Patient leaflets and SmPCs, drug interaction checker, official dosages and NHS pharmacy opening hours — all in one place.
Patient leaflets and SmPCs, drug interaction checker, official dosages and NHS pharmacy opening hours — all in one place.
The electronic medicines compendium (emc) no longer publishes a Summary of Product Characteristics for this product, which usually means it is no longer marketed in the UK. The patient leaflet below is kept for reference, but the product may not be available.
If you were prescribed this medicine, other products containing Ketoconazole may still be available. Do not stop your treatment — ask your pharmacist or GP what to use instead.
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Ketoconazole
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skin associated with the fungus Pityrosporum such as + Seborrhoeic dermatitis – a dry or greasy scaling of the scalp and other parts of the body. + Dandrutt Pityriasis capitis). + Pityriasis versicolor – a condition causing white to brown patches to develop on parts of the body.
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BEFORE YOU USE KETOCONAZOLE SHAMPOO
Do not use Ketoconazole Shampoo If you = are hypersensitive (allergic) to ketoconazole or any of the other ingredients of Ketoconazole 2% Shampoo
(ce Section 6). 'Take special care with Ketoconazole Shampoo If you get it in your eyes as it may irritate. If this happens, bathe them gently with cold water. + have been using steroids such as betamethasone or hydrocortisone for a long period of time. You must gradually reduce the your application over 2 upto 3while weeksyou asareyouusing start Ketoconazole to use Ketoconazole Fhis wil help to stop conditionof these from flaring Shampoo.Shampoo. If you have
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any questions about stopping your steroid treatment, speak to your doctor or pharmacist.
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'Taking or using other medicines Pease to your doctor if you are taking or have recently taken any other medicines, including medicines obtained without
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Pregnancy and breast-feeding |Ask your doctor or pharmacist for advice before taking any medicine in pregnancy but, usually, Ketoconazole Shampoo can be © used used d during Pregnaney and d breast-feed breastfeeding. Driving and using machines
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Use of Ketoconazole Shampoo has no effect on your ability to drive or to use machinery.
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KETOCONAZOLE SHAMPOO
|Always use Ketoconazole Shampoo exactly as your doctor or pharmacist has told you. You should check with your doctor or ipharmacist if you are not sure. Ketoconazole Shampoo is for use on your skin only. Do not swallow it. For adolescents and adults (including the elderly) Wet hair and scalp thoroughly with water. + Apply sufficient Ketoconazole Shampoo to produce enough lather to wash the scalp and hair. + Gently massage the lather over the entire scalp. + Leave for 3-5 minutes, before rinsing off thoroughly. lYour usual shampoo can be used as necessary between treatments with Ketoconazole Shampoo.
Frequency of application: For dandrutt (Pityriasis capitis) or dry/areasy scaling of the scalp (Seborrhoeic dermatitis) use Ketoconazole Shampoo: + twice fp week for2 – 4 weeks to relieve the condition + _oncewpvery 1-2 weeks to stop it returning 23LF01277PW
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restart your treatment as soon as you remember
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If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor.
In this leaflet:
Ketoconazole 2% w/w Shampoo is a medicated shampoo used for the treatment and prevention of infections of the scalp and
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For white to brown patches on the skin (Pityriasis versicolor) use Ketoconazole Shampoo: + once daily for a maximum of 5 days to relieve the condition
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Ifyou have any further questions on the use of this product, ask your doctor or pharmacist.
Stop using Ketoconazole Shampoo and tell your doctor straight away if you notice or suspect any of the following.
'You may need urgent medical treatment. + Allergic reaction, swelling of the face, lips, mouth, tongue or throat which may cause difficulty in swallowing or breathing. This can affect fewer than 1 in 1000 people +
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Severe irritation or reddening of the skin where the shampoo has been used, or other signs of allergy during
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the first few days of treatment. This can affect fewer than 1 in 100 people
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+ Peeling or blistering of the skin. This can affect fewer than 1 in 1000 people Tell your doctor or pharmacist If you notice or suspect any of the following side effects: Uncommon side effects (affects fewer than 1 In 100 people):
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Unusual hair loss or thinning
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Dry skin, rash, burning feeling Changes in how your hair feels
Rare elde effects 'aecte fewer than 1 In 1000 people: tation of the eyes
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occur is classe Hives (alse known as nettle rash or urticaria)
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+ Hair colour changes Reporting of side Ifyou get any side effects, talk to your doctor, pharmacist or nurse. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at www.mhra.gov.uk/yellowcard. By reporting side effects you can help provide more information on the safety of this medicine. 5. HOWTO STORE KETOCONAZOLE SHAMPOO Do not store above 25°C.
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Keep out of the sight and reach of children.
Store in the original container, and keep the cap tightly closed. Do not use Ketoconazole after the expiry date which is stated on the label or carton. The expiry date refers to the last day of that month. Unused medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose| of medicines no longer required. These measures will help to protect the environment. 6. FURTHER INFORMATION Each 1g of Ketoconazole 2% w/w Shampoo contains + Active Ingredient: 20mg Ketoconazole + Other Ingredients: sodium laureth sulfate paste 70%, disodium laureth sulfosuccinate liquid 40%, sodium chloride, citric acid monohydrate, benzyl alcohol, tetrasodium EDTA, quaternium-15, polyquaternium-7, dexpanthenol, laureth-2, sodium hydroxide, erythrosine (E127), perfume, purified water. What Ketoconazole Shampoo looks Ike and contents of the pack
Ketoconazole Shamjoo is a clear pink viscous solution, available in 120ml white high density polyethylene (HDPE) bottles. Marketing Authorisation Holder and Manufacturer Pinewood Laboratorips Ltd., Ballymacarbry, Clonmel, Co. Tipperary, Ireland. PL 04917/0039 'Text Revised: 08/20 23LF01277PW
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The active substance in Ketoconazole 2% w/w Shampoo is ketoconazole.
Medicines with the same active substance, strength and form include: Boots Anti-Dandruff Ketoconazole 2% w/w Shampoo, Boots Anti-Dandruff Ketoconazole 2% w/w Shampoo, Nizoral 2% Shampoo. In total there are 5 equivalent products. They are interchangeable only if your prescriber or pharmacist says so.
This leaflet reproduces the patient information leaflet approved for Ketoconazole 2% w/w Shampoo, as published on the electronic medicines compendium (emc). The version printed inside your medicine’s packaging is the one that applies to you.
Whether a medicine is available over the counter or on prescription only depends on its licence. Check the leaflet, or ask your pharmacist — they can tell you straight away.
The text above reproduces the patient information leaflet approved for this medicine, restructured for easier reading.
Ketoconazole 2% w/w Shampoo is indicated for the treatment and prevention of seborrhoeic dermatitis, pityriasis capitis (dandruff) and pityriasis versicolor that may be associated with the fungus Pityrosporum.
For topical administration.
Adults including the elderly and adolescents:
Wet hair and scalp thoroughly with water.
Apply sufficient shampoo to produce enough lather to wash the scalp and hair, gently massage it over the entire scalp and leave for 3-5 minutes before rinsing thoroughly.
Seborrhoeic dermatitis and dandruff: Use Ketoconazole 2% w/w shampoo twice weekly for 2-4 weeks.
Prophylaxis: Use Ketoconazole 2% w/w shampoo once every 1-2 weeks
Pityriasis versicolor: Use Ketoconazole 2% w/w shampoo once daily for a maximum of 5 days.
Prophylaxis: As patches of pityriasis versicolor become more apparent on exposure to the sun. Ketoconazole 2% w/w shampoo may be used once daily for a maximum of 3 days in a single treatment course before exposure to sunshine.
Hypersensitivity to ketoconazole or any of the excipients.
In patients who have been on prolonged treatment with topical corticosteroids, it is recommended that the steroid therapy be gradually withdrawn over a period of 2 – 3 weeks, while using Ketoconazole 2% w/w shampoo, to prevent any potential rebound effect.
Ketoconazole 2% w/w shampoo may be irritating to mucous membranes of the eyes and contact with this area should be avoided. If Ketoconazole 2% w/w shampoo does get into the eyes, they should be bathed gently with cold water.
This medicine contains 5.00 mg benzyl alcohol in each g which is equivalent to 0.50 % w/w. Benzyl alcohol may cause allergic reactions and mild local irritation.
No interaction studies have been performed
Ketoconazole 2% w/w shampoo is not detected in plasma after chronic shampooing or topical application.
Ketoconazole 2% w/w shampoo is not contraindicated for pregnancy or lactation, but caution should be exercised.
Not relevant
The safety of Ketoconazole 2% Shampoo was evaluated in 2980 subjects who participated in 22 clinical trials. Ketoconazole 2% Shampoo was administered topically to the scalp and/or skin. Based on pooled safety data from these clinical trials, there were no ADRs reported with an incidence ≥ 1%.
The following table displays ADRs that have been reported with the use of Ketoconazole 2% Shampoo from either clinical trial or postmarketing experiences.
The displayed frequency categories use the following convention:
Very common ≥1/10
Common ≥1/100 and < 1/10
Uncommon ≥1/1,000 and <1/100
Rare ≥1/10,000, <1/1,000
Very rare <1/10,000, including isolated reports
Not known (cannot estimate from the available clinical trial data).
System Organ Class
Adverse Drug Reactions
Frequency Category
Uncommon
(≥1/1,000 and <1/100)
Rare
(≥1/10,000 and <1/1,000)
Not Known
Immune System Disorders
Hypersensitivity
Nervous System Disorders
Dysgeusia
Infections and Infestations
Folliculitis
Eye Disorders
Increased lacrimation
Eye irritation
Skin and Subcutaneous Tissue Disorders
Alopecia
Dry Skin
Hair texture abnormal
Rash
Skin burning sensation
Acne
Dermatitis contact
Skin disorder
Skin exfoliation
Angioedema
Urticaria
Hair colour changes
General Disorders and Administration Site Conditions
Application site erythema
Application site irritation
Application site pruritus
Application site reaction
Application site hypersensitivity
Application site pustules
Reporting of suspected adverse reactions
Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via the Yellow Card Scheme at www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.
In the event of accidental ingestion, supportive and symptomatic measures should be carried out. In order to avoid aspiration, neither emesis nor gastric lavage should be instigated.
Ask anything about Ketoconazole 2% w/w Shampoo. The assistant answers only from this leaflet — if the leaflet does not cover it, it will say so. It does not give medical advice.
Answers come from the patient leaflet published on the electronic medicines compendium (emc). They are not medical advice. Ask a pharmacist or your GP if you are unsure. For urgent help call NHS 111, or 999 in an emergency.
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