Acvaketo S Shampoo: Complete Guide to Uses, Side Effects, and Safety
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Severe allergic reaction (swelling of face, lips, throat, difficulty breathing)
- Severe skin irritation or blistering
- Signs of infection (increased redness, warmth, pus)
- Hair loss that is sudden or severe
- No improvement after 4 weeks of use
- Worsening of condition
If experiencing severe symptoms, call emergency services immediately.
What is coaltoz-kz shampoo used for?
This medicine is a medicated shampoo containing ketoconazole 2% and salicylic acid 2%. It treats dandruff and seborrheic dermatitis by killing fungi and removing scales. Use twice weekly for 2-4 weeks, then once weekly. Avoid contact with eyes.
- Generic Name: Ketoconazole + Salicylic Acid
- Manufacturer: Cytoz Pharmaceuticals
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 coaltoz-kz shampoo के बारे में (Hindi Summary)
उपयोग: यह दवा एक टॉपिकल शैम्पू है जिसमें कीटोकोनाज़ोल 2% और सैलिसिलिक एसिड 2% होता है। यह डैंड्रफ और सेबोरहाइक डर्मेटाइटिस के इलाज के लिए उपयोग किया जाता है। यह स्कैल्प पर फंगस को मारता है और पपड़ी को हटाता है।
साइड इफेक्ट्स: आम दुष्प्रभावों में स्कैल्प में जलन, सूखापन, खुजली या हल्की जलन शामिल है। कभी-कभी एलर्जी प्रतिक्रिया हो सकती है। यदि कोई गंभीर दुष्प्रभाव हो तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: केवल बाहरी उपयोग के लिए। आंखों, नाक, मुंह और श्लेष्मा झिल्ली से बचें। टूटी त्वचा पर न लगाएं। 12 वर्ष से कम बच्चों में डॉक्टर की सलाह के बिना उपयोग न करें। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से परामर्श करें।
💊 coaltoz-kz shampoo Uses & Benefits
[{"condition":"Dandruff","description":"Reduces flaking and itching associated with dandruff by targeting Malassezia yeast and removing scales.","evidence":"Well-established"},{"condition":"Seborrheic dermatitis of the scalp","description":"Helps control redness, scaling, and itching in seborrheic dermatitis.","evidence":"Well-established"},{"condition":"Tinea versicolor (when applied to affected areas)","description":"May be used off-label for tinea versicolor on the body, but this shampoo is primarily for scalp.","evidence":"Limited"}]
Off-label uses: [{"condition":"Seborrheic dermatitis of the face or chest","description":"Sometimes used off-label for seborrheic dermatitis in other areas, but should be used only under medical supervision.","evidence":"Limited"}]
Primary treatment for: Dandruff and seborrheic dermatitis of the scalp
Also treats: Tinea versicolor (off-label)
📋 Drug Information
| Generic Name(s) | Ketoconazole + Salicylic Acid |
| Brand Name | Acvaketo S Shampoo |
| Manufacturer | Cytoz Pharmaceuticals |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | DERMA |
| Action Class | Antifungal + Keratolytic |
| Route of Administration | Topical |
| Storage | Store at room temperature (15-30°C). Protect from direct sunlight. Keep the container tightly closed. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
Ketoconazole inhibits the fungal enzyme cytochrome P450 14α-demethylase, blocking the conversion of lanosterol to ergosterol, which is essential for fungal cell membrane integrity. This leads to increased membrane permeability and fungal cell death. Salicylic acid is a beta-hydroxy acid that disrupts corneocyte cohesion, softening and shedding scales, and also has mild anti-inflammatory and antimicrobial properties.
Mechanism Steps
💡 How to Take coaltoz-kz shampoo
Strength: Shampoo containing ketoconazole 2% w/v and salicylic acid 2% w/v.
Dosage Information
| Adult Dosage | Wet hair and scalp thoroughly. Apply a sufficient amount to lather, massage into the scalp, and leave on for 3-5 minutes. Rinse thoroughly. Use twice weekly for 2-4 weeks, then once weekly or as directed by a doctor. Dose must be individualized by a qualified clinician based on indication, age, and response. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | No specific dose adjustment is required for elderly patients. Use as directed by a doctor. |
| Renal Impairment | No dose adjustment is required for renal impairment when used topically. |
| Hepatic Impairment | No dose adjustment is required for hepatic impairment when used topically. |
| Maximum Daily Dose | Not applicable for topical shampoo. Use as directed. |
Dosage Timeline
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of coaltoz-kz shampoo
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to ketoconazole, salicylic acid, or any component of the formulation.","Do not use on broken or inflamed skin.","Do not use in children under 12 years unless prescribed by a doctor."]
⚠️ Warnings & Precautions
["For external use only. Avoid contact with eyes, lips, and mucous membranes.","If accidental contact with eyes occurs, rinse thoroughly with water.","Do not use on large areas of the body or for prolonged periods without medical advice.","If condition worsens or does not improve after the recommended treatment period, consult a doctor.","Keep out of reach of children.","Do not use if you are pregnant or breastfeeding without consulting a doctor.","Do not use on the face or genital area unless directed by a physician."]
🤱 Lactation Safety
It is not known whether ketoconazole or salicylic acid from this shampoo passes into breast milk. Consult your doctor before use while breastfeeding. Avoid applying to the breast area to prevent infant exposure.
💊 Overdose Management
Accidental ingestion may cause nausea, vomiting, and abdominal pain. Seek immediate medical attention or contact a poison control center. Topical overdose is unlikely; if excessive application occurs, rinse thoroughly with water and consult a doctor if irritation persists.
⏰ Missed Dose
If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
Additional Safety Advice
For external use only. Avoid contact with eyes, nose, mouth, and other mucous membranes. If accidental contact occurs, rinse thoroughly with water. Do not apply to broken or inflamed skin. Do not use on children under 12 years unless prescribed by a doctor. If you are pregnant or breastfeeding, consult your doctor before use. Keep out of reach of children. Do not use if you are allergic to any ingredient. Do not exceed the recommended frequency or duration of use. If condition worsens or does not improve after the recommended treatment period, consult a doctor. Do not use on the face or genital area unless specifically directed by a physician.
👴 Special Considerations for Elderly
💡 For Patients Above 65
No specific precautions for elderly patients. Use as directed by a doctor.
🤰 Pregnancy Planning (TTC)
Consult your doctor before use if you are planning pregnancy or are pregnant. Topical use is generally considered low risk, but medical advice is recommended.
🏥 Post-Surgery Considerations
No specific considerations for post-surgery unless directed by your doctor. Avoid applying to surgical wounds.
🦷 Dental Procedures
No specific considerations for dental procedures. This medicine is for scalp use only.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
No specific exercise precautions are needed while using this medicine. However, avoid swimming immediately after application to prevent washing off the medicine.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine has no impact on driving or operating machinery. It may cause mild scalp irritation, but this does not affect daily activities.
🛑 When to Stop This Medicine
Stop using this medicine and consult a doctor if you experience severe irritation, allergic reaction, or if your condition worsens. Do not stop prescribed treatment without consulting your doctor.
📅 Long-Term Use Effects
Long-term use of this medicine is generally safe when used as directed. Prolonged use may lead to scalp dryness or irritation. If used for extended periods, periodic evaluation by a doctor is recommended. Do not use continuously for more than 4 weeks without medical advice.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Another antifungal shampoo for dandruff.
Evidence: Well-establishedOver-the-counter antifungal shampoo.
Evidence: Well-establishedHelps reduce scaling and itching.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No known interaction with vaccines. Continue routine vaccinations as scheduled.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from direct sunlight. No time zone adjustments are needed for topical use. Declare it at customs if required.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may notice improvement in flaking and itching within 1-2 weeks of regular use. Full benefits may take up to 4 weeks.
A: No, it is usually used twice weekly for 2-4 weeks, then once weekly. Using it daily may cause irritation.
A: It is not recommended for children under 12 years unless prescribed by a doctor.
A: Consult your doctor before use if you are pregnant or breastfeeding.
🤔 Common Patient Concerns
🔄 Substitutes for coaltoz-kz shampoo
View AllAlternative brands with exact same active ingredient:
-
kezil sl shampooAurel Biolife ₹182.81 2% CHEAPER
-
hairdruff s shampooCarise Pharmaceuticals Pvt Ltd ₹187.50 0.5% COSTLIER
-
salidex lotionDeca Healthcare ₹196.88 5.5% COSTLIER
-
salisia kt shampooAjanta Pharma Ltd ₹210.94 13.1% COSTLIER
-
acvaketo s shampooAjanta Pharma Ltd ₹225.00 20.6% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Using more shampoo will cure dandruff faster.
Fact: Using more than directed can cause irritation and dryness. Follow the recommended frequency. - Myth: Dandruff is caused by poor hygiene.
Fact: Dandruff is often caused by Malassezia yeast and is not due to poor hygiene. - Myth: This shampoo can be used on the face.
Fact: This shampoo is for scalp use only unless directed by a doctor.
🔄 Alternative Options
Generic Alternatives
- Ketoconazole 2% shampoo
- Salicylic acid 2% shampoo
- Ketoconazole and salicylic acid shampoo