Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)
Last updated:
Overview
Keto Plus Shampoo is a healthcare product with Ketoconazole 2% w/v declared as its active content. It is supplied in pack sizes of 120ml and 60ml.
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.
Directions for Use
Wet the hair and scalp thoroughly, then apply an adequate amount of Keto Plus Shampoo, massaging gently into the scalp to work up a lather. Leave the shampoo on the scalp for approximately 3 to 5 minutes to allow the active ingredient to work before rinsing thoroughly with water. Use as directed on the packaging or as advised by a pharmacist, typically 2 to 3 times per week initially, then less frequently for maintenance once symptoms improve. Avoid contact with the eyes; rinse immediately with water if accidental contact occurs.
Dosage
For the treatment of dandruff or seborrhoeic dermatitis, Keto Plus Shampoo is generally used 2 to 3 times per week for 2 to 4 weeks, or as advised by a pharmacist, depending on the severity of symptoms. Once symptoms are under control, the frequency may be reduced to once every 1 to 2 weeks for maintenance to help prevent recurrence. Do not use more frequently than recommended, as this does not speed up results and may cause unnecessary scalp dryness or irritation.
Shelf Life
Keto Plus Shampoo is generally stable for up to 2 to 3 years from the date of manufacture when unopened and stored correctly. Always check the expiry date printed on the bottle or carton before use, and do not use the product beyond its stated expiry date.
Storage Instructions
Store Keto Plus Shampoo below 30°C in a cool, dry place away from direct sunlight. Keep the bottle tightly closed after use. Keep out of reach and sight of children. Do not freeze.
Side Effects
Ketoconazole
Nausea or vomiting
Stomach pain
Headache
Dizziness
Itching or skin rash (when applied topically)
Abnormal liver function tests
Hair thinning (topical use)
Zinc Pyrithione
Mild skin irritation or redness
Dryness or peeling of the skin
Itching or burning sensation at application site
Rarely, allergic reactions such as rash or swelling
Contraindications
Known allergy or hypersensitivity to Ketoconazole or any other ingredient in the shampoo
Use on broken, severely inflamed, or infected skin without medical advice
Avoid contact with the eyes, inside the ears, nose, or mouth
Not intended for use on areas other than the scalp unless specifically advised by a doctor or pharmacist
Drug / Food Interactions
No significant food interactions are expected with topical use of this shampoo, as absorption into the bloodstream is minimal
Avoid using other medicated shampoos or scalp treatments at the same time without checking with a pharmacist, as combined use may increase scalp irritation
Inform your pharmacist if you are using other topical scalp or hair treatments concurrently
Quick Tips
Leave the shampoo on the scalp for the recommended time before rinsing to allow it to work effectively
Use consistently as directed, even if symptoms improve quickly, to reduce the chance of recurrence
Avoid getting the shampoo in your eyes; rinse thoroughly with water if this happens
Reduce frequency of use gradually for maintenance once dandruff or flaking is under control
See a pharmacist or doctor if scalp symptoms do not improve after a few weeks of regular use
This medicine should only be used during pregnancy if prescribed by a doctor after careful evaluation.
Breastfeeding
Limited Data
Limited data on excretion in breast milk. Consult a doctor before use.
Kidney
Use With Care
Use cautiously. Dose adjustment or monitoring may be required.
Liver
Not Advisable
Not recommended in patients with liver disease.
Alcohol
Not Advisable
It is not advisable to consume alcohol while taking this medicine.
Driving
Not Advisable
It is not advisable to drive if you experience side effects from this medicine.
Zinc Pyrithione
Pregnancy
Generally Safe
This medicine is generally safe during pregnancy, though minor risks may exist in rare cases.
Breastfeeding
Generally Safe
This medicine is generally safe during breastfeeding with minimal risk to the infant.
Kidney
Limited Data
Limited data in kidney disease patients. Use only if necessary.
Liver
Limited Data
Limited data available in liver disease patients.
Alcohol
Generally Safe
Consuming alcohol with this medicine is generally safe, but moderate intake is advised.
Driving
Limited Data
Limited data is available regarding the effect of this medicine on driving.
Relevant Information
Keto Plus Shampoo is intended specifically for scalp conditions related to fungal overgrowth, such as dandruff and seborrhoeic dermatitis, and is not a general-purpose shampoo for cosmetic hair care. Consistent, correct use with adequate contact time on the scalp is important for the antifungal ingredient to be effective. Customers with persistent, severe, or worsening scalp symptoms should seek further advice from a DoctorOnCall pharmacist or doctor.
Frequently Asked Questions
No. Keto Plus Shampoo is a non-prescription product and can be ordered without a prescription. It is still dispensed by a registered pharmacist on DoctorOnCall.
Keto Plus Shampoo is a healthcare product containing Ketoconazole 2% w/v. The full ingredient list is shown in the Composition or Ingredients section on this page and on the product packaging.
It is supplied in pack sizes of 120ml and 60ml. Choose the pack size you need from the options shown on this page before adding the item to your cart.
This page is limited to product, safety and handling information in line with Malaysian rules on medicine information. If you want advice on whether this product suits you, book an online consultation with a doctor or pharmacist on DoctorOnCall.
Follow the instructions printed on the label and in the leaflet supplied with the pack, and do not exceed the stated amount or duration. Handling steps are set out in the Directions for Use section on this page.
Yes. DoctorOnCall offers online consultations with licensed doctors and registered pharmacists, so you can ask about this product, your existing medicines, or anything on the label before you place an order.
Store Keto Plus Shampoo below 30°C in a cool, dry place away from direct sunlight. Keep the bottle tightly closed after use. Keep out of reach and sight of children. Do not freeze. Keep it in its original pack and do not use it after the expiry date printed on the packaging.
Stop using the product and speak to a doctor or pharmacist about any reaction that concerns you. Seek medical care immediately for signs of a severe reaction such as difficulty breathing, swelling of the face, lips or throat, or a widespread rash. Reported reactions are listed in the Side Effects section on this page.
Within Malaysia, standard delivery takes 3 to 5 working days. Same-day delivery is available in the Klang Valley for orders placed before 12pm; orders placed after 12pm arrive by the end of the next day.
Orders to Singapore are sent as international deliveries and take 5 to 9 working days. A lump-sum shipping and handling fee applies to every overseas delivery and is shown at checkout.
Customers in Malaysia can pay by FPX online banking, credit or debit card (Visa and Mastercard), and supported e-wallets including Touch ‘n Go eWallet, GrabPay and ShopeePay.
FPX and local e-wallets are tied to Malaysian bank and wallet accounts, so if your delivery address is in Singapore, use the payment options displayed at checkout for that address rather than assuming the same list applies.
Yes. DoctorOnCall ships to Singapore as an international order dispatched from Malaysia, arriving in 5 to 9 working days with a lump-sum shipping and handling fee.
Singapore’s Health Sciences Authority (HSA) allows personal imports of up to three months’ supply of a medicine for your own use or an immediate family member’s, as long as it contains no controlled drugs, psychotropic substances or prohibited items. Keep the product in its original labelled packaging and keep a copy of your prescription or doctor’s letter with it. Quantities above three months’ supply, and medicines containing controlled substances, require prior HSA approval.
Products listed on DoctorOnCall are registered with Malaysia’s Ministry of Health for supply in Malaysia, and each pack carries its MAL registration number.
An order delivered to Singapore arrives as a personal import of a Malaysia-registered product; HSA product registration is not required for personal-use quantities, but it is also not the same as a product registered for sale in Singapore. If you need a locally registered Singapore product, buy it from a pharmacy in Singapore.
DoctorOnCall’s customer care team handles order, delivery and product queries through the contact channels on the site, including WhatsApp and the online help centre.
For deliveries to Singapore, allow more time before chasing an order than you would for a local Malaysian delivery, as the parcel passes through customs clearance and tracking updates can appear later in the journey.
What condition or symptom are you treating with this medication?
Please select your condition / symptom before adding to cart.
*Please select the closest match. A pharmacist may call to verify your selection before dispensing.
Important Medical Information
💊 Recommended Dosage:
For the treatment of dandruff or seborrhoeic dermatitis, Keto Plus Shampoo is generally used 2 to 3 times per week for 2 to 4 weeks, or as advised by a pharmacist, depending on the severity of symptoms. Once symptoms are under control, the frequency may be reduced to once every 1 to 2 weeks for maintenance to help prevent recurrence. Do not use more frequently than recommended, as this does not speed up results and may cause unnecessary scalp dryness or irritation.
🛑 Contraindications (Do not use if):
Known allergy or hypersensitivity to Ketoconazole or any other ingredient in the shampoo
Use on broken, severely inflamed, or infected skin without medical advice
Avoid contact with the eyes, inside the ears, nose, or mouth
Not intended for use on areas other than the scalp unless specifically advised by a doctor or pharmacist
If you are unsure, please chat with us or consult your doctor.
⚠️ Common Side Effects:
Ketoconazole:
Nausea or vomiting
Stomach pain
Headache
Dizziness
Itching or skin rash (when applied topically)
Abnormal liver function tests
Hair thinning (topical use)
Zinc Pyrithione:
Mild skin irritation or redness
Dryness or peeling of the skin
Itching or burning sensation at application site
Rarely, allergic reactions such as rash or swelling
Stop taking this medication immediately and consult your doctor if you experience severe allergic reactions or side effects.
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IMPORTANT: Unsure? Chat with our pharmacists (Mon - Sat, 9:00am - 6:00pm) before buying.