Hairfect Combo
Finasteride Gel + StrutVite
5-in-1 compounded topical finasteride formula plus StrutVite hair vitamin capsules.
Important safety informationHAIR LOSS
A shampoo to support your scalp
A shampoo with 2% Ketoconazole to treat scalp concerns or support your hair loss routine.
Auto Refill
120 ml (4 oz)
$25
Starting at $25 · Ketoconazole 2% Shampoo
Easily treat scalp concerns while showering
Provider prescribed, entirely online
Convenient shampoo route
Dispensed from a U.S. pharmacy


Treat scalp concerns.
Support your hair loss routine.
Ketoconazole is an antifungal used for dandruff and tinea versicolor (pityriasis versicolor).
Ketoconazole 2%
Works by reducing fungus and yeast on areas where it is applied. May also exert an anti-inflammatory effect on the scalp.*

Ketoconazole is considered an azole antifungal medication. It works by reducing fungus and yeast on areas where it is applied. Since an overgrowth of fungus or yeast on the scalp can be irritating or lead to dandruff development, keeping levels in check with a medicated shampoo may be helpful.
How should I use it?
Apply in the shower after you wet your hair, work into a lather focusing on your scalp, and leave on for 5 minutes before rinsing clean.
How should I store it?
Store in its closed original container at room temperature in a dry environment, safely away from pets and children.
Potential side effects
Most people will not experience side effects from using Ketoconazole shampoo. Infrequent effects include dryness, texture changes, itching, stinging, or irritation of the application site.
When may I see an effect?
You may be able to notice positive effects in as little as 2-3 weeks of use (results may vary).
Even if someone does not have dandruff, Ketoconazole may still exert an anti-inflammatory effect on the scalp.*
Results may vary.*
May reduce dandruff*
Targeted relief for severe scalp discomfort*
Reduces fungus & yeast*
Simple in-shower routine
Price includes provider consultations and free shipping.
01
Complete Your Online Visit
Start by filling out a secure online questionnaire. It only takes about 10-15 minutes, and you can do it from the comfort of your home.
02
Provider Review
A U.S. licensed provider will review your information and health history to determine if this therapy is a safe and appropriate option for you.
03
Discreet Shipping
If approved, your medication will be shipped directly to your door in discreet packaging, with free shipping included.
04
Ongoing Support
You'll have access to our medical team for any questions, and you can easily manage your treatment and request refills through your secure Strut account.
EXPERT INSIGHT
“Some healthcare providers prescribe this medication off-label as an add-on to other topical or oral hair loss treatments.”

Simal Patel, MD
Founder and CEO at Strut Health
Ketoconazole 2% shampoo is a prescription antifungal medication. It is FDA-approved to treat tinea (pityriasis) versicolor, a fungal skin infection. Clinicians may also prescribe ketoconazole shampoo off-label for certain scalp conditions, such as dandruff or seborrheic dermatitis, when medically appropriate.
Ketoconazole is an azole antifungal medication. It works by interfering with components of fungal cell membranes, which inhibits the growth of certain fungi and yeasts. Ketoconazole can reduce certain yeasts present on the scalp that may contribute to dandruff or seborrheic dermatitis.
Use your Ketoconazole shampoo as directed by your healthcare provider and as written on your prescription and prescription information. For dandruff, the most common instructions are to use it every 3-4 days for up to 8 weeks to clear the fungus. You may be instructed to keep using Ketoconazole shampoo occasionally after this treatment phase to prevent dandruff recurrence. However, if you are using Ketoconazole shampoo for scalp inflammation, or for other reasons, you may be instructed to use it differently. Use Ketoconazole shampoo by applying it in the shower after you wet your hair. Put enough product in your hand to cover your scalp and clean your hair, then work into a lather focusing on your scalp and leave on for 5 minutes before rinsing clean. Afterward, continue your usual shower and hair regimen including conditioner or any other hair care products you normally use. Ketoconazole can be irritating to the eyes, so avoid getting the shampoo into the eyes or mouth and rinse thoroughly with water if it does contact these areas.
Store your Ketoconazole in its closed original container at room temperature in a dry environment. Store Ketoconazole shampoo safely away from pets and children.
Possible side effects of Ketoconazole 2% shampoo include scalp or skin irritation, itching, burning, dryness or oiliness, changes in hair texture, and application-site reactions. Hair discoloration and increased hair shedding have also been reported. Rare but serious allergic reactions, including severe swelling or difficulty breathing, have been reported. Stop using the medication and seek medical attention if you develop signs of a serious allergic reaction. See the Important Safety Information for additional risks and precautions.
When prescribed off-label for dandruff or seborrheic dermatitis, improvement may occur gradually with treatment. Response time (some people have noticed change in as little as 2-3 weeks) varies depending on the condition being treated and your individual response.
Ketoconazole 2% shampoo is for topical use only. Avoid contact with the eyes and other mucous membranes. Do not use if you have a known allergy to Ketoconazole or any ingredient in the product. Stop treatment and contact your healthcare provider if significant irritation or an allergic reaction develops. Review the full Important Safety Information before use.
Yes. Clear photographs may help your clinician evaluate your scalp or skin condition as part of your medical assessment. Please provide well-lit photos from the requested angles so your provider can determine whether treatment may be appropriate.
The online visits are typically complimentary. With Strut, you will only pay for the prescription if you qualify after your medical consultation. If after checking out, the healthcare provider identifies that you are not a good candidate for treatment, you will not be charged. If you decide to transfer your prescription at any time to a non-preferred pharmacy of Strut Health, then you will be charged a $40 provider consultation fee to your credit card on file. Customer service can provide additional details.
The cost varies, the price is listed on the product page of the website. We keep our prices very competitive when considering cost of healthcare provider visit plus pharmacy fill.
Your medication will be shipped to you via USPS from a U.S. pharmacy. There is no additional cost for shipping.
Every formula we offer is prescribed by a licensed medical provider and filled by a U.S. licensed pharmacy. We'll help you find the right option for you. Treatment online, on your terms. We're just here to make it easy.
U.S. Licensed Providers
U.S. Pharmacy & Medicines
Discreet & Free Shipping
LegitScript Certified
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Important safety information
*All prescription medications require a valid and complete online consultation prior to approval and final pricing is determined. The drug and medical information provided on this website is not meant to cover all adverse effects, drug interactions, warnings, medical uses, directions and precautions. The information provided is a medical resource and the judgment of your healthcare provider should not be substituted. These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease.