Ketoconazole Shampoo

We receive a lot of questions from patients about shampoos and there is one in particular that comes up often, ketoconazole shampoo. It is important to understand that most shampoos are not going to significantly regrow hair, regardless of what they advertise.

We receive a lot of questions from patients about shampoos and there is one in particular that comes up often, ketoconazole shampoo. It is important to understand that most shampoos are not going to significantly regrow hair, regardless of what they advertise.  Many of these products will have ingredients that are known to help with hair loss, like DHT blockers or proteins, but it is not known how much of this is really absorbed in the scalp. This does not mean that there is no benefit to these shampoos.

While they will most likely not regrow hair, there is the potential to get healthier hair, less dry hair, or even increased volume. In terms of what should be in the shampoo, ones that have panthenol and proteins can make hair appear thicker. Some shampoos have dihydrotestosterone (DHT) blockers in them, which brings us to ketoconazole shampoo.

What is Ketoconazole Shampoo?

Ketoconazole shampoo is a potent DHT blocker and is sold under the brand Nizoral. Excessive DHT has been found to be one the causes of androgenic alopecia. It is important to note that you would not want to use ketoconazole shampoo every day, and most people would only use it once or twice a week.

Ketoconazole shampoos come in two strengths, over the counter, which is 1% strength and prescription, which is 2%.

When would we recommend ketoconazole shampoos?

The over the counter Nizoral can be a good option for anyone with androgenic alopecia, also known as Female Pattern Hair Loss. It is believed that ketoconazole shampoos may also have anti-inflammatory benefits, which could possibly help with other types of hair loss. The over the counter strength can also be used for patients with a dry scalp or dandruff.

We often prescribe the 2% strength ketoconazole shampoo to patients experiencing severe dryness or seborrheic dermatitis. Ketoconazole shampoos have been known to dry out hair, so it is really important to use a good conditioner with it.

In short, ketoconazole shampoo with an added conditioner once or twice a week is a good choice for any woman with known androgenic alopecia. It is important to note that for most patients, ketoconazole shampoo would only be a part of a larger treatment plan when booking your initial consultation. Medi Tresse offers both in-office and at-home treatments and products to assist with female hair loss. 

Healthy Hair Care Products Our Team Recommends

Medi Tresse At Home is our healthy hair product line and is clinically proven to help prevent hair loss and stimulate hair growth. You can use these products right in the comfort of your own home and can be shipped to anywhere in the United States. You can also sign up for a monthly subscription so that you never run out!

Volumizing Shampoo and Conditioner

Medi Tresse’s Volumizing Shampoo and Conditioner bundle is that perfect hair care routine product that is safe for colored and chemically treated hair. The rich shampoo infuses weightless volume while delicately freeing the hair and scalp for surface impurities. ProVitamin B5 strengthens the hair while adding shine and thickness and when combined with our Keratin-infused volumizing conditioner, together they leave hair nourished while maximizing volume and body.

Medi Tresse Keratin Deep Conditioner

Infused with lemongrass and twelve botanical extracts, the Medi Tresse Keratin Deep Conditioner strengthens and smooths hair and does not contain parabens or sodium chloride, and is safe for colored, straightened, and chemically-treated hair.

This Keratin-infused deep conditioning treatment restores moisture, strengthens, reduces breakage and stops frizz, and is great for all hair types.

Revive Shampoo and Conditioner

The Medi Tresse Revive Shampoo and Conditioner bundle is a stimulating, aromatic cleansing shampoo and moisturizing conditioner that includes peppermint and lavender oils that revitalize both hair and scalp while creating a calming, spa-like experience.

The rich lather of the shampoo removes excess oils and product build-up, and strengthens hair while improving body and shine. Vital vitamins and botanical extracts in the conditioner protect sensitive skin and scalp, while proteins strengthen the hair shaft. The shampoo and conditioner are safe for colored, straightened, and chemically treated hair.

Medi Tresse Hydrating Serum

Our Hydrating Serum is enriched with Moroccan Argan Oil to help fight frizz and give your hair that silky smooth feeling. The fast-absorbing, deep-penetrating serum produces a luxurious shine and silky smooth texture with enduring results.

This hydrating serum is also safe for colored, straightened, and chemically-treated hair, and does not contain parabens or sodium chloride. It also acts as a thermal protectant and is color and straightener safe.

Tresse Root Cleanse Shampoo

The Tresse Root Cleanse Shampoo is a protein-rich, scalp and root cleansing shampoo, sulfate-free, and is specially formulated with a mild, plant based cleanser for use during treatment phase for hair thinning and loss. This shampoo should be used once a week and is designed specifically to remove cellular debris, product and sebum buildup from the scalp and around hair follicles, to purify with essential oils and to stimulate and prepare the area for at-home scalp treatments.

Topical Treatments

Medi Tresse Topical Hair Care Treatments are approved by our very own physicians to help support healthy hair growth, and target one of three key areas of the hair: the follicle, the scalp, or the hair itself. The right hair care treatments above offer important protection of your hair, and, in combination with topical treatments like the Tresse 3X Growth Factor & Microchannel Stamp or Minoxidil, can help promote healthy hair growth and regrowth.

The Tresse 3X Growth Factor and Microchannel Stamp is a topical serum that targets the follicle and delivers three different types of growth factors that have been known to play a key role in follicle health and rejuvenation.

A unique follicle-boosting scalp serum formulated with a triple approach against the factors that may be causing hair thinning and loss. The formulation contains growth factors, proven botanical phytochemicals, and a 3-amino acid peptide shown to reduce follicle atrophy. These growth factors are selected specifically for supporting hair quality and growth, creating a protein-rich environment that benefits the follicles.

Ketoconazole Shampoo blog post - Medi-Tresse-at-Home-Tresse-3X-Growth-Factor-and-Micro-Needle-Stamp-Healthy-Hair-Growth

Vitamins and Supplements

Healthy and happy hair starts with a happy gut. When you consume the correct vitamins and supplements on a regular basis, you can provide your body the vitamins and nutrients needed to support healthy hair growth.

Many of the nutrients and vitamins that are important for the development of hair are also needed for other parts of your body, and when you are deficient in these vitamins and nutrients the body allocates them to your vital organs and your hair pays the price, which is why recommend almost every patient to be on a supportive hair loss supplement. 

Medi Tresse’s Healthy Body Bundle addresses total body inflammation starting in the gut while supporting nutritional factors that may play a role in hair growth and shedding in a three-step oral program.

Specially curated marine and botanical ingredients are the basis, with amino acids and vitamins to support this global approach. Nourishing your body with the nutrients it needs to grow and regrow stronger, longer, fuller hair.

In-Office Healthy Hair Care Treatments

No matter where you are in your female hair loss journey, the expert staff at Medi Tresse will have the right treatment for you. Not only do we offer at-home treatments and our healthy hair product line, but we also have in-office treatments to help with the hair regrowth process.

At times, a combination of both in-office and in-home treatments are beneficial for the hair regrowth process. Read more about dual therapy treatment in our recent case study

Luxury Scalp Treatments 

The medical professionals at Medi Tresse strongly believe that a patient cannot start to treat hair loss until they have a healthy scalp, as seen in our most recent case study

When we think of our daily skin care routine, it usually stops at the scalp, and oftentimes scalp and hair health is forgotten about. A healthy scalp can help to promote hair growth and regrowth, and as an added bonus, luxury scalp treatments can feel like a wonderful head massage!

Luxury scalp treatments are available at all of our Medi Tresse locations:  Boston, Worcester, Westchester, New York City, and Chattanooga offices. 

In-Office Rejuvenation Treatments

Platelet Rich Plasma (PRP) Therapy

Platelet Rich Plasma Therapy, or PRP Therapy has been used for over ten years to be able to help support, regrow, and strengthen hair. This procedure uses the body’s own natural blood plasma to be able to stimulate and naturally assist the body recover from loss. PRP Therapy can be effectively utilized to treat Androgenic Alopecia (Female Pattern Hair Loss), Alopecia Areata, and Traction Alopecia.

PRP Therapy is a non-surgical treatment option that is available at all Medi Tresse locations.  

Painless PRP Therapy

Painless PRP Therapy is a new procedure that delivers the same treatment as PRP Therapy without the use of needles. To achieve this our medical device is based on jet propulsion technology and uses fine misty jet streams of high-velocity liquid traveling at subsonic speeds to deliver treatment. 

Applied to the scalp, these powerful jet streams create microchannels to facilitate deep subdermal delivery to the scalp. It is 100% non-invasive and comfortable.

Currently, Painless PRP Therapy is available at all of our Medi Tresse locations.

Optimal Platelet Concentration™ Therapy

Optimal Platelet Concentration™ Therapy is an advanced restoration solution for female hair loss that is customized for the individual. 

OPC Therapy, which was developed by Medi Tresse and only available at our offices, takes PRP Therapy to the next level. During this treatment, baseline platelet counts are taken so that the platelet rich plasma can be customized for each patient, with the goal of reaching the optimal platelet concentration for hair restoration. Read more about Optimal Platelet Concentration™ Therapy in our recent case study

Optimal Platelet Concentration™ Therapy is available at the following Medi Tresse locations: Boston, Worcester, Westchester, New York City offices, and available soon at the Chattanooga office.

Low-Level Laser Therapy

The LaserCap® is a device that utilizes Low-Level Laser Therapy (LLLT) to stimulate the hair follicle cells to grow. The LaserCap® utilizes a cool beam laser that encourages tissue repair and recovery on the scalp, and these forms of light are not capable of burning skin, which makes prolonged use safe for patients. Read more about LaserCap® and Low-Level Laser Therapy in our recent case study.

Low-Level Laser Therapy is a non-surgical treatment for at home treatments, and is available at all of the Medi Tresse locations

Tresse Rejuvenation Therapy (Multi-Therapy Protocol)

Tresse Rejuvenation Therapy ™ is more than just a treatment, it is a protocol that when followed gives you the best chance to rejuvenate your hair and prevent further loss. Over the past seven years, we have met with over thousands of women experiencing all types of hair loss at Medi Tresse and based on the results we have seen, our expert staff developed our exclusive and innovative Tresse Rejuvenation Therapy ™.  Combines the power of Optimal Platelet Concentration™ Therapy, Low Level Laser Therapy, supplements, and topicals. This unique treatment offering rejuvenates the hair follicles in four distinct ways, which all work together to stop your hair loss, thicken your existing hairs, and activate dormant follicles to regrow.

The Medi Tresse team firmly believes that combination therapy provides the best chance for successful results, as seen in our recent case study about dual therapy treatment. 

Post-Chemo Hair Loss

For those who have undergone chemotherapy or permanent hair loss due to cancer, there are some options that may be able to help slow the hair loss process or start to regrow hair stimulation. 

Medi Tresse would never recommend stopping any life saving therapy, or any other chemotherapy, but utilizing hair loss treatment simultaneously has been shown to decrease or slow down further loss, and in some cases help regrow what has been lost.

Fortunately, survival rates of nearly all cancers are improving, but now we need to be sensitive and respectful of how permanent hair loss can affect men and women as they recover.

If you have suffered from hair loss due to cancer and chemotherapy, contact our team today to see what options you may have.

Medical Prescriptions

At Medi Tresse, your health and well being are of the utmost concern to us, and we want to do everything that we are able to assist with your hair loss. At times, medical prescriptions may be provided to be able to stimulate and help promote hair regrowth as our bodies may not naturally produce what is needed to start the regrowth process.

During the initial consultation, we would also want to discuss any current medications the patient is using as many prescription medications can impact the health of our hair, especially birth control and hormone replacement therapy.

In-Office Hair Transplants

Hair transplants are the only permanent hair restoration technique available, which makes it an intriguing option for many patients, where hair follicles are removed from the back of the scalp to the thinning areas in the front of the scalp.

However, female pattern hair loss is different from male pattern hair loss and is more diffuse, meaning the hair loss occurs throughout the scalp. This means that with female pattern hair loss, the donor area may be affected and not all women will be good candidates for a hair transplant, but some women still are great candidates. There are two types of hair transplant procedures for patients to consider: Follicular Unit Extraction (FUE) and Follicular Unit Transplantation.

To see if hair transplants are a good option for you, contact us to book your initial consultation.

To see if any of these products or treatments are right for you, book a consultation with our medical professionals at a location most convenient to you: Boston, Worcester, Westchester, New York, or Chattanooga.

Take Control Of Your Hair Loss

Speak with a Medi Tresse medical expert in person or virtually and get your personalized hair loss treatment plan.

Our Locations

Wellesley, MA

888 Worcester Street, Suite 95
Wellesley, MA 02482

Medical Director: Mary Wendel, MD

Phone: (774) 314-3900
Visit Medi Tresse Wellesley Office

Worcester, MA

108 Grove Street
Worcester, MA 01605

Medical Director: Mary Wendel, MD

Phone: (774) 314 3901
Visit Medi Tresse Worcester Office

New York, NY

65 W 36th St, 11th Floor, NY, NY 10018

Medical Director: Mark DiStefano, MD

Phone: (347) 704-2370
Visit Medi Tresse New York Office

Westchester, NY

2 Overhill Road, Suite 320
Scarsdale, NY 10583

Medical Director: Mark DiStefano, MD

Phone: 914-704-3070
Visit Medi Tresse Westchester Office

Chattanooga, TN

7305 Jarnigan Rd, Suite 110
Chattanooga, TN 37421

Medical Director: Deborah DiStefano, MD

Phone: 423-664-4494
Visit Medi Tresse Chattanooga Office

Welcome to Medi Tresse

The Medi Tresse team is composed of experts in female hair loss. We are committed to offering innovative, non-surgical treatments for hair rejuvenation in women. Whether you are simply looking to increase your hair’s thickness or want to stop more extensive hair loss, Medi Tresse has a wide array of solutions ranging from platelet-rich plasma therapy to low-level laser therapy.

Contact Us

You can reach us by phone at one of our 5 convenient locations or by email at

Sign up for our Newsletter

linkedin facebook pinterest youtube rss twitter instagram facebook-blank rss-blank linkedin-blank pinterest youtube twitter instagram