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Nizoral

Nizoral 200ML of 1%

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What is Nizoral?

Nizoral is an antifungal medication that contains ketoconazole, primarily used to treat fungal infections affecting the skin, hair, and nails. It works by disrupting the fungal cell membrane, causing the cell contents to leak out, which leads to the death of the fungus. Nizoral is available in various forms, including shampoos, creams, and tablets, and is particularly effective against dandruff and seborrheic dermatitis caused by yeast.

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What is Nizoral ?

Nizoral is an antifungal medication that contains ketoconazole, primarily used to treat fungal infections affecting the skin, hair, and nails. It works by disrupting the fungal cell membrane, causing the cell contents to leak out, which leads to the death of the fungus. Nizoral is available in various forms, including shampoos, creams, and tablets, and is particularly effective against dandruff and seborrheic dermatitis caused by yeast.
  • Dark urine or pale stools, nausea, vomiting, loss of appetite, pain in your upper stomach, yellow skin or eyes
  • Fainting, dizziness, lightheadedness
  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
  • Fast, pounding, or uneven heartbeat
  • This medicine may cause the following problems:Liver problemsChanges in heart rhythm, such as a condition called QT prolongation
  • Do not drink alcohol while you are using this medicine.
  • Do not breastfeed while you are using this medicine.
  • Tell your doctor if you are pregnant, or if you have liver disease, heart rhythm problems (such as QT prolongation), adrenal problems, or stomach problems.
  • Keep all medicine out of the reach of children. Never share your medicine with anyone.
  • Call your doctor if your symptoms do not improve or if they get worse. Keep all appointments.
Is Nizoral shampoo the same as ketoconazole shampoo?
Nizoral is a brand name for ketoconazole shampoo. Nizoral A-D is the 1% over-the-counter version for dandruff, and there is also a 2% prescription-strength ketoconazole shampoo for tinea versicolor. Generic ketoconazole shampoo contains the same active ingredient.
How often should you use Nizoral shampoo for dandruff or hair loss?
Follow the directions on the product label or your prescriber's instructions, since usage frequency differs between the OTC 1% dandruff shampoo and the 2% prescription-strength version. For hair loss, ketoconazole shampoo is used off-label as an adjunct alongside other treatments, not as a stand-alone therapy, so ask your dermatologist for a specific routine.
Is Nizoral safe to use long-term?
The topical shampoo and cream are generally well tolerated for ongoing use, with local irritation being the main concern to watch for. Oral ketoconazole tablets are a different story: because of the risk of serious liver injury, they carry an FDA boxed warning and are reserved for serious systemic fungal infections under medical supervision with liver monitoring, not for routine or long-term use.
Why was Nizoral oral tablets discontinued in the US?
The original Nizoral oral tablet brand is no longer sold in the US. Generic oral ketoconazole tablets remain available, but the FDA has limited their use to serious systemic fungal infections when other antifungals have failed or aren't tolerated, because of the risk of potentially fatal liver toxicity, adrenal problems, and dangerous drug interactions — it's no longer considered first-line treatment for anything.
Can Nizoral shampoo help with hair loss?
Ketoconazole shampoo is used off-label by some dermatologists as an adjunct alongside other treatments for androgenetic alopecia (pattern hair loss). It is not FDA-approved as a hair loss treatment on its own, and it shouldn't be viewed as a replacement for approved therapies — talk with your provider about what's appropriate for your situation.
How much does Nizoral cost without insurance?
The price of Nizoral without insurance varies by pharmacy, dosage, and quantity. Rx.com compares cash prices at more than 60,000 US pharmacies so you can find the lowest price near you.
What are the common side effects of Nizoral?
Common side effects of Nizoral may include: Dark urine or pale stools, nausea, vomiting, loss of appetite, pain in your upper stomach, yellow skin or eyes, Fainting, dizziness, lightheadedness, Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing, Fast, pounding, or uneven heartbeat. This is not a complete list — consult your pharmacist or doctor for full side effect information.
Is there a generic version of Nizoral?
Generic versions may be available for Nizoral. Generics contain the same active ingredients as brand-name drugs and are typically 80–90% cheaper. Search Nizoral on Rx.com to compare generic and brand prices at pharmacies near you.
What is the cheapest pharmacy for Nizoral?
The cheapest pharmacy for Nizoral depends on your location and dosage. Rx.com compares prices at CVS, Walgreens, Walmart, Kroger, Costco, and thousands of independent pharmacies. Enter your ZIP code on Rx.com to find the lowest price for Nizoral near you.

Nizoral Coupons & Prices

Nizoral 200ML of 1%

Prescriptions & Refills
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Nizoral Bottle — prescription drug image
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Nizoral 200ml of 1% (0.1)
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Compounded GLP-1 medications are not FDA-approved and are prepared by state-licensed compounding pharmacies. They are not affiliated with, endorsed by, or equivalent to any brand-name medication or manufacturer. Prescription required; eligibility is determined by a licensed provider. Prices are estimates and may vary.

If you're comparing a Nizoral coupon against what your pharmacy is quoting, it helps to know what you're actually buying first: Nizoral today mainly means an antifungal shampoo (1% OTC Nizoral A-D for dandruff, 2% prescription-strength for tinea versicolor) and a 2% topical cream for skin fungal infections, since the original oral Nizoral tablet brand is no longer sold in the US. Because a generic ketoconazole is available for these topical forms, enter your ZIP above to see today's price at pharmacies near you before you pay cash or use a manufacturer program.

What is Nizoral and how does it work?

Nizoral is a brand of ketoconazole, an azole (imidazole) antifungal. The 1% shampoo (sold over the counter as Nizoral A-D) is used for dandruff-related flaking, scaling, and itching in people 12 and older. The 2% prescription-strength shampoo is FDA-approved for tinea versicolor and is also used by dermatologists off-label for seborrheic dermatitis and as an adjunct for androgenetic alopecia. Nizoral 2% cream treats tinea corporis, tinea cruris, tinea pedis, cutaneous candidiasis, and seborrheic dermatitis.

The original oral Nizoral tablet brand has been discontinued in the US. Generic oral ketoconazole tablets are still available, but the FDA has restricted their use to serious systemic fungal infections (such as blastomycosis, coccidioidomycosis, and histoplasmosis) when other antifungal treatments have failed or aren't tolerated — it is no longer used as first-line therapy for any condition because of liver toxicity risk.

Nizoral coupon: manufacturer program vs. Rx.com cash price

Nizoral does not currently have a manufacturer savings card program. That means your main ways to save are comparing pharmacy cash prices and using the generic. A generic ketoconazole is available for the topical shampoo and cream forms, and since Nizoral is off-patent, generic ketoconazole shampoo or cream is typically the option your pharmacist will offer when you ask to save money — prices vary by pharmacy and by strength, so it's worth comparing before you fill.

An Rx.com cash coupon can be used regardless of insurance status — whether you're uninsured, on Medicare (which generally doesn't cover OTC dandruff shampoo), or simply want to check the cash price against your copay. Enter your ZIP above to compare prices at pharmacies near you for either the brand or the generic.

Alternatives and related antifungal options

Depending on what you're treating, other antifungal or antidandruff options exist. Selsun Blue is a selenium sulfide dandruff shampoo alternative to ketoconazole shampoo. For nail and skin fungal infections, ciclopirox, fluconazole, and terbinafine are other antifungal options your provider may consider, and clotrimazole is another topical azole antifungal used for skin fungal infections. Which one is right for you depends on the specific infection and location, so ask your provider or pharmacist which fits your situation.

Safety considerations

Topical Nizoral shampoo and cream are generally well tolerated; the most common side effects are local irritation, itching, dryness, or contact dermatitis where the product is applied, and you should avoid getting it in your eyes. Oral ketoconazole tablets are a different matter: the FDA requires a boxed warning on oral ketoconazole for potentially fatal liver injury, including cases that have required liver transplant, along with risks of adrenal insufficiency and QT prolongation from significant drug interactions. Oral use requires liver function monitoring before and during treatment.

This is general information, not medical advice — talk with your provider or pharmacist about whether Nizoral shampoo, cream, or another antifungal is right for you.

Sources & accuracy

This Nizoral information was written and reviewed against authoritative U.S. medical sources — MedlinePlus (U.S. National Library of Medicine), DailyMed, and FDA prescribing information — and checked for accuracy. It is provided for education and is not a substitute for professional medical advice.

Verify the official label: Nizoral on DailyMed (FDA)

Reviewed against FDA labeling · Last reviewed July 2026

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Medical disclaimer: This information is provided for general educational purposes only and is not medical advice. It is not a substitute for professional diagnosis or treatment. Always consult a licensed physician, pharmacist, or other qualified healthcare provider before starting, stopping, or changing any medication or treatment. Never disregard professional medical advice or delay seeking it because of something you read here. If you think you may have a medical emergency, call your doctor or 911 immediately.


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