is a ketoconazole shampoo a must for treatment?

[dekaz]

I feel like nizoral and regenpure dr both dryout my hair and make it more flakey... is it ok if i dont use a keto shampoo if i take finasteride+min? why is a keto shampoo needed? i thought finasteride prevents the body from producing dht.

 

[Dench57]

It's not essential. Some find it helps with the inflammatory (itchy) component of male pattern baldness. It's anti-fungal and a mild anti-inflammatory, and ketoconazole is actually a very mild anti-androgen, competing with DHT for androgen receptors, and it's also been shown to degrade the androgen receptor itself. So generally regarded as a helpful albeit rather weak addition to any hairloss regimen, since it's so easy to use. But you're right, some people find it thins/dries out their hair too much.

 

[xetudor]

I've read that in theory is good for you and you have to shampoo so why not use it? But if you don't like I wouldn't cry over it, finasteride and minoxidil do the heavy work anyway.

 

[dekaz]

It's not essential. Some find it helps with the inflammatory (itchy) component of male pattern baldness. It's anti-fungal and a mild anti-inflammatory, and ketoconazole is actually a very mild anti-androgen, competing with DHT for androgen receptors, and it's also been shown to degrade the androgen receptor itself. So generally regarded as a helpful albeit rather weak addition to any hairloss regimen, since it's so easy to use. But you're right, some people find it thins/dries out their hair too much.

oh so nizoral can make your hair even more thin?

 

[Saurabhaj]

Treatment...100% It has fungicidal properties.It is used against malasezzia furfur which causes dandruff in human scalp.

 

[Agustin Araujo]

The thing with Nizoral is that it's an anti-dandruff shampoo to be used twice weekly for a maximum period of eight weeks and then to discontinue the use of the product, if I remember correctly. Nizoral isn't a shampoo designed for hair loss purposes. Regenepure DR which I myself use daily is designed for hair loss purposes, and contains 1% Ketoconazole just like Nizoral. One thing to keep in mind with these shampoos is that they're designed to treat the hair and scalp, and not designed and not to be used for cosmetic purposes, hence why they can give that 'thin' look to hair since they don't add any volume to hair.

 

[Dench57]

One thing to keep in mind with these shampoos is that they're designed to treat the hair and scalp, and not designed and not to be used for cosmetic purposes, hence why they can give that 'thin' look to hair since they don't add any volume to hair.

This.

Some people use nizoral 2% everyday without any problems though, while others say it dries their hair out and even makes their scalp more itchy. Nizoral has some pretty heavy chemical ingredients and can be harsh on a sensitive scalp, especially if overused.

I use Regenepure DR 2-3 times a week, even though it's fancy and overpriced, because it has gentler natural ingredients and less keto than Nizoral. There's loads of other keto shampoos geared towards hairloss such as Pura d'Or and Revita, you may want to find which one, if any, suits you best.

 

[hairlifted]

The thing with Nizoral is that it's an anti-dandruff shampoo to be used twice weekly for a maximum period of eight weeks and then to discontinue the use of the product, if I remember correctly. Nizoral isn't a shampoo designed for hair loss purposes. Regenepure DR which I myself use daily is designed for hair loss purposes, and contains 1% Ketoconazole just like Nizoral. One thing to keep in mind with these shampoos is that they're designed to treat the hair and scalp, and not designed and not to be used for cosmetic purposes, hence why they can give that 'thin' look to hair since they don't add any volume to hair.

I always wonder why people recommend Nizoral over shampoos intended for daily or EOD use that happen to have keto (among other things good for your scalp). Doesn't seem like Nizoral has anything special besides the keto, and SLS makes my scalp so dry and itchy which Regenepure doesn't have. I have no idea if it's doing anything for hair loss but it certainly works better than any other shampoo I've used. Their conditioner is hit or miss though for me, haven't decided on if I like it much.

 

[Dench57]

Their conditioner is hit or miss though for me, haven't decided on if I like it much.

Yeah I don't use their conditioner, I need a super-moisturising conditioner after using any Keto shampoo.

 

[hairlifted]

Yeah I don't use their conditioner, I need a super-moisturising conditioner after using any Keto shampoo.

Well I would assume considering they market their stuff for hair loss that the conditioner would be good for it, I mean it sounds good at least - the ingredient profile isn't bad at all and still doesn't have SLS but its just so inconsistent. Some days it looks great but others really dry.

The one I use the most is this olive oil conditioner that also doesnt have SLS, think its intended to be used as one of those deep conditioners that you leave in your hair for like an hour but it has been fine for daily use for me. I also got Shisheido's adenonsine shampoo to try out, unfortunately it does have the SLS but it wasn' too bad.

 

[Spartan117]

Lipogaine

Have you considered switching to Lipogaine Big 3? It also has ketoconazole, but may work differently for you.

It has higher reviews on amazon than regenepuredr and fakespot.com doesn't report any fake reviews for what amazon reviews and fakespot's ability to spot fake reviews are worth in conjunction.