Ketoconazole shampoo. The price of lichen, dandruff, seborrhea, list, names, reviews

For an effective fight against dandruff, pityriasis versicolor and seborrheic eczema in traditional medicine, shampoos with ketoconazole are used, which have fungicidal, antifungal and fungistatic effects.

These pharmaceuticals inhibit the growth of pathogenic microorganisms, gently cleanse the scalp from keratinized particles of the epidermis, eliminate painful symptoms of dermatological diseases, normalize the work of sebaceous glands.

Before buying a medicinal shampoo, you need to consult a trichologist or dermatologist, as well as study the instructions for use. The price of a medicine depends on the manufacturer and the markup of the pharmacy chain.

Forms of release and composition of shampoos with ketoconazole

Shampoo with ketoconazole (the price of the drug is justified by its effectiveness in the fight against fungal diseases of the scalp) has a pleasant aroma. The drug is sold in a special bottle, the volume of which may vary depending on the manufacturer.

Ketoconazole is an antimycotic agent synthesized by the modern chemical industry. This component is part of many medicinal shampoos that act on the patient's body superficially, as they are applied only to the scalp.

The active formula of ketoconazole helps break down the elements involved in the formation of the walls of the fungus. Due to this, microorganisms can no longer multiply and after a while they simply die.

An equally effective analogue of ketoconazole is climbazole, which has established itself as a powerful antifungal agent. It is forbidden to use shampoos based on this component more than 3 times a day. Climbazole is not recommended for the treatment of lichen, psoriasis and seborrheic dermatitis in children under 12 years of age.

The pharmaceutical industry produces 2 types of ketoconazole shampoos:

• Anti-dandruff with zinc 2%. Healing shampoos from this series are intended for a long therapeutic course, the action of which is aimed at eliminating the main causes of dandruff.
• Neutral ketoconazole. Shampoos from this series are used for prophylactic purposes, when it is necessary to consolidate the effect of the treatment passed and to reduce the likelihood of relapse. Medicines do not contain zinc, so they can be used by patients with sensitive skin type. The likelihood of an allergic reaction is minimized due to the neutral acid balance and the absence of artificial dyes in the composition of chemicals.

Ketoconazole is used as an active ingredient in medicinal shampoos.

Excipients include:

• Purified water.
• Collagen hydrolyzate.
• Macrogol methyldextrose dioleate.
• Imidourea.
• Cocamide DEA.
• Sodium lauryl sulfate.
• Dyes.
• Sodium chloride.
• Hydrochloric acid.
• Sodium lauryl sulfosuccinate.
• Flavors.
• Sodium hydroxide.

The components of the shampoo help get rid of dandruff and the painful symptoms of seborrheic dermatitis, eliminating itching and flaking of the scalp. To enhance the positive therapeutic effect, you can add 2 drops of tea tree oil, which has antibacterial properties, to the product.

Dermatologists recommend using shampoos with ketoconazole for fungal diseases of the scalp. The active ingredient is effective in dermatophytosis, candidiasis. Before using the drug, the patient should consult with a trichologist or dermatologist so that the specialist correctly determines the diagnosis and prescribes an appropriate treatment regimen.

Pharmacological properties

Ketoconazole belongs to the category of safe chemical compounds. This component has a powerful antifungal, antiandrogenic and fungicidal effect. Ketoconazole is used in traditional medicine to fight yeast-like and mold fungi, dermatophytes. This chemical is found in many powders, shampoos, tablets, and suppositories.

Ketoconazole is often included in combination therapy, since it helps to eliminate not only the consequences, but also the very cause of the dermatological disease.

With regular use of shampoo, you can cope with the painful symptoms of a pathological condition. After the completed therapeutic course, the hair becomes healthy and acquires a natural shine, which is due to the restoration of the sebaceous glands.

To enhance the positive effect, the manufacturer can add the following components to the shampoo:

• Selenium disulfide. This component has an antimycotic effect. Already after the first application, selenium disulfide normalizes sebum secretion and slows down subsequent cell division.
• Pyrithionzinc. The component allows you to achieve light peeling, relieves inflammation. Zinc pyrithione is effective in a situation where the disease was triggered by a fungal infection.
• Tar. This substance has a good exfoliating effect.
• Cyclopirox increases the rate of penetration of the components of the therapeutic agent into the deep layers of the epidermis.

Zinc pyrithione has antiproliferative properties, as it promotes active hair growth and normalizes the sebaceous glands. Shampoos may additionally contain coconut oil extract, which plays the role of an emollient and helps to create a hydrolipid membrane around the follicles.

Neutral shampoos with Ph 5.5 have an acid-base balance that is optimal for human skin and can be used daily. The zinc drug is recommended for combating seborrheic dermatitis, pityriasis versicolor and psoriasis.

Such shampoos are often prescribed by dermatologists to patients for the treatment of varicoloured lichen and candidiasis. Thyme extract present in the composition helps to improve blood circulation, which improves the nutrition of the hair follicle.

Pharmacodynamics and pharmacokinetics

Shampoo with ketoconazole (the price, indications and contraindications for the use of the drug should be studied by the patient in advance, since the treatment of dandruff and seborrheic psoriasis implies passage of a long therapeutic course) acts exclusively on the surface of the skin, due to which the components of the drug do not penetrate into the systemic blood flow.

After 2 weeks of regular treatment, patients notice the first improvement in their condition. The therapy should not be interrupted, since in order to achieve the desired result, keratinized particles of the epidermis must be completely removed.

The standard course of treatment is designed for 30-90 days (it all depends on the diagnosis and the patient's condition). Numerous patient reviews confirm that you can get rid of dandruff in 1 month.

Indications for use

Ketoconazole shampoo is effective when the patient is diagnosed with the initial form of a dermatological disease. If the disease progresses rapidly and the patient's condition worsens, then a effective complex therapy that will help eliminate not only the pathology itself, but also its consequences.

The slightly inflated price of the drug is justified by its effectiveness in the fight against dandruff and shingles, when you need to quickly stop the itching and burning of the skin.

Ketoconazole shampoos are recommended for use in the presence of the following diseases:

• Psoriasis.
• Seborrheic dermatitis.
• Deprive of various etiology and severity.
• Diffuse hair loss.
• Oily and dry dandruff.
• Candidiasis, streptococcal and staphylococcal infection of the surface of the skin, scalp.
• Atopic dermatitis.

Ketoconazole not only helps to cope with dermatological disease, but also to overcome itching, burning and peeling of the skin.

The appearance of dandruff can be associated with a violation of the hormonal background, a sharp change in climate, constant stressful situations and a decrease in the protective functions of the immune system. Only if all these factors are excluded, the patient will be able to overcome the acute form of a dermatological disease and improve the condition of his curls.

Contraindications

The main contraindication to the use of shampoos with ketoconazole is the presence of individual sensitivity of the body to the components of the drug. To determine hypersensitivity, dermatologists recommend performing a quick test.

You need to apply a little shampoo to the inside of the elbow and wait 15 minutes. If, after this time, there is no urticaria on the skin and itching does not bother, then you can safely use the drug.

At what age can ketoconazole shampoos be used?

Shampoo with ketoconazole (the price of the drug is primarily of interest to those patients who have been prescribed a long-term treatment seborrhea or diffuse hair loss) is allowed to be used to combat fungal infections of the scalp in children from 12 years old.

At an earlier age, the drug can be used if the expected positive effect outweighs the potential risk to the growing body. Treatment should be supervised by a qualified dermatologist or trichologist.

In pediatrics, the antifungal drug is recommended to be used 2 times a week. Supportive therapy is carried out 1-2 times a month. The treatment should last 1 month. A significant improvement in well-being can be achieved after 10 days of regular use of the shampoo.

Side effects

In 98% of all cases, ketoconazole shampoos are well tolerated by the patient's body.

But due to non-compliance with the treatment regimen recommended by the dermatologist, the patient may experience the following side reactions:

• Rash on the skin.
• Eczema.
• Change in the usual color of curls (especially for patients with gray hair or perm).
• Dry or greasy hair.
• Burning and itching of the skin.
• Headaches.
• Increased body temperature.

If the medicinal shampoo gets on the mucous membrane of the eyes, then the patient will be disturbed by a strong burning sensation in this area. To eliminate painful symptoms, dermatologists recommend washing with plenty of running water. If the drug enters the gastrointestinal tract, disruption of the digestive tract is not excluded.

If side effects appear, it is recommended to refuse further use of shampoo with ketoconazole. Only a qualified dermatologist or trichologist can prescribe a safe drug for dandruff and fungal infections, who will pre-collect a detailed history and determine the patient's diagnosis.

Overdose

In medical practice, there have been no cases of overdose with medicinal shampoo with ketoconazole. But the occurrence of negative reactions is possible if the patient uses the drug more often than 2 times a week. Daily use of medicinal shampoo is possible only in that situation if the patient has been diagnosed with pityriasis versicolor.

In case of non-compliance with the recommended frequency of application of the therapeutic agent, the patient may experience the following symptoms:

• Burning, itching of the skin.
• Rash.
• Quincke's edema.
• Increased body temperature.
• Redness of the scalp.
• Increased fatigue.

As a result of frequent use of ketoconazole shampoos, the patient may experience increased dryness or oily hair. If the patient has gray hair, then it may be dyed brown.

special instructions

Ketoconazole shampoo can be used during pregnancy and breastfeeding. The drug is safe, since its constituent components do not penetrate into the systemic circulation, so they cannot harm the child's health. In isolated cases, with prolonged use of shampoos with ketoconazole in men, erectile function may weaken.

It is forbidden to use an antifungal drug with ketoconazole without first consulting a dermatologist. The components of the shampoo do not affect the speed of psychomotor reactions and concentration of attention, due to which while completing a therapeutic course, you can not give up driving and difficult mechanisms.

Effective dandruff control means that the patient must eat a balanced diet. Dermatologists recommend limiting the consumption of fried, spicy foods. The patient should make sure that his daily diet is rich in vitamins (for example, A, B1, B2, B6) and fiber, which improves metabolism and helps to remove existing toxins from the body.

Dandruff can be caused by too dry scalp, which is associated with a lack of moisture in the epidermis. In this case, it is enough for the patient to drink 1.5-2 liters. water a day.

Numerous reviews of dermatologists and their patients confirm that ketoconazole shampoo helps to eliminate dandruff and get rid of itchy scalp.

Such medical cosmetics are in great demand due to the presence of a pleasant aroma, economical use of the contents of the bottle and high efficiency. When used in conjunction with neutral hair cosmetics, the patient does not need to purchase additional balms.

The principle of combating dandruff is practically the same as a regular shampoo. In this case, the components of the drug act only superficially, but the tableted forms of drugs with a similar principle of action can negatively affect the work of the liver and stomach.

Ketoconazole shampoos have the following benefits:

• They effectively deal with dandruff. Patient reviews confirm that after 1-2 months you can completely get rid of the white scales of the keratinized epidermis.
• The shampoo lathers perfectly, so it is consumed sparingly.
• Ketoconazole is suitable for both dry and oily skin types.
• Domestic medicines have an affordable price.

Among the disadvantages of shampoos, there are too many chemicals in the composition, which can worsen the condition of the hair. To eliminate the negative consequences, many manufacturers are trying to add various natural oils and herbal extracts to soybeans.

Dermatologists recommend that patients buy broad-based shampoos. Medical cosmetics should effectively fight the fungus, improve the condition of the hair and restore the production of sebum by the sebaceous glands.

Drug interactions

Shampoo with ketoconazole (the price of an antifungal agent is justified by its effectiveness in combating atopic dermatitis and psoriasis) is well tolerated by the patient's body in 98% of all cases. To reduce the likelihood of developing concomitant pathologies when undergoing combination therapy, you need take into account the principle of interaction of the drugs used:

• H2 blockers, antacids and anticholinergics significantly reduce the effectiveness of ketoconazole.
• Astemizole, Terfenadine, Quinidine, Cisapride, Triazolam, Lovastatin, Pimozide, and Simvastatin must not be combined with drugs that contain ketoconazole.
• Rifabutin, Rifampicin, Phenytoin, Isoniazid, Carbamazepine neutralize the effectiveness of ketoconazole shampoos.

Before undergoing drug therapy, the patient must undergo a full examination of the body and consult a dermatologist who will correctly determine the diagnosis and prescribe an effective regimen treatment. Otherwise, the development of concomitant diseases is not excluded, which can significantly worsen the patient's condition.

Instructions for use, dosage

The principle of combating dandruff does not depend on the cause of the fungal infection on the scalp. To achieve a positive therapeutic effect, the shampoo is recommended to be used once every 3 days. The standard therapeutic course lasts 14 days. To prevent dandruff, the antifungal drug should be applied to wet hair once a week.

During an exacerbation of a dermatological disease, shampoo is applied once every 2 days to the hair and scalp for 5 minutes. and wash off with plenty of warm water. The ketoconazole product has good exfoliating properties.

After completing a full therapeutic course, many patients are worried about the imbalance microflora of the scalp, when symptoms occur that resemble withdrawal symptoms (itching and burning return).

But the uncomfortable symptoms disappear after 2-3 days, after which the natural microbiological level is restored, and the likelihood of a relapse of the disease decreases. The components of the medicated shampoo gently cleanse hair and sensitive scalp from dandruff. Some manufacturers produce hypoallergenic medicinal cosmetics that do not contain dyes.

Instructions for using shampoos:

• Rinse hair under warm running water.
• Apply a small amount of shampoo to the hair and massage the product into the scalp with light massaging movements.
• The drug must be distributed over the entire length of the hair.
• You need to leave the shampoo for 2-5 minutes.
• The product must be washed off with plenty of warm water.

The exact treatment regimen can only be prescribed by a dermatologist or trichologist after examining the patient and determining the diagnosis. In the spring and autumn seasons, various changes occur in the human body that can negatively affect the intensity of sebum secretion, due to which the occurrence of fungus.

Dermatologists recommend using a neutral medicated shampoo (1%), which should be alternated with conventional cosmetic products. These preventive measures must be carried out at least once a month.

List of ketoconazole shampoos, prices

The choice of a therapeutic shampoo with a suitable concentration of ketoconazole depends on the form of the dermatological disease, the presence of comorbidities and the individual characteristics of the patient's scalp.

In some cases, complex treatment may be needed, which will include additional the use of medicinal ointments, creams and suppositories (for example, Ketoconazole suppositories from a pharmaceutical company Altpharm).

Shampoo name	Average price in Russia (rub.)
Sebiprox	520
Akrihin Mycozoral	320
Ketoconazole	250
Nizoral	460
Sebozol	150
Cynovite	290
Sulsen Forte	250
Ketoconazole Zn2 +	216

Ketoconazole shampoos are among the most effective treatments for dandruff and seborrheic dermatitis. After completing a full-fledged therapeutic course, these medicines help to clear the scalp from the keratinized scales of the epidermis.

The domestically produced ketoconazole shampoos, available at the price, are quite effective not only if the patient has dandruff, but also at the initial stage of baldness. An effective treatment regimen in each case is selected individually, since everything depends on the diagnosed disease and the general condition of the patient.

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