Nizoral Anti-Dandruff Shampoo, 4 oz.

Nizoral Anti-Dandruff Shampoo, 4 oz.

features :

  • Helps to prevent recurrence of flaking and itching associated with dandruff.
  • Protect from light and freezing.
  • Non-prescription strength.
  • freedom will go to your head.
description : A-D Ketoconazole Shampoo 1%. Non-prescription strength. Controls flaking, scaling and itching. The freedom will go to your head. Made in Italy. See Details >>


Customer Reviews

33 of 33 people found the following review helpful
5.0 out of 5 stars THE BEST - PERIOD......................!, April 22, 2008
By 
Dj Magic Mike (Burbank, CA USA) - See all my reviews
My head. What was wrong with my head??? I say this because I never had problems with dandruff until my late twenties, when all of a sudden my skin started flaking off when touched. My eyebrows, my scalp, and even my ears! Friends would make fun of my ears and say I have wax in them, but it was really just loose skin flakes.

I gave it some time (a few years) hoping it would pass, trying different washing procedures, shampoos, etc. Basically, anytime I'de go in the shower.. I'de get out, dry.. and my skin would quickly follow with dryness, redness and flakes. It was ugly.

Finally, I get the nerve to see a dermatologist - and I say this because I dont like doctors much. The dermo told me that I needed to treat the problem, sebhoric dermatitis. Gave me a bunch of Neutrogena anti-dandruff samples and what not. I didnt like them and pretty much threw them in the garbage. They looked and smelled very chemically and I dont want that kinda stuff on my b ody.

A few months later I did some more research and found ingredients on Wiki about what relieves dandruff. I searched for that ingredient and found that Nizoral uses that same ingredient in their shampoo. Google + amazon = nizoral shampoo. Click to buy, a day or two later its delivered to my door and I used it that same day. Within the first, second or third use my symptoms were gone. I could care less about price, its cheap compared to the 80 dollar dermatologist visit which got me nowhere. Like everyone else said, its very foamy and cleans well.

I wash my hair every 3 days and quickly scrub it in and rinse it out, I dont care to leave it in. Basically, its in there long enough to do what it needs to do - and it does it well.

Since then, I've been dandruff free thanks to Nizoral. It appears that Ferrari and Nizoral are now two fabulous products that come from Italy.
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49 of 52 people found the following review helpful
5.0 out of 5 stars Hands down the best OTC option, December 23, 2003
I found out about this product several years ago when my doctor gave me the perscription formula for a bout of dandruff. It eventually became available in the non-perscription (1%) formula and for me, on the occasions that I need it the non-perscription formula has worked perfectly.

It is a very nice shampoo, aside from the anti-dandruff properties. It has a tingly (not burning or caustic feel) fresh feeling when you are using it and lathers extreamly well even in the hard water I have at home. After using it my hair has a very clean but not dry feeling.

I will use it from time to time as needed (usually in the fall) and I just had my son use it as well. It worked very well for him too and after the first use, the flakes were pretty much gone. Typically I will use it about a week and than I won't need it anymore. I also try to leave the lather on a few minutes to give it a chance to *work*.

I have to say that if you are in the market for a dandruff shampoo chose this one. The price is anywhere from a lot to a bit higher than the others but I haven't had to go out an buy anything else if I bought this first. I can't say that about the other products so in the long run this is most cost effective for me.

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106 of 119 people found the following review helpful
5.0 out of 5 stars Make your own ketoconazole shampoo during Nizoral shortage & how dandruff shampoos work., August 20, 2011
By 
codepink (San Francisco) - See all my reviews
This review is from: Nizoral Anti-Dandruff Shampoo, 4 oz. (Misc.)
Addendum 29 January 2013: We've had superb results with Head and Shoulders Clinical Strength and no longer use Nizoral at all.

Addendum 7May2012: [1] I received commentary from Marco Asteriti on the percentage calculation for ketoconazole. I assumed it was a percent of volume but Marco suggest it is percent of mass. Thus I have increased the number of ketoconazole pills from 11 to 19. Thanks Marco! [2] I've been looking for ways to reduce overall sebum production and my son has had improvement with Zinc for Acne (oral) tablets (.75 on amazon). The zinc doesn't know if it's meant for your face or your scalp anyhow. My "eyeball" estimate is that greasy/sebhorreic scalp flakes and facial acne reduced by half.
~~~

I decided to make my own ketoconazole shampoo because I refuse to pay the price gougers on Amazon. (9, really?!) My son has severe scalp seborrheic dermatitis due to the rampant hormones of puberty, and our pediatrician recommended Nizor al. I did a literature search to learn the chemistry. See Useful Articles below if you need some juicy bedtime reading ;-)

First, if helpful, here's my layman's understanding of how various anti-dandruff shampoos work (since I had to do all that legwork anyway):

Dandruff in general is accelerated skin cell maturation/shedding cycles (keratinization) and the "disorganized" attachment of lipid droplets to skin cells as they migrate to the outer layer of the scalp, thereby forming itchy flakes. Seborrheic dermatitis is the population explosion of opportunistic Malassezia fungus feasting on increased scalp sebum in addition to the above conditions. There are 7 species of Malassezia, and one in particular loves scalp sebum because it's rich in the saturated hard fats: triglycerides and cholesterol.

Ketoconazole is a broad spectrum antifungal that directly attacks Malassezia by causing their cell membranes to break down. It's also anti-inflamma tory and reduces sebum. The mechanisms of action of selenium sulfide and zinc pyrithione are less well understood. Both reduce Malassezia count and scalp sebum, but basically tackle dandruff by other routes. Zinc pyrithione normalizes the abnormal keratin structure of the stratum corneum resulting in fewer lipid inclusions between skin cells, and therefore fewer flakes. Selenium sulfide reduces the cell turnover rate, which is normally 28-30 days but has been observed to be a week or less in cases of dandruff. Salicylic acid breaks down skin cell-sebum plaques or flakes; in other words, it's symptom management and can be useful in combination with other active ingredients. I passed over tar and sulfur shampoos as my son won't use them. Tea tree oil is out for us; it's a phytoestrogen that's documented to be feminizing if used regularly by boys.

Making ketoconazole shampoo:

In summary, antifungal medications are lipophilic, so you need a fat solvent -- or so I thought until I tried fish pills--- followed by an emulsifier to keep ketoconazole dispersed evenly in your shampoo.

The important issue is formulating ketoconazole at one percent. That begs the question: one percent of what? At one point in the shortage, we had been able to get the 2% Nizoral from the UK thru Amazon, and I saved the leaflet which stated: "The active ingredient in 1 g of Nizoral Dandruff Shampoo is ketoconazole 20mg." I had original posted with the assumption that this was 1% of volume, but a more learned commenter suggested that the ketoconazole concentration was a percentage of mass -- i.e., density x volume ---and suggested using the known density of water as a close-enough approximation of the density of shampoo. If you're feelin' geeky, you can research "percent composition by mass."

This shampoo has worked beautifully. Materials needed:
(1) Aqua Fungus 200mg ketoconazole tablets. 30 tablets, for fish, from Amazo n .99 + shipping. I figured fish pills just might be water soluable. Indeed they are, and simplifies the process of making the ketoconazole solvent.

(2) Polysorbate-80, 2 ounces, . It's a safe, low toxicity solvent/emulsifier commonly found in food and shampoo. It's inexpensive and readily available from DIY cosmetics websites such as Making Cosmetics, Lotion Crafter, Garden of Wisdom, etc.

(3) A bottle of shampoo with a refillable opening. I used Organix Morocco Argan Oil Shampoo, 385 ml or 13 fluid ounces. I chose argan oil because it's a lipid and a known hair softener that eliminates the need for a conditioner.

(4) A food scale. If you don't have one, you can just use as much shampoo as I did.

(5) A long clean stick for stirring. I used a stainless steel escargot fork because it's easy to sterilize.

(6) A sterile pyrex measuring cup large enough to hold most of your shampoo.

Kitchen friendly procedu re:
(1) I bought a 385 ml bottle of... Read more
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