- Side Effects
- Information leaflet
- What is Nizoral Shampoo (60ml)
- How does Nizoral Shampoo work?
- How long do I use Nizoral Shampoo for before I notice a difference?
- What is the difference between Nizoral Anti-Dandruff Shampoo and Head & Shoulders Shampoo
- Can I buy Nizoral Shampoo online?
- What dose should I choose?
- How Effective Is Nizoral Shampoo?
- How should I use Nizoral Shampoo?
- What are the side effects of Nizoral Shampoo?
- When shouldn’t I use Nizoral Shampoo?
What is Nizoral Shampoo (60ml)
Nizoral Anti-Dandruff Shampoo is a very effective way to control dandruff. It is specially developed to be gentle and is safe enough to be used on colour-treated, chemically processed and grey hair. It contains the active ingredient ketoconazole in a concentration of 2%. It is a red-orange liquid for topical application as a foaming shampoo. Ketoconazole is an anti-fungal used on the skin, nails, and scalp to treat infections such as those caused by dandruff and seborrheic dermatitis (dry, flaky, red, and itchy scalp), ringworm, and athlete’s foot. It works by stopping the fungus from forming its normal cell walls and thus stopping its growth.
How does Nizoral Shampoo work?
Ketoconazole is an anti-fungal used on the skin, nails, and scalp to treat infections such as those caused by seborrheic dermatitis (dry or greasy scaling of the scalp), dandruff, ringworm, and athlete’s foot. Everyone’s skin has natural yeasts, however, in some people there may be a flare-up with an increased number of yeasts called Malassezia.
Nizoral Shampoo works by stopping the fungus from forming its standard cell walls and thus stopping the growth of the fungus. It is essential to use the product for the recommended time so that all the fungal spores or yeast cells are eliminated, even if the infection and inflammation seem to have disappeared beforehand.
How long do I use Nizoral Shampoo for before I notice a difference?
The signs of infection or inflammation may disappear even before the treatment period is over. This is why Nizoral Shampoo should be used for the recommended duration of treatment, regardless of how the skin/scalp appears. This is to ensure that all the fungus has been removed from the area, and therefore prevent the infection from returning.
The treatment will usually last from 2 to 4 weeks, and the shampoo should be applied twice every day. If the product is being used as a preventative measure, then it should be applied once every one or two weeks.
What is the difference between Nizoral Anti-Dandruff Shampoo and Head & Shoulders Shampoo
The difference between Nizoral Shampoo and its competitor is that the active ingredient in Nizoral acts at the root of the problem, removing fungi and yeasts that are causing the infection and irritation. Surface or cosmetic products remove dandruff and soothe the scalp on the surface, but do not prevent the problem from recurring.
Can I buy Nizoral Shampoo online?
Nizoral Shampoo is available to buy online without a prescription from a doctor. However, you are welcome to book an appointment with a health expert at Click Pharmacy to discuss how best to use this product. It is available in 100ml and 200ml bottles.
What dose should I choose?
Nizoral Shampoo is only available in one dose, which contains 2% ketoconazole.
How Effective Is Nizoral Shampoo?
Nizoral Shampoo contains the antifungal ketoconazole in a concentration of 20mg/g or 2%. Ketoconazole provides a direct action that treats and prevents fungal infection by attacking the source of the problem and preventing the fungus from proliferating. It also prevents the reoccurrence of the infection by soothing the inflammation caused by the fungal infection. Nizoral Shampoo is also used in the treatment of tinea versicolor (‘sun fungus’) where white marks are seen on the skin after exposure to the sun.
It is commonly used on the scalp to treat and prevent dandruff and seborrhoeic dermatitis – therefore, symptoms of a red, flaky, dry, and itchy scalp. In some cases, the scalp may also have oily areas, and this inflammation can occur on the face, such as the sides of the nose, eyebrows, ears, and eyelids. It may also occur on the chest.
Ketoconazole acts by interfering with the synthesis of a vital component of fungal cell walls. This means that the fungus will not be able to reproduce and will soon die off, removing its effect of infection of the skin. It acts against several fungi and yeasts. Development of resistance to Nizoral Shampoo by these microorganisms has not been reported.
How should I use Nizoral Shampoo?
Apply the shampoo to a wet scalp or to the areas where your doctor has asked you to use Nizoral. You should use about a teaspoon to a tablespoon (5-10ml) for each area. Make sure to wet the area beforehand and form a lather. Apply the shampoo to the affected area but also on surrounding areas. Leave the shampoo on the scalp or skin to work for around 3-5 minutes before rinsing off thoroughly.
Nizoral Shampoo should be used for the recommended duration of treatment, even if the symptoms seem to have disappeared before the treatment period is over. This is to ensure that the fungus, including fungal spores, has been removed, and prevent the infection from returning. The treatment will usually last from 2 to 4 weeks, and the shampoo should be applied twice every day. If the product is being used to prevent infection and inflammation, then it should be applied once every one or two weeks.
In the treatment of tinea versicolor (‘sun fungus’) where there is hyperpigmentation (dark spots) or hypopigmentation (light spots) of the skin, one treatment with Nizoral Shampoo should be enough. However, it may be several months before the skin colour returns to normal after treatment.
Do not use Nizoral Shampoo more often than indicated. If you need to wash your hair more frequently, use your regular shampoo. You may also use your usual shampoo before washing with Nizoral Shampoo if your hair needs more cleaning.
What are the side effects of Nizoral Shampoo?
Many medications can cause side effects, but this does not mean that you will have any. If at any point, you feel an unusual response to the medication, speak to your doctor or pharmacist about it. There have been some side effects from Nizoral Shampoo, but these are rare. Many of these side effects can be managed, and most will go on their own once you stop using the medication.
The less common side effects are itching, stinging, burning, or irritation of the area of the skin or scalp being treated, which was/were not present before the use of the medication.
Rare side effects include hair loss and irritation. Other side effects have an unknown incidence of occurrence. These are oiliness, crusting, blistering, dryness, or flaking of the skin, as well as a burning sensation on the area where the shampoo is being used. Other side effects include skin rash and swelling, discolouration of the hair and changes in hair texture. Other effects such as fever, fast heartbeat, hives, hoarseness, severe redness, rash, shortness of breath, and joint pain have also been reported. Thinning of the hair may be experienced.
Post-marketing reports of side effects have included alopecia (hair loss), folliculitis (inflammation and infection in the hair follicle), angioedema (swelling underneath the skin), and contact dermatitis related to an allergy to one of the ingredients in the shampoo.
There have been cases of reporting of more severe side effects with unknown incidences, such as swelling of the hands, feet, eyelids, face, lips, shortness of breath and tightness in the chest. If you experience any of these effects as well as trouble breathing or swallowing or wheezing, you should stop using the shampoo and seek medical attention immediately. This may mean that you are allergic to the product and may need medication to help relieve these symptoms as soon as possible.
When shouldn’t I use Nizoral Shampoo?
You should not use this product if you have ever had an adverse reaction to any of its ingredients in the past.
If you are pregnant or are breast-feeding, you can use Nizoral Shampoo. However, you should always consult your doctor before using the product in these situations.
What is Nizoral Shampoo used for?
Nizoral Shampoo is used as a treatment for dandruff which is found in the scalp.
Do I need a prescription to purchase Nizoral Shampoo?
No, you do not require a prescription to purchase Nizoral Shampoo. However, if you are unsure whether this product is right for you, you are welcome to book a free consultation with one of our medicine experts.
Does Nizoral Shampoo contain fragrance?
Nizoral Shampoo is a fragrance free shampoo which makes it gentle to delicate and sensitive skin.
How long after using Nizoral Shampoo does it take to notice improvements in my dandruff?
You should be able to notice improvements in your scalp within 2 weeks of using Nizoral Shampoo. However, it may take up to 4 weeks to notice significant improvements.
Is Nizoral Shampoo dermatologically tested?
Yes, Nizoral Shampoo is a dermatologically tested shampoo. It is recommended for the treatment of dandruff by several dermatologists.
How should I store Nizoral Shampoo?
You should store Nizoral Shampoo in a cool dry place, out of reach from children, and at room temperature. This shampoo should not be exposed to extreme temperatures or direct sunlight.
Can children use Nizoral Shampoo?
Nizoral Shampoo is suitable for use by adults and children over the age of 12 years old. This shampoo may sometimes be prescribed to children under the age of 12 years old where the prescriber feels it is safe and necessary to do so.
How should I use Nizoral Shampoo?
Prior to applying Nizoral Shampoo you should ensure your hair is wet. You should then gently massage a generous amount of Nizoral Shampoo into your hair and allow it to sit for around 3 minutes. After 3 minutes you should wash the shampoo out with lukewarm water and use your regular conditioner.
What is the active ingredient in Nizoral Shampoo?
Nizoral Shampoo contains the active ingredient ketoconazole. This ingredient is effective at providing relief from dandruff in the scalp.
How often should I use Nizoral Shampoo?
Nizoral Shampoo is suitable for regular use whenever you wash your hair. It is advised to use Nizoral Shampoo for up to 3 months for best results.
Is Nizoral Shampoo suitable for all hair types?
Yes, Nizoral Shampoo is suitable for use for all different hair types.
Can I use a normal shampoo while using Nizoral Shampoo?
Yes, if you feel it is necessary you can alternate shampoos across different hair washes to maintain healthy hair.
Can pregnant or breastfeeding women use Nizoral Shampoo?
Although Nizoral Shampoo is generally safe to use, you should consult with a doctor or pharmacist if you are pregnant or breastfeeding. This is to ensure the shampoo does not cause any harm to both born and unborn babies.
After using Nizoral Shampoo you are unlikely to experience any side effects. This is because Nizoral Shampoo is washed off and not absorbed into the bloodstream. If you experience any of the following:
- Difficulty breathing
You may be experiencing an allergic reaction. In this case you should stop using Nizoral Shampoo immediately and seek medical advice as soon as possible.
Authored by Jana Abelovska
Last reviewed 20 April 2021
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