Ketoconazole

Medically Reviewed by Dr. Harshi Dhingra, M.D.

Last Reviewed: Oct 13, 2022

Pros & Cons


Ketoconazole Pros and Cons

pros header.svg

  • Ketoconazole works well to treat fungal skin infections.
  • It is available as a low-cost generic.
  • You only need one application to treat pityriasis (tinea versicolor).
  • Ketoconazole shampoo is available without a prescription for dandruff.
  • The gel (Xolegel) only needs to be applied once a day.
  • Most people tolerate this medicine well with few side effects

cons header.svg

  • Prescription-strength ketoconazole topical can cause skin irritation, dryness, and redness.
  • This medicine may need to be used for several weeks, depending on the type of fungal infection.
  • It is not for use in children under 12 years of age.
  • The topical form of ketoconazole can be toxic if swallowed.
  • There is no generic available for Xolegel.