Anybody using piroctone olamine instead of ketoconazole shampoo?
    8/3/2026

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    At a glance
    In this question or advice post, the primary subjects mentioned are
    💧 ketoconazole shampoo (topical) 2% once a week 1.5 years
    the tone is 😐 neutral with initially helped with itching and mildly inflamed follicles results.

    Other terms

    OP is considering switching from ketoconazole shampoo to piroctone olamine (PTO) due to scalp irritation. Users report mixed experiences, with some finding PTO less irritating and more soothing than ketoconazole.
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