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Detailed medicine guidance

How and when to use ketoconazole

NHS medicines information on how to use ketoconazole and what to do if you miss a dose or use too much.

About this information

This NHS content is written for people in England. Medicine names, availability, prescribing and services may differ in other countries.

How often to use ketoconazole

How often you use ketoconazole cream or shampoo varies depending on why you're using it.

How often to use cream for athlete's foot, jock itch and sweat rash

Use the cream once or twice a day on the infected skin and surrounding area. For athlete's foot, you need to use it twice a day regularly.

Carry on using the cream for 3 days after your symptoms have cleared up. This will help to stop the infection coming back.

How often to use shampoo or cream for seborrhoeic dermatitis

Use the shampoo twice a week for 2 to 4 weeks until your symptoms have cleared up. Then use it once every 1 to 2 weeks to stop them coming back.

Alternatively, you can use the cream once or twice a day for 2 to 4 weeks. Then use the shampoo once every 1 to 2 weeks to stop your symptoms coming back.

How often to use shampoo for dandruff

Use the shampoo twice a week for 2 to 4 weeks. Then use it once every 1 to 2 weeks to stop your dandruff coming back.

How often to use shampoo or cream for pityriasis versicolor

Use the shampoo once a day for up to 5 days.

For treating small areas of skin, you can use the cream instead. Put the cream on once or twice a day for 2 to 3 weeks.

If your symptoms tend to return in sunlight, use the shampoo once a day for up to 3 days before going out in the sun.

View the original NHS website page ↗. Refreshed 19 August 2026.

Licensed under the Open Government Licence v3.0 ↗. MyPHU is independent and is not endorsed by the NHS.

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