Generic Nizoral Shampoo (Ketoconazole 2%)

Buy Generic Nizoral Shampoo (Ketoconazole 2%) without prescription in USA/Canada

At our Canadian pharmacy, you can purchase Nizoral Shampoo (ketoconazole 2%) without a prescription, with discreet and anonymous packaging delivered within 5-14 days across Canada.
Nizoral is a medicated antifungal shampoo used to treat dandruff, seborrheic dermatitis, and tinea versicolor, a fungal infection that causes light or dark patches on the skin. The active ingredient, ketoconazole, works by disrupting the fungal cell membrane.
The usual treatment is to wash the affected area twice weekly for 2 to 4 weeks, leaving the lather on for 3 to 5 minutes before rinsing.
The administration form is a 2% shampoo, supplied in 60 mL, 120 mL, and 325 mL bottles.
The medication starts working on the scalp fungus shortly after the first wash, though visible reduction in flaking usually takes a week or two.
Alcohol consumption is not a concern with this topical product, as systemic absorption through the scalp is minimal.
The most common side effects are local scalp reactions such as dryness, itching, or a burning sensation.
Would you like to try Nizoral Shampoo (ketoconazole 2%) without a prescription?

Common Use Nizoral Shampoo

Ketoconazole is an imidazole antifungal that inhibits the synthesis of ergosterol, a key building block of the fungal cell membrane. Without ergosterol, the membrane becomes leaky and the fungus dies. Nizoral 2% shampoo is approved in Canada for dandruff, seborrheic dermatitis of the scalp, and tinea versicolor. The yeast Malassezia, which normally lives on the scalp, is the main target in dandruff and seborrheic dermatitis. In tinea versicolor, the same yeast overgrows on the skin of the chest and back, causing patches that may be lighter or darker than the surrounding skin. Nizoral is not intended for fungal infections of the nails, feet, or groin.

Basic Nizoral Information

• INN (International Nonproprietary Name): Ketoconazole
• Brand names available in Canada: Nizoral®; ketoconazole 2% shampoo is also sold under generic names by some pharmacies
• ATC Code: D01AC08
• Forms and dosages: Shampoo, 2% (20 mg ketoconazole per gram), supplied in 60 mL, 120 mL, and 325 mL bottles
• Manufacturers in Canada: Kramer Laboratories, Inc. holds the current DIN 02182920 for Nizoral 2% shampoo; the product was previously marketed by Janssen Pharmaceutica (a division of Janssen-Ortho Inc.)
• Registration status in Canada: Approved by Health Canada (DIN 02182920, status: Marketed since 2019-03-18)
• OTC / Rx classification: Prescription only (Rx) – not legally sold over-the-counter in Canadian pharmacies. A 1% ketoconazole shampoo is available without a prescription for milder dandruff.

Dosage & Direction

Wet your hair and scalp thoroughly with water. Apply enough shampoo to work up a lather, massage it into the scalp, and leave it on for 3 to 5 minutes. Rinse thoroughly. For dandruff or seborrheic dermatitis, use the shampoo twice weekly for 2 to 4 weeks, then once every 1 to 2 weeks to keep flakes under control. For tinea versicolor, apply once daily for 1 to 5 days. A palmful is usually enough for one wash. Avoid getting the shampoo in your eyes; if it happens, rinse with plenty of water. Do not use it on broken or inflamed skin. If the condition has not improved after the full course, stop and see a doctor.

Precautions

Nizoral shampoo is for external use only. Keep it away from your eyes, nose, mouth, and vagina. Tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Ketoconazole has caused birth defects in animal studies when given by mouth, and while absorption through the scalp is very low, the manufacturer does not recommend Nizoral shampoo during pregnancy or nursing. If you have liver disease, mention it to your doctor before using this product, even though systemic absorption from the scalp is minimal. Do not use the shampoo on children under 12 years of age unless a doctor tells you to. If your scalp becomes very irritated, blistered, or swollen, stop using Nizoral and call your doctor. Hair loss and changes in hair texture have been reported with ketoconazole shampoo, though these are uncommon.

Contraindications

Do not use Nizoral 2% shampoo if you have had an allergic reaction to ketoconazole or any of the inactive ingredients in the product. The shampoo should not be applied to broken or inflamed skin. It is not indicated for fungal infections of the nails, feet, or mucous membranes. Nizoral 2% is not recommended during pregnancy or breastfeeding unless your doctor specifically advises it. The safety and effectiveness of ketoconazole 2% shampoo in children under 12 years have not been established. If you are using a topical corticosteroid on the same area, do not stop the steroid suddenly, as a rebound flare can occur; talk to your doctor about how to taper.

Possible Side Effects

The most common side effects of Nizoral shampoo are local reactions at the application site: dryness, itching, stinging, or a burning sensation. Some people notice a change in hair texture or color, or unusual hair loss. Contact dermatitis and a rash can occur. In clinical trials, side effects were reported in less than 1% of participants. Serious reactions are rare but include severe skin irritation, swelling of the face, lips, or throat, and signs of an allergic reaction. If you experience any of these, stop using the shampoo and seek medical attention. The shampoo contains sodium lauryl ether sulfate, which can cause stinging or burning, especially if it gets into the eyes or on broken skin.

Drug Interaction

Ketoconazole shampoo 2% is applied to the scalp, and plasma levels of the drug are not detectable after topical use in people with intact skin. Because of this, the shampoo is not expected to interact with medications the way oral ketoconazole does. Oral ketoconazole is a strong inhibitor of CYP3A4 and can raise levels of many drugs, but that risk does not apply to the shampoo. Still, if you use other topical products on your scalp at the same time, the sodium lauryl ether sulfate in Nizoral may increase irritation from those products. Tell your doctor or pharmacist about all medications and scalp treatments you use, just to be safe.

Missed Dose

If you forget to wash your hair with Nizoral on a scheduled day, do it as soon as you remember. If it is almost time for your next wash, skip the missed one and go back to your regular schedule. Do not use the shampoo more often than directed to make up for a missed wash. Consistency matters more than catching up.

Overdose

Nizoral shampoo is not likely to cause serious harm if used as directed. If someone swallows the shampoo, it may cause stomach upset, nausea, or vomiting. Contact a poison control centre or go to an emergency department if a child or adult ingests the product. Do not induce vomiting unless a healthcare professional tells you to.

Storage

Store Nizoral shampoo at room temperature between 20 and 25 degrees Celsius (68 and 77 degrees Fahrenheit). Keep the bottle tightly closed when not in use. Do not freeze. Protect from light and moisture. Do not store it in the bathroom or near a sink. Keep out of reach of children and pets. Do not use after the expiry date on the bottle.

Disclaimer

We provide only general information about medications which does not cover all directions, possible drug integrations, or precautions. Information at the site cannot be used for self-treatment and self-diagnosis. Any specific instructions for a particular patient should be agreed with your health care adviser or doctor in charge of the case. We disclaim reliability of this information and mistakes it could contain. We are not responsible for any direct, indirect, special or other indirect damage as a result of any use of the information on this site and also for consequences of self-treatment.

How to buy Generic Nizoral Shampoo (Ketoconazole 2%) no prescription. Canadian Pharmacy Shipping USA Drugs.