Ketoconazole (cream/shampoo): uses, side effects & brands

Written & medically reviewed by Dr. Sanjay Anbu, MBBS · Last reviewed 5 November 2026

Ketoconazole cream/shampoo treats dandruff and skin fungal infections. It belongs to the Skin (dermatology) medicine group. These treat skin infections, inflammation, acne and parasites, mostly applied to the skin.

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Drug type — dosing is set by your doctor

Measure	Range
Drug class	Skin (dermatology) medicine
Type	Prescription
Dose	Individual — ask your doctor or pharmacist

What it is used for

Dandruff and seborrhoeic dermatitis (shampoo)
Ringworm of body and groin
Athlete's foot
Pityriasis versicolor (patchy skin colour)

Common brand names

India: Nizral, Ketostar, Danruf
Worldwide: Nizoral

Common side effects

Itching or burning
Redness where applied
Dry or oily hair or scalp (shampoo)

Before taking it — precautions

Avoid contact with eyes
If using a steroid cream on the same area, ask your doctor how to stop it
Use for the full course even if it looks better

When to see a doctor urgently

Swelling of face or throat (urgent)
Severe redness, blistering or oozing
No improvement after the advised course

Not a prescription — no dose shown. The right dose of ketoconazole depends on age, weight, kidney/liver function and the condition, so MedDroid does not show a dose here. Always get your dose from a doctor or pharmacist and the leaflet inside the pack. General educational information only.

Frequently asked questions

Is the cream as risky as ketoconazole tablets?

No. The cream and shampoo are absorbed very little and do not carry the liver risk of the tablets.

How often should I use the shampoo?

Use it as your doctor or the label advises; it is usually used for a few weeks and then less often to prevent return.

Can I stop when the rash fades?

Keep using it for the full course to prevent the fungus returning.

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Sources & further reading

Reviewed by Dr. Sanjay Anbu, MBBS. MedDroid is an AI medical assistant and can make mistakes. It provides general health information, not a diagnosis or medical advice — always consult a qualified clinician. In an emergency, contact your local emergency number immediately.