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Ketoconazole 2% shampoo is prescription-only in the US, but can be obtained over-the-counter in Canada and other countries. Users suggest options like Amazon Pharmacy, OneMedical, and Canadian websites for purchasing without a subscription.

Ketoconazole shampoo is mainly used for scalp health and dandruff, not effective for hair regrowth. Some users find it drying, while others notice improved hair appearance and reduced dandruff.

The user is considering adding 2% ketoconazole to their current treatment of oral minoxidil and finasteride to address scalp itchiness and inflammation. Another user suggests controlling inflammation is important for managing hair loss.

The user is using 1% ketoconazole shampoo, 5% minoxidil foam, and a multi-peptide hair serum to address hair loss, aiming to improve from Norwood 5 to Norwood 3. They are considering adding topical finasteride if current treatments show progress and plan to use cosmetic products like fibers and DermMatch for appearance enhancement.

Ketoconazole can slightly improve hair density and is best used as an adjunct to treatments like finasteride and minoxidil. It helps with scalp health but won't stop androgenetic alopecia on its own.