Role of Topical Ketoconazole in Therapeutic Hair Care Beyond Seborrhoeic Dermatitis and Dandruff

ABSTRACT Ketoconazole shampoo has well‐documented consistent efficacy and safety in treating dandruff and seborrhoeic dermatitis (SD) when compared to other active antidandruff ingredients such as selenium sulphide, corticosteroids and zinc pyrithione. Clinical superiority of ketoconazole shampoo has been demonstrated in several double‐blind, randomized studies. This article delves into the broader applications of ketoconazole shampoo in hair care beyond its established role in managing SD and dandruff. Ketoconazole may help reduce hair shedding, particularly in conditions like SD and dandruff. Ketoconazole shampoo can also help reduce chronic scalp inflammation that may otherwise cause hair follicle damage and hair loss. Its anti‐androgen properties offer significant potential in reducing hair shedding and promoting healthier hair growth. Ketoconazole shampoo may serve as a complementary treatment to minoxidil and finasteride in the management of androgenetic alopecia. These properties make ketoconazole shampoo a logical option for comprehensive scalp and hair care.