Please note: a valid prescription is required for all prescription medication.
Ketoderm® is a ketoconazole antifungal available as a 2% cream and 2% shampoo. It treats common fungal skin infections and helps control dandruff due to seborrheic dermatitis. You can buy Ketoderm online from Canada with US delivery, often at Canadian pricing that may help even without insurance.
What Ketoderm® Is and How It Works
Ketoderm is a topical formulation of ketoconazole, an azole antifungal. It stops fungi from producing ergosterol, a key part of the cell membrane. Without ergosterol, fungal cells weaken and die or stop growing. The cream is used on skin, while the shampoo targets the scalp and other affected areas per label directions. This cross-border option ships to the US with dispensing from licensed Canadian pharmacies.
At CanadianInsulin, orders are filled by licensed Canadian pharmacies after we confirm a valid prescription with your clinic.
Label indications include tinea corporis (ringworm of the body), tinea cruris (jock itch), tinea pedis (athlete’s foot), cutaneous candidiasis, and pityriasis (tinea) versicolor. The shampoo treats dandruff and seborrheic dermatitis, and may be used for tinea versicolor on the trunk as directed.
Who Ketoderm® Is For
Ketoderm is for adults and adolescents diagnosed with susceptible superficial fungal infections. The cream is applied to affected skin and surrounding areas. The shampoo treats dandruff, scalp itch, and scaling linked to seborrheic dermatitis. Some prescribers also direct the shampoo to the chest or back for tinea versicolor.
Do not use Ketoderm if you are allergic to ketoconazole or any cream or shampoo ingredients. It is for external use only and not for eyes, mouth, intravaginal use, or open wounds. Ask a clinician about use in pregnancy or while breastfeeding, especially if applying to large areas or under occlusion. Pediatric use depends on clinician advice and local labeling.
Dosage and Usage
Follow the prescribing information and your clinician’s directions. General label guidance:
- Cream 2%: Apply a thin layer once daily to the affected area and about 1 inch beyond the visible rash. Some conditions may be treated up to twice daily per local labeling. Wash hands before and after application.
- Typical duration: Many tinea infections improve within 2 to 4 weeks. Athlete’s foot may require up to 6 weeks. Cutaneous candidiasis often resolves within 2 weeks. Tinea versicolor may clear in about 2 weeks; follow your clinician’s plan.
- Shampoo 2% for dandruff/seborrheic dermatitis: Lather into the scalp and affected areas. Leave on for 3 to 5 minutes before rinsing. Common regimens are twice weekly for 2 to 4 weeks, then once weekly or as needed for maintenance.
- Shampoo 2% for tinea versicolor: Many labels direct daily use for several days in a row. Apply to chest, back, or shoulders as instructed, leave on for several minutes, then rinse.
Use only as directed by a licensed clinician. Do not use occlusive dressings unless instructed. Avoid contact with eyes, and rinse thoroughly if accidental contact occurs.
Strengths and Forms
Availability may vary by pharmacy and time.
- Ketoderm Cream 2% (ketoconazole 2%) in tubes; common sizes include 30 g and 60 g.
- Ketoderm Shampoo 2% (ketoconazole 2%) in bottles; common sizes vary by manufacturer.
Missed Dose and Timing
If a cream application is missed, apply when remembered that day. If it is close to the next scheduled application, skip the missed dose and resume the regular schedule. Do not double up. For shampoo, use at the next planned wash and continue the regimen. Consistency supports symptom control and clearance.
Storage and Travel Basics
Store Ketoderm cream and shampoo at room temperature per label. Keep containers tightly closed, away from excessive heat and direct sunlight. Do not freeze. When traveling, pack the tube or bottle in a sealed bag to prevent leaks, and keep it with toiletries rather than checked luggage. No cold-chain shipping is required.
Benefits
Ketoderm provides targeted antifungal action where it is applied. Benefits typically include reduced redness, scaling, and itch in treated areas. Once-daily cream regimens are convenient for many skin infections. Shampoo use helps control dandruff and seborrheic dermatitis with short contact times during routine bathing. Maintenance schedules can help prevent recurrence after symptoms improve.
Side Effects and Safety
- Common with cream: Application site burning, stinging, irritation, dryness, or redness.
- Common with shampoo: Itching, dryness or oiliness of hair and scalp, local irritation, or abnormal hair texture.
- Less common: Contact dermatitis or rash in sensitive individuals.
Serious reactions are uncommon with topical use. Stop treatment and seek medical care if signs of allergy occur, such as swelling, hives, or severe skin reactions. Avoid use in the eyes; rinse with water if exposed. Systemic absorption from topical ketoconazole is low under normal conditions, but caution is advised when treating large areas, damaged skin, or using occlusive dressings.
Drug Interactions and Cautions
Topical ketoconazole has minimal systemic interaction potential. However, local interactions can occur with other topical products. Avoid combining with harsh cleansers, strong exfoliants, or alcohol-heavy toners on the same area to limit irritation. When treating seborrheic dermatitis, clinicians sometimes use low-potency topical steroids briefly; these should be tapered as directed to avoid rebound.
Do not apply on broken or severely inflamed skin unless a clinician directs it. If using hair dyes or chemical treatments, allow scalp to recover from irritation before resuming the shampoo. Tell your clinician about all medicines, including other topical prescriptions and over-the-counter products.
What to Expect Over Time
For many skin infections, itching and scaling begin to ease within several days. Visible clearing may take 2 to 4 weeks or longer with athlete’s foot. For dandruff and seborrheic dermatitis, regular shampoo use reduces flakes and itch; maintenance use helps keep symptoms controlled. If symptoms persist or worsen after a full course, follow up with a clinician to confirm the diagnosis and rule out other causes.
Compare With Alternatives
Several antifungals are used for similar skin conditions. Terbinafine is often chosen for tinea corporis, cruris, and pedis. The brand Lamisil® contains terbinafine and is typically used once or twice daily for 1 to 2 weeks for many tinea infections. For broader coverage or recurrent tinea versicolor, clinicians may consider oral agents like Fluconazole when appropriate. Your clinician will select a therapy based on infection type, location, severity, and prior response.
Pricing and Access
Compare Ketoderm price options online and take advantage of Canadian pricing. You can order from Canada with US shipping and pay by secure, encrypted checkout. To see the current cost and available forms, view the product page and add the correct strength to your cart. Some patients also compare with alternatives like Terbinafine to review ingredient, form, and price differences.
Availability and Substitutions
Supply can vary by form and package size. If a specific cream tube or shampoo bottle is unavailable, a prescriber may recommend an alternative. In some cases, a generic like Ketoconazole may be appropriate. Your clinician will advise on substitutions that match the diagnosis.
Patient Suitability and Cost Saving Tips
Patients with confirmed superficial fungal infections or seborrheic dermatitis may be good candidates for Ketoderm. Those with known ketoconazole allergy or severe skin reactions should avoid it. During pregnancy or breastfeeding, use only if a clinician determines the benefit outweighs risk. For sensitive skin, a short contact time at first may help assess tolerance.
- Ask about multi-tube or multi-bottle fills to reduce per-unit cost.
- Set refill reminders so treatment stays on schedule.
- Use non-irritating cleansers and moisturizers to support the skin barrier.
- Wash and dry affected areas before cream application for better contact.
- For tinea pedis, keep feet dry, rotate shoes, and change socks daily to reduce recurrence.
One micro trust note: Checkout is encrypted to help protect your personal information.
Questions to Ask Your Clinician
- Is Ketoderm cream or shampoo the better option for my condition?
- How long should I continue treatment after symptoms improve?
- Can I use a mild steroid with Ketoderm for seborrheic dermatitis, and how should it be tapered?
- What skin care products pair well with treatment and which should I avoid?
- How should I adjust the regimen if irritation or dryness occurs?
- Is maintenance shampoo use recommended to prevent dandruff from returning?
- Are there signs that mean I should stop and seek medical help?
Authoritative Sources
Health Canada Drug Product Database
DailyMed: Ketoconazole Shampoo
Start your order for US delivery from Canada when your clinician prescribes Ketoderm. This page is for educational use and does not replace medical advice from your clinician.
Express Shipping - from $25.00
Shipping with this method takes 3-5 days
Prices:
- Dry-Packed Products $25.00
- Cold-Packed Products $35.00
Standard Shipping - $15.00
Shipping with this method takes 5-10 days
Prices:
- Dry-Packed Products $15.00
- Not available for Cold-Packed products
Is Ketoderm prescription or over the counter?
Ketoderm cream 2% and shampoo 2% generally require a prescription in Canada. Requirements can vary by jurisdiction. We confirm a valid prescription before dispensing.
How long does Ketoderm take to work?
Many fungal skin infections improve within several days, with full clearing in 2 to 4 weeks. Athlete’s foot may need longer. Dandruff often improves after a few shampoo uses.
Can Ketoderm be used on the face?
Clinicians may direct careful use on facial areas for seborrheic dermatitis or certain fungal infections. Avoid eyes, mucous membranes, and broken skin. Follow medical guidance.
What if irritation occurs during treatment?
Mild burning or stinging can happen. If persistent or severe irritation develops, pause use and contact your clinician to review the regimen or consider alternatives.
Can I use hair dye or styling products with the shampoo?
Yes, but avoid applying on an irritated scalp. Use the shampoo first, rinse well, and allow the scalp to recover before dyeing or using harsh treatments.
Is Ketoderm safe in pregnancy or while breastfeeding?
Topical absorption is low, but use only if the clinician decides the benefit outweighs risk. Avoid application to the breast area if breastfeeding unless directed.
Can children use Ketoderm?
A clinician should determine suitability and dosing for children. Safety and directions can vary by age, condition, and area being treated.
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