Can ketoconazole/Nizoral 1% cause hair shedding and/or breakage?

Question

Recently started OTC Nizoral shampoo 1%. Started it just a little over a month ago. Also currently on Minox/Dut, and have been, so I have the DHT inhibitors also going. Over the past day, I've experienced the strongest shed I've ever had... 20-30 hairs/shower, when I usually lose 2 to 6'ish. The only change to my regimen was the Nizoral just over 4 weeks ago. Could this be similar to a "Rogaine shed?" Or, could Niz dry hair and it's breaking? (seems like many are shorter than my haircut length)

Jonathan Kulbersh, MD · Answer

I recommend getting a consultation with a cosmetic dermatologist with experience in hair restoration and maintenance. There are some great options for hair restoration and maintenance like prp injections which can stimulate hair growth. Hope this helps.

Jason Emer, MD · Answer

This needs an in-person evaluation. I suggest seeing a hair loss expert now to evaluate and go over your condition and provide you information about your best treatment options. There are great non-invasive options like prp/progesterone and/or hair transplantation. 
See an expert. Best, Dr. Emer

William Rassman, MD (retired) · Answer

These are shampoos that are applied to the hair that is on the head and are not absorbed below the skin. Hair breakage is a reflection of (1) your hair characteristics, (2) the dryness of your hair, (3) the exposure to the environment but these shampoos will not cause breakage.

Can ketoconazole/Nizoral 1% cause hair shedding and/or breakage?

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Can ketoconazole/Nizoral 1% cause hair shedding and/or breakage?

Answers (3)

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Everything you need to know about Hair Loss Treatment

Our mission is to create a world where every investment in modern beauty is Worth It.