Nizoral shampoo caused significant hair thinning and oiliness for some users, while others found it beneficial for slowing hair loss. The original poster experienced negative effects and was advised to stop using Nizoral and switch to a gentlershampoo.
Ketoconazole shampoo may help with scalp health and inflammation but is not a substitute for DHT blockers like finasteride. It is generally considered a minor addition to hair loss treatment, with varying opinions on its effectiveness.
Alcohol-based minoxidil absorbs better but can cause irritation; non-alcohol-based is gentler. Topical dutasteride shows promise but needs more research; low-dose oral minoxidil (0.25 mg/day) is effective with fewer side effects. Ingredients like Procapil, Redensyl, caffeine, and Anagain in shampoos have limited evidence; ketoconazole shampoo can help when used 2-3 times a week with other treatments.
Ketoconazole shampoo can dry out hair, causing it to become frizzy and less manageable. Users suggest using conditioner, trying different shampoos, or reducing the frequency of ketoconazole use to mitigate these effects.
Piroctone olamine may be more effective and gentler than ketoconazole for dandruff and itchiness. Users report better results with piroctone olamine, but it is less available in the US.