Use ketoconazole shampoo

Replace your regular shampoo with ketoconazole shampoo 2-3 times per week. Lather into the scalp, leave on for 3-5 minutes to allow the active ingredient to work, then rinse thoroughly.

Why It Works

Ketoconazole has antifungal and mild anti-androgenic properties. It reduces scalp inflammation and may lower local DHT levels around hair follicles. It is a useful adjunct to minoxidil or spironolactone in a comprehensive treatment plan.

Tips

• The 1% version (Nizoral) is available over the counter
• Can be drying — use a conditioner on the mid-lengths and ends
• Most effective when combined with other treatments rather than used alone