Xepa Pristine 2% Shampoo

Xepa Pristine 2% Shampoo is a healthcare product with Ketoconazole 2% w/w declared as its active content. It is supplied in a pack size of 120ml.

This is a non-prescription product and can be purchased without a prescription. Only product, safety and handling details are published on this page.

An online consultation with a DoctorOnCall doctor or pharmacist is available for this product, and a registered pharmacist reviews each order before dispatch to Malaysia or Singapore. Follow the directions on the label and on the leaflet inside the pack.

Wet the hair and scalp thoroughly, then apply enough Xepa Pristine 2% Shampoo to work up a lather, massaging gently into the scalp for about 3 to 5 minutes to allow the active ingredient to take effect, then rinse thoroughly with water. For dandruff or seborrhoeic dermatitis, it is commonly used twice a week for 2 to 4 weeks, leaving at least 3 days between washes, and then used less often (for example, every 1 to 2 weeks) for maintenance as advised by a doctor or pharmacist. Avoid contact with the eyes; if the shampoo gets into the eyes, rinse thoroughly with water.

For treating dandruff or seborrhoeic dermatitis of the scalp, apply Xepa Pristine 2% Shampoo to wet hair and scalp, lather, leave on for about 3 to 5 minutes, then rinse off; use twice weekly for 2 to 4 weeks. For fungal scalp infections, a doctor or pharmacist may recommend a similar or adjusted frequency and duration. Once symptoms are controlled, a less frequent maintenance schedule (such as every 1 to 2 weeks) may be recommended to help prevent recurrence. If there is no improvement after 4 weeks, consult a doctor or pharmacist.

Xepa Pristine 2% Shampoo is valid for use up to the expiry date printed on the bottle and outer carton when stored correctly and unopened. Check the expiry date before use and discard the product once it has expired or if it shows any unusual change in colour, consistency, or smell after opening.

Store below 30°C in a cool, dry place away from direct sunlight. Keep the bottle tightly closed after use. Do not freeze. Keep out of the sight and reach of children.

• Known hypersensitivity or allergy to ketoconazole or other imidazole antifungals
• Avoid contact with the eyes; rinse immediately with water if accidental contact occurs
• Not intended for use on broken or actively weeping skin on the scalp without medical advice
• Pregnant or breastfeeding women should consult a doctor or pharmacist before use
• Not recommended for young children without medical advice

• Ketoconazole shampoo is used topically on the scalp with minimal systemic absorption, so significant drug interactions are uncommon with normal use
• Avoid using other medicated shampoos or scalp treatments at the same time unless advised by a pharmacist, as this may increase irritation without added benefit
• No significant food interactions are expected with topical/scalp use
• Inform your pharmacist if you are using other topical or oral antifungal treatments

• Leave the lather on the scalp for the full 3 to 5 minutes before rinsing to give the active ingredient time to work
• Use consistently as directed — typically twice a week during the treatment phase — rather than daily, unless told otherwise
• Avoid getting shampoo in the eyes; rinse well with water if this happens
• Switch to a less frequent maintenance schedule once symptoms are controlled, as advised by a pharmacist or doctor
• Avoid sharing towels or hairbrushes if a scalp fungal infection is suspected
• See a doctor or pharmacist if scalp symptoms do not improve after 4 weeks or if hair loss occurs

Dandruff and seborrhoeic dermatitis are common, chronic scalp conditions linked to an overgrowth of Malassezia yeast on the skin, and symptoms often flare up periodically even with treatment. Xepa Pristine 2% Shampoo helps control flaking, itching, and inflammation but may need to be used intermittently over the long term to keep symptoms managed. Malaysia’s hot, humid climate can make scalp conditions more prone to flare-ups, so good scalp hygiene alongside treatment is helpful. If the scalp becomes very inflamed, painful, or shows signs of a spreading infection, a doctor should assess it.