How to use Ketoconazole shampoo and minoxidil solution?

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Male Hair Loss- Questions, Questions | HairMD | May 31, 2021

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Ketoconazole and minoxidil

Hair loss is a problem that afflicts many men and women of different age groups. It can either be temporary or permanent, so it is important to learn why hair loss happens. While men experience gradual hair loss, hair fall in women appears due to various reasons such as hormonal imbalance, genetics, etc.

There is no one hair loss treatment that will work for everyone. There are a few different treatments for hair loss and it all depends on the type of hair fall you have and what kind of treatment your dermatologist will suggest. Every dermatologist has their own treatment protocol to treat hair loss. The most common, safe, and proven medication is Minoxidil. Along with this, often ketoconazole shampoo is prescribed if you have any kind of dandruff or fungal infection. So, the most commonly asked question is “how to use Ketoconazole shampoo and minoxidil topical solution together?”

What is Minoxidil?

Minoxidil for hairloss

Minoxidil is a topical medication designed to stimulate blood flow to the scalp, thereby promoting hair growth in people with androgenic alopecia. It was first introduced as a treatment for high blood pressure (hypertension) but has since been found to promote hair growth in individuals with hair loss or androgenic alopecia.

About 40-45% of men experience hair growth after 4-6 months of this treatment. Minoxidil topical solution helps with blood flow to the hair follicles. Additionally, it increases the follicular size and hair shaft diameter. Minoxidil topical solution is available in different variants, mainly 2%, 5%, and 10% often known as minoxidil 2 solution, minoxidil 5 solution and minoxidil 10 solution respectively.

If you are using minoxidil for hair growth, it is best to use the medication for at least four to six months. The longer you use the medication, the better chance that you will see results. Some people will notice results in just a few weeks, but it can be several months before you see any improvement. The results will last as long as the medication continues. If you stop minoxidil treatment in between hair loss will begin again within a few months. The results of minoxidil vary on the individual’s response and on hair loss progression.

What is Ketoconazole Shampoo?

Minoxidil for hairloss

Ketoconazole shampoo is used just like any other shampoo. It is designed to treat fungal infections affecting the scalp. Ketoconazole commonly used for stubborn dandruff, psoriasis, etc. It is considered to be one of the most commonly used shampoos for those who suffer from hair loss, dandruff, and other forms of scalp-related issues. Ketoconazole is in a class of antifungal medications. It works by slowing down the growth of fungi which cause infection.

Ketoconazole comes as a cream and a shampoo that you have to apply to the skin. Ketoconazole cream is usually prescribed to apply once a day for 2 to 6 weeks.  Over-the-counter ketoconazole and zinc pyrithione shampoo is usually prescribed to use every 3 to 4 days for up to 8 weeks. then used as needed to control dandruff. Remember to use ketoconazole exactly as the doctor’s prescription. Do not use less or more of it than prescribed by your doctor.

Benefits of Ketoconazole Shampoo

  • Helps to control dandruff.
  • Reduces the flaking, scaling, and itching associated with dandruff.
  • Ketoconazole shampoo can also treat tinea capitis (ringworm like fungus infection) and tinea versicolor (skin infection).
  • One of the most important uses of Ketoconazole is that it helps promote hair growth and reduce hair loss.

How to use Ketoconazole Shampoo for hair loss?

You should use the ketoconazole shampoo for hair loss as per your doctor’s instructions. 

For scalp treatment, apply the ketoconazole shampoo to wet hair. Dilute the shampoo with equal amounts of water and apply on the scalp. Massage gently until a lather starts to form. Give the product time to soak into your scalp before rinsing it off. After rinsing apply conditioner to the ends of your hair, rinse, wash and dry as you normally would.

If you want to see ketoconazole shampoo hair loss results, then you have to let the shampoo sit on the affected area for at least five minutes; wash and dry thoroughly. The frequency of hair wash, and the duration, will depend on various factors; these include the condition you are treating, the shampoo strength, and the intensity of the condition. If you have severe hair fall, your doctor may recommend using the shampoo every other day, or if it’s not severe they may suggest using the shampoo once a week.

What are the different types of ketoconazole shampoo for hair loss?

There are various types of ketoconazole shampoos for hair loss, you will get them over the counter or through a prescription. The best ketoconazole shampoo for hair loss will contain 2 percent or more ketoconazole, and it is available on doctor prescription. You can always try OTC ketoconazole shampoos that contain one percent of ketoconazole, and it’s available in supermarkets and online stores.

How to use Ketoconazole shampoo and Minoxidil Solution together?

Many patients will always ask me how to use ketoconazole shampoo and minoxidil topical solutions together. First, wash your hair with the help of ketoconazole shampoo. After washing your hair, dry it with a microfiber towel, and then apply minoxidil lotion 1 ml all over your scalp. Similarly, at night time apply minoxidil 1ml and the next morning you can wash it with ketoconazole shampoo.

You should not apply ketoconazole and zinc pyrithione shampoo & minoxidil solution together at the same time. Wash your hair with ketoconazole shampoo either one or two times a week and apply minoxidil only after drying your hair thoroughly. 

Do not use minoxidil or ketoconazole without a doctor’s prescription, speak to your dermatologist to understand the dosage that’s right for you. 

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