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Nizoral Anti-Dandruff Shampoo contains ketoconazole 2%, an antifungal that treats and helps prevent dandruff by reducing the scalp yeast linked to it. No prescription needed – for adults and children over 12.
Order before 3pm — same-day dispatch (MON - FRI)
~5 min consultation
Secure & confidential · Reviewed by a UK prescriber
Suitable age
Legal 12 years + (Access Doctor Only supplies for 18 +))
Max per order
3 bottles
Consultation
Not needed – general sale medicine
Nizoral Anti-Dandruff Shampoo is a medicated shampoo containing ketoconazole 2%, an antifungal medicine. Most dandruff is linked to an overgrowth of Malassezia, a yeast that lives naturally on the scalp; ketoconazole reduces it, easing flaking and itching. For other scalp or skin conditions, ask a pharmacist or doctor which treatment is right for you.
It is a general sale medicine for adults and children over 12, so you do not need a prescription. Use it as a treatment first, then less often to help stop dandruff coming back.
To treat dandruff, use it every 3 or 4 days for 2 to 4 weeks: wet your hair, massage a small amount into the scalp, leave the lather on for 3 to 5 minutes, then rinse well. To help prevent dandruff returning, use it once every 1 to 2 weeks. If your scalp has not cleared within 4 weeks, speak to a pharmacist or doctor.
If you currently use a steroid lotion or cream on your scalp, reduce it gradually over 2 to 3 weeks while you start Nizoral, rather than stopping it suddenly.
For a full guide to getting the best from it, see how to use Nizoral shampoo. Nizoral is a branded ketoconazole shampoo; we also stock a generic ketoconazole 2% shampoo. Always read the leaflet.
| Active ingredient | Ketoconazole 2% w/w |
| Type | Antifungal medicated shampoo |
| Made by | Thornton & Ross Ltd |
| Bottle | Bottle 100ml (buy 1, 2 or 3) |
| Price | From £16.99 |
| Treatment | Every 3–4 days for 2–4 weeks |
| Prevention | Once every 1–2 weeks |
| Leave on | 3–5 minutes before rinsing |
| Age | Adults and children over 12 |
| Pregnancy and breastfeeding | Can be used, according to the leaflet |
| Legal status | GSL – General Sales List medicine (no prescription needed) |
Nizoral treats and helps prevent dandruff, which is linked to scalp yeast. It does not treat scalp psoriasis or eczema.
Nizoral is usually a sensible first step if you have white or yellowish flakes and an itchy scalp, without thick plaques.
See a pharmacist or GP if you have thick, silvery, well-defined plaques (often psoriasis), patches spreading beyond the hairline, or a very inflamed scalp. Options include a prescription steroid scalp application such as Betacap or Betnovate Scalp, or a coal-tar or descaling product available without a prescription.
Using both? Nizoral can be used alongside a prescribed scalp steroid if your prescriber agrees. If you are coming off a steroid, reduce it gradually over 2 to 3 weeks while starting Nizoral.
One 100ml bottle costs £16.99, two bottles cost £29.99 and three bottles cost £39.99.
No. Nizoral Anti-Dandruff Shampoo is a general sale medicine in the UK, so you can buy it without a prescription. It is suitable for adults and children over 12.
In the UK, Nizoral Anti-Dandruff Shampoo contains ketoconazole 2%. A 1% version is sold in some other countries, such as the US, but the UK product is 2%.
Nizoral is a brand of ketoconazole 2% shampoo. Generic ketoconazole 2% shampoos contain the same active ingredient at the same strength, though their other ingredients and licensed uses can differ slightly. Check the leaflet of the product you use.
It is licensed to treat and help prevent dandruff, which is linked to Malassezia, a yeast that lives naturally on the scalp. If you think you have another scalp or skin condition, such as seborrhoeic dermatitis, ask a pharmacist or doctor which treatment is right for you.
To treat dandruff, use it every 3 or 4 days for 2 to 4 weeks, leaving the lather on for 3 to 5 minutes before rinsing. To help stop dandruff coming back, use it once every 1 to 2 weeks. Do not use it more often than the leaflet says.
Yes, but if you have been using a steroid lotion or cream on your scalp for a long time, reduce it gradually over 2 to 3 weeks while you start Nizoral, rather than stopping it suddenly, to avoid a flare. Ask a pharmacist or your prescriber if you are unsure.
Uncommon side effects include itching or irritation where it is used, inflamed hair follicles, hair loss or changes in hair texture, dry skin, rash and watery eyes. Rarely, it can cause taste changes, eye irritation, acne, flaking skin or an allergic reaction. Hair discolouration and hives have also been reported. Stop using it and get urgent medical help if your face, lips, tongue or throat swell.
If your scalp has not cleared within 4 weeks, speak to a pharmacist or doctor. Thick, silvery scales, very inflamed skin or patches beyond the hairline may be scalp psoriasis or another condition that needs a different treatment, such as a prescription steroid scalp application.
Yes. The Nizoral leaflet says you can use it if you are pregnant, might be pregnant or are breastfeeding. Ketoconazole has not been detected in the blood after the shampoo is used on the scalp.
Nizoral Anti-Dandruff Shampoo is for adults and children over 12. It should not be used on children under 12; speak to a pharmacist or GP about a younger child's scalp.
Wash every third day
Caution FLAMMABLE: keep away from fire or flames after you have used the medicine. FOR EXTERNAL USE ONLY. SHAKE THE BOTTLE. Spread thinly on the affected skin only.
Helpful articles and clinical guides related to this treatment category.
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