kenz-sal lotion - Ketoconazole (2% w/v) + Salicylic Acid (2% w/v) medicine

Hairdruff S Shampoo: Comprehensive Guide to Uses, Side Effects, and More

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🏭 KLM Laboratories Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 26, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for dandruff and seborrheic dermatitis.
Reviewed by
SaathiMed Expert Panel | Sep 26, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
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 (rash, hives, swelling of face, lips, tongue, difficulty breathing)
  • Signs of skin infection (increased redness, swelling, 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 kenz-sal lotion 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 reducing scaling. Use twice weekly for up to 4 weeks, then once weekly.

  • Generic Name: Ketoconazole (2% w/v) + Salicylic Acid (2% w/v)
  • Manufacturer: KLM Laboratories Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 kenz-sal lotion के बारे में (Hindi Summary)

उपयोग: यह दवा एक मेडिकेटेड शैम्पू है जिसमें कीटोकोनाज़ोल 2% और सैलिसिलिक एसिड 2% होता है। यह डैंड्रफ और सेबोरहिक डर्मेटाइटिस के इलाज के लिए उपयोग किया जाता है। यह खोपड़ी पर फंगस को मारता है और सूजन को कम करता है।

साइड इफेक्ट्स: आम दुष्प्रभावों में खोपड़ी में जलन, सूखापन, खुजली और जलन शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन एलर्जी प्रतिक्रिया हो सकती है।

सुरक्षा सलाह: केवल बाहरी उपयोग के लिए। आंखों, नाक, मुंह से संपर्क से बचें। टूटी त्वचा पर उपयोग न करें। बच्चों की पहुंच से दूर रखें। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 kenz-sal lotion Uses & Benefits

[{"condition":"Dandruff","description":"Reduces flaking and itching of the scalp associated with dandruff.","evidence":"Well-established"},{"condition":"Seborrheic dermatitis","description":"Treats scaling, redness, and itching of the scalp caused by seborrheic dermatitis.","evidence":"Well-established"},{"condition":"Tinea versicolor","description":"May be used off-label for tinea versicolor, a fungal infection of the skin.","evidence":"Limited"}]

Off-label uses: [{"condition":"Tinea versicolor","description":"Sometimes prescribed off-label for tinea versicolor, but not FDA-approved for this indication.","evidence":"Limited"}]

Primary treatment for: Dandruff

Also treats: Seborrheic dermatitis

📋 Drug Information

Generic Name(s)Ketoconazole (2% w/v) + Salicylic Acid (2% w/v)
Brand Namekenz-sal lotion
ManufacturerKLM Laboratories Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassDERMA
Action Class
Route of AdministrationTopical
StorageStore at room temperature (15-30°C). Protect from light and moisture. Keep the container tightly closed.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Use this medicine twice a week for the first 4 weeks, then once weekly to maintain results.
2
Leave the shampoo on your scalp for at least 3-5 minutes before rinsing for maximum effectiveness.
3
Avoid getting the shampoo in your eyes. If it happens, rinse thoroughly with water.
4
If your dandruff does not improve after 4 weeks, consult a dermatologist.
5
Do not use this medicine on children under 12 years without medical advice.
6
If you are pregnant or breastfeeding, consult your doctor before using this medicine.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Scalp flaking
This medicine is commonly prescribed for this.
Likely Use
✅
Scalp itching
This medicine helps relieve itching.
Likely Use
✅
Redness on scalp
This medicine can reduce redness associated with seborrheic dermatitis.
Likely Use
❌
Hair loss
This medicine is not a treatment for hair loss.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionKetoconazole is minimally absorbed through intact skin when applied topically. Systemic absorption is negligible. Salicylic acid can be absorbed through the skin, especially if applied to large areas or broken skin, but systemic absorption from shampoo use is minimal.
DistributionNot established from the available information.
Protein BindingNot established from the available information.
MetabolismNot established from the available information.
Half-LifeNot established from the available information.
ExcretionNot established from the available information.
BioavailabilityNot established from the available information.
Onset of ActionImprovement in dandruff and itching may be noticed within a few days to a week of starting treatment.
Peak Plasma TimeNot established from the available information.
Duration of ActionThe effects of a single application last until the next wash, typically 2-3 days.

How It Works

Ketoconazole inhibits the synthesis of ergosterol, a vital component of fungal cell membranes, by blocking the enzyme cytochrome P450 14α-demethylase. This leads to increased permeability and leakage of cellular contents, ultimately causing fungal cell death. Salicylic acid is a beta-hydroxy acid that works as a keratolytic agent. It softens and dissolves the keratin layer of the skin, promoting the shedding of dead skin cells and reducing scaling and flaking. Together, they provide antifungal and keratolytic effects, effectively treating dandruff and seborrheic dermatitis.

Mechanism Steps

1
Ketoconazole uptake: Ketoconazole penetrates the fungal cell membrane and enters the cell.
2
Inhibition of ergosterol synthesis: Ketoconazole inhibits cytochrome P450 14α-demethylase, blocking the conversion of lanosterol to ergosterol.
3
Cell membrane damage: Depletion of ergosterol leads to increased membrane permeability and leakage of cellular contents.
4
Fungal cell death: The fungal cell dies due to loss of integrity and essential components.
5
Salicylic acid keratolysis: Salicylic acid disrupts the intercellular cement of the stratum corneum, causing desquamation of scales.

💡 How to Take kenz-sal lotion

Strength: Shampoo containing ketoconazole 2% w/v and salicylic acid 2% w/v.

1Wet your hair and scalp thoroughly.
2Apply a sufficient amount of shampoo to cover the scalp and hair.
3Massage gently into the scalp to form a lather.
4Leave on for 3-5 minutes.
5Rinse thoroughly with water.
6Repeat if directed by your doctor.

Dosage Information

Adult DosageApply to wet hair and scalp, lather, and rinse thoroughly. Use twice weekly for 2-4 weeks, then once weekly or as directed by a healthcare professional. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageNo specific dosage adjustments are required for elderly patients. Use as directed by a healthcare professional.
Renal ImpairmentNo dosage adjustments are required for renal impairment when used topically.
Hepatic ImpairmentNo dosage adjustments are required for hepatic impairment when used topically.
Maximum Daily DoseNot applicable for topical shampoo. Use as directed.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Apply the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of kenz-sal lotion

✅ Common Side Effects

Scalp irritation (Common (5-10%))
Usually resolves on its own. If persistent, consult your doctor.
Dryness (Common (5-10%))
Use a moisturizing conditioner after shampooing.
Itching (Common (5-10%))
Avoid scratching. If severe, consult your doctor.
Burning sensation (Uncommon (1-5%))
Rinse thoroughly with water. If persists, discontinue and consult doctor.

🚨 Serious Side Effects

Severe allergic reaction (Rare (<0.1%))
Seek immediate medical attention if you experience rash, hives, swelling of face, lips, or tongue, or difficulty breathing.
Hair loss (Rare (<0.1%))
Consult your doctor if you notice significant hair loss.
Skin discoloration (Rare (<0.1%))
Usually reversible. Consult doctor if concerned.

⚠️ Rare Side Effects

Contact dermatitis
Discontinue use and consult a doctor.
Folliculitis
Keep area clean and consult doctor if persists.

Consult your doctor if you experience any unusual symptoms.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to ketoconazole, salicylic acid, or any component of the formulation.","Do not use on broken or inflamed skin.","Avoid contact with eyes and mucous membranes."]

⚠️ Warnings & Precautions

["For external use only.","Avoid contact with eyes. If contact occurs, rinse thoroughly with water.","Do not ingest.","Keep out of reach of children.","If condition worsens or does not improve after 4 weeks, consult a doctor.","Do not use on children under 12 years unless directed by a doctor.","Pregnant or breastfeeding women should consult a doctor before use."]

🤱 Lactation Safety

It is not known whether ketoconazole or salicylic acid from this shampoo passes into breast milk. Consult your doctor before use if breastfeeding.

💊 Overdose Management

Overdose is unlikely due to topical route. If accidental ingestion occurs, seek medical attention immediately. Symptoms of salicylate toxicity may include nausea, vomiting, tinnitus, and hyperventilation.

⏰ 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

General Safety

For external use only. Avoid contact with eyes, nose, mouth, and other mucous membranes. If accidental contact occurs, rinse thoroughly with water. Do not use this medicine on broken or inflamed skin. Do not cover or wrap the treated area unless directed by a doctor. Keep out of reach of children. If you are pregnant or breastfeeding, consult your doctor before using this medicine. Do not use this medicine for a longer period than recommended without consulting your doctor. If your condition does not improve after 4 weeks of use, or if it worsens, stop using and consult a healthcare professional. Do not share this medicine with others, even if they have similar symptoms.

👴 Special Considerations for Elderly

💡 For Patients Above 65

No specific precautions are needed for elderly patients when used as directed.

🤰 Pregnancy Planning (TTC)

Consult your doctor before using this medicine if you are planning to become pregnant.

🏥 Post-Surgery Considerations

No specific considerations for post-surgery unless directed by your doctor.

🦷 Dental Procedures

No specific considerations for dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Wash your hair regularly with a gentle shampoo to remove excess oil.
🥗
Avoid scratching your scalp to prevent irritation.
😴
Manage stress as it can trigger dandruff.
💧
Eat a balanced diet rich in zinc and B vitamins.
🧘
Limit use of hair styling products that can build up on the scalp.

🏋️ Exercise Considerations

No specific exercise precautions are needed while using this medicine. However, avoid swimming immediately after application to prevent washing it off.

🥗 Diet Recommendations

Include foods rich in zinc (nuts, seeds, whole grains).
Eat foods high in B vitamins (eggs, leafy greens, legumes).
Stay hydrated.
Limit sugary and processed foods.

💼 Impact on Daily Work & Life

This medicine does not affect your ability to drive or operate machinery. It may cause mild scalp irritation, but this is usually not disruptive.

🛑 When to Stop This Medicine

Stop using this medicine and consult your doctor if your condition worsens, if you experience severe side effects, or if there is no improvement after 4 weeks of use.

📅 Long-Term Use Effects

Long-term use of this medicine is generally safe when used as directed. However, prolonged use may lead to skin irritation or sensitivity. If you need to use it for more than 4 weeks, consult your doctor. Regular monitoring is not typically required for topical use.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Coal tar shampoo

Another medicated shampoo that can help with dandruff.

Evidence: Well-established
Zinc pyrithione shampoo

An over-the-counter antifungal shampoo for mild dandruff.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interactions with vaccines.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate

✅ 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 extreme heat or cold. No time zone adjustments are needed for topical use. Declare it if required by customs.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 30-year-old woman with persistent dandruff
She had tried many over-the-counter shampoos without success. Her doctor prescribed this medicine. After using it twice weekly for 3 weeks, her flaking and itching significantly reduced. She now uses it once weekly to keep dandruff away.
💡 Lesson: Consistent use as prescribed can effectively control dandruff.
👤 A 45-year-old man with seborrheic dermatitis
He experienced redness and scaling on his scalp and eyebrows. His dermatologist recommended this medicine. Within 2 weeks, the scaling decreased, and irritation subsided. He continues to use it as maintenance therapy.
💡 Lesson: This medicine can be effective for seborrheic dermatitis when used regularly.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may notice improvement in dandruff and itching within a few days to a week. However, it may take up to 4 weeks for full effect.

Q: Can I use this shampoo every day?

A: No, it is usually used twice weekly for the first 4 weeks, then once weekly. Using it more often may irritate your scalp.

Q: Is it safe during pregnancy?

A: Consult your doctor before using this medicine if you are pregnant or planning to become pregnant.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I use this shampoo on colored hair?
  • Will it make my hair dry?
  • Can I use it if I have a sensitive scalp?
  • How long should I leave it on?
  • Is it safe for children?

🔄 Substitutes for kenz-sal lotion

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Dandruff is caused by poor hygiene.
    Fact: Dandruff is often caused by a fungal infection or seborrheic dermatitis, not poor hygiene.
  • Myth: Using more shampoo will cure dandruff faster.
    Fact: Using more than directed can irritate the scalp. Follow the recommended frequency.

📊 Comparison with Similar Medicines

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