a few days to a week of use. For more persistent conditions, such as pityriasis versicolor or severe seborrheic dermatitis, it may take 2 to 4 weeks of consistent use to achieve significant results. It’s important to use the shampoo as directed and to complete the full course of treatment, even if symptoms improve earlier, to prevent recurrence. If symptoms persist or worsen, consult a healthcare provider for further evaluation.

Request a prescription for ketoconazole shampoo online

Select “Start consultation” to sign up.
Fill out the consultation form and take a photo of your skin.
An independent dermatologist will prescribe ketoconazole shampoo to you, if medically appropriate.
Purchase ketoconazole shampoo from the pharmacy of your choice.

Start consultation

References:
¹https://emedicine.medscape.com/article/1108312-medication#2?form=fpf
²https://pubmed.ncbi.nlm.nih.gov/9843006/
³https://www.webmd.com/drugs/2/drug-75147-179/ketoconazole-topical/ketoconazole-shampoo-topical/details
⁴https://health.clevelandclinic.org/shampoo-for-hair-loss
⁵https://www.webmd.com/drugs/2/drug-75147-179/ketoconazole-topical/ketoconazole-shampoo-topical/details