Pharmacy Guide

Patient leaflets and SmPCs, drug interaction checker, official dosages and NHS pharmacy opening hours — all in one place.

Pharmacy Guide

Patient leaflets and SmPCs, drug interaction checker, official dosages and NHS pharmacy opening hours — all in one place.

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Ketoconazole 2% w/w Shampoo

⚠ This medicine appears to have been discontinued

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.

Active substance: Ketoconazole

Equivalent medicines (same active substance, strength and form)

and 1 more with the same active substance, strength and form

Source: electronic medicines compendium (emc)
Official leaflet: Read the PIL on emc

What it is and what it is used for

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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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How to take it

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):

  • Infection of the hair roots + Increase in production of tears +

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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

  • Acne + Flaking skin The folowing side fects nave been reported, however the precise requency cannctbe identified an therefore how often they

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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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Frequently asked questions about Ketoconazole 2% w/w Shampoo

What is the active substance in Ketoconazole 2% w/w Shampoo?

The active substance in Ketoconazole 2% w/w Shampoo is ketoconazole.

Are there equivalent medicines to Ketoconazole 2% w/w Shampoo?

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.

Where does this information come from?

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.

Can I get Ketoconazole 2% w/w Shampoo without a prescription?

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.

About this leaflet

The text above reproduces the patient information leaflet approved for this medicine, restructured for easier reading.

Medical disclaimer: This page is for information only and does not replace advice from your doctor or pharmacist. Always read the leaflet supplied with your medicine. If you are unwell, call NHS 111; in an emergency, call 999.

Medicines with the same active substance: Ketoconazole (9 medicines)
See every medicine containing this substance, or browse the full A–Z of active substances.
⚕For healthcare professionals — Summary of Product Characteristics (SmPC)Full SmPC: dosage, interactions, contraindications, warnings+
Technical information intended for healthcare professionals (doctors and pharmacists). The Summary of Product Characteristics (SmPC) is the official document approved by the MHRA/EMA. It does not replace the patient leaflet or a doctor’s advice.

4.1. Therapeutic indications

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.

4.2. Posology and method of administration

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.

4.3. Contraindications

Hypersensitivity to ketoconazole or any of the excipients.

4.4. Special warnings and precautions for use

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.

4.5. Interaction with other medicinal products and other forms of interaction

No interaction studies have been performed

4.6. Fertility, pregnancy and lactation

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.

4.7. Effects on ability to drive and use machines

Not relevant

4.8. Undesirable effects

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.

4.9. Overdose

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 about this leaflet

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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