Ketoconazole shampoo

An anti-dandruff shampoo that may give a small boost when used alongside other treatments.

Limited evidenceNo prescription

The cheapest legitimate way

1% is over the counter. 2% needs a prescription but is cheap as a generic.

Smart path~$3–$6/mo (used 2–3x per week)
Typical brand price~$10–$15/mo

Prices are estimates based on typical US cash prices. They change often, so check before you buy.

Evidence
Limited. Small or short studies. Best as an add-on.
How it works
Reduces scalp inflammation and fungus. Some evidence suggests a mild anti-DHT effect on the scalp.
What results look like
Modest on its own. Best as an add-on.
Time to results
3–6 months.
Side effects and downsides
  • Dry hair or scalp
Best for
An easy, cheap add-on, especially with flaking or itching.
Sources
  • Piérard-Franchimont et al., 1998, Dermatology

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