Get a ketoconazole prescription online
You can get a ketoconazole prescription online to treat fungal and yeast infections of the skin and scalp, including seborrheic dermatitis, dandruff, tinea versicolor, ringworm, and athlete’s foot. Getting Ketoconazole online is very straightforward; you can connect with a doctor at any time and place of your choice at Your Doctors Online. However, please note that Ketoconazole online will only be provided after consultation with the doctor and if the treatment is suitable and safe for you.
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How to get a ketoconazole prescription online
Get an online prescription for Ketoconazole in three easy steps.
Describe your issue
Download our app, register, and tell us about your medical issue to get started.
Chat with a doctor
Connect with a board-certified doctor. You can chat, send pictures, and videos.
Get a prescription
Our online doctors can help you with your medical issues and give you prescriptions.
Who is eligible for a ketoconazole prescription?
An online visit may be a good fit if you have
You should see a doctor in person if
Sending clear photos helps our doctor confirm what’s going on.
Do you need a prescription for ketoconazole?
It depends on the form and strength:
- Over the counter: ketoconazole 1% shampoo (such as Nizoral Anti-Dandruff) for dandruff
- Prescription needed: ketoconazole 2% cream, 2% shampoo, 2% foam, and 200 mg tablets
Before prescribing ketoconazole, a doctor checks:
- That your rash or flaking is likely caused by a fungus or yeast
- Which form will work best for the area being treated
- Whether you’re allergic to ketoconazole, other azole antifungals, or sulfites (found in the cream)
- Whether you’re pregnant or breastfeeding
Ketoconazole tablets are rarely prescribed today. Because of serious risks to the liver, heart, and adrenal glands, the FDA says they shouldn’t be used for skin or nail infections. Our doctors prescribe topical forms for skin and scalp conditions.
With Your Doctors Online, a doctor can review your symptoms and photos by chat and send your prescription to your local pharmacy if it’s right for you.
What is ketoconazole (Nizoral) and what does it treat?
Ketoconazole belongs to the class of antifungal medications known as azole antifungals. Azole antifungals are a group of drugs used to treat various fungal infections. It’s available as a generic. It was first sold under brand names such as Nizoral, Extina, and Xolegel, which are no longer sold in the US as prescription brands. The Nizoral name is now used only for a 1% over-the-counter dandruff shampoo. Ketoconazole is mainly used as a cream, shampoo, or foam to treat fungal and yeast infections of the skin and scalp.
Topical ketoconazole is prescribed to treat:
What are the different dosage forms and strengths of Ketoconazole?
Ketoconazole comes in several dosage forms:
Ketoconazole
Generic · Rx brands Nizoral, Extina, Xolegel no longer sold in the USHow much does a ketoconazole prescription cost?
1. Prescription cost
A ketoconazole prescription through Your Doctors Online starts from $20/month with our consultation plan. This covers your visit with a licensed doctor, new prescriptions or refills, and follow-up messages during the month. You can cancel anytime.
2. Medication cost
- Without insurance: generic ketoconazole 2% cream costs about $10–$13 for a 15 g tube, $15–$20 for 30 g, and $22–$32 for 60 g at cash price. Ketoconazole 2% shampoo costs about $16 for a 120 mL bottle.
- With insurance: most plans cover generic ketoconazole cream and shampoo, usually for a small copay.
- Foam: ketoconazole foam usually costs more than the generic cream or shampoo.
3. Total cost
For most people, the total cost is about $30–$40. That’s $20 for the prescription plus about $10–$20 for a tube of cream or a bottle of shampoo, and it can be lower with insurance.
Side effects of Ketoconazole
Common side effects of topical ketoconazole include:
- Skin irritation, itching, or stinging where it’s applied
- Redness or dryness
- With the shampoo: dry or oily hair or scalp, or a change in hair texture
Serious side effects are rare with topical forms but include:
- Allergic reactions, such as hives, blistering, or swelling of the face, lips, or throat
- Severe redness, burning, or swelling where it’s applied
Stop using ketoconazole and contact your doctor if you have a serious reaction. Ketoconazole tablets can cause serious liver, heart, and adrenal problems, which is why they aren’t used for skin or scalp infections.
Precautions and contraindications
- Don’t use ketoconazole if you’re allergic to it, to other azole antifungals, or to any of its ingredients. The cream contains sodium sulfite, so let your doctor know if you have a sulfite allergy, especially if you also have asthma.
- Keep it away from your eyes, mouth, and the inside of your nose. If it gets in your eyes, rinse them well with water.
- If you use a steroid cream on the same area, ask your doctor how to use both safely.
- If you’re pregnant or breastfeeding, talk to your doctor first.
- Ketoconazole tablets carry an FDA boxed warning for serious liver damage, heart rhythm problems (QT prolongation), and drug interactions. They’re used only for serious internal fungal infections, under close supervision, and aren’t prescribed through our online service.
Meet our online doctors in the United States
Dr. Mitchell Stotland is a board-certified Occupational Medicine physician with 5+ years of experience. He provides virtual care across all U.S. states and D.C., blending allopathic medicine with public health insights. His approach focuses on rapid symptom relief and long-term prevention, often resulting in faster recovery and improved health outcomes for his patients.

Dr. Richard Honaker is a board-certified physician with more than 40 years of experience in family and emergency medicine. He serves as Chief Medical Advisor at Your Doctors Online and is affiliated with Medical City Plano in Texas. Recognized multiple times by D Magazine and Texas Monthly, Dr. Honaker provides evidence-based care across a wide range of conditions including diabetes, hypertension, and injury care.

Dr. Monique Rainford is an OB/GYN expert and Assistant Clinical Professor at Yale School of Medicine. With 25+ years of experience, she’s led OB/GYN departments at Yale Health and Baltimore Medical System. Her clinical interests include pregnancy, menstrual health, chronic pelvic conditions, and lifestyle medicine. Dr. Rainford advocates for maternal health equity, especially in underserved communities.

Dr. Candice Fraser is an OB/GYN practitioner and founder of Trinity Medical Care. With over a decade of experience, she focuses on reproductive care, menstrual health, and menopause management. Along with medical training and residency, she also holds an MBA in healthcare management, blending business insight with clinical excellence.
Dr. Danielle DonDiego is a double board-certified Family and Obesity Medicine physician, business mentor, and author of Self-Care Rx. She focuses on helping patients manage weight, improve nutrition, and adopt sustainable lifestyle changes. A graduate of the Virginia College of Osteopathic Medicine with an MBA from Virginia Tech, she combines her medical expertise with a passion for patient education and long-term wellness.
Dr. Amber Robins is a double board-certified Family and Lifestyle Medicine physician with a strong focus on women’s health, preventive care, and patient advocacy. She earned her MD from the University of Rochester and an MBA from LSU-Shreveport. A published author and media contributor, she blends clinical expertise with a passion for empowering patients to make informed health decisions.
Dr. Nina Carroll is a retired OB/GYN with decades of experience serving women in the U.S. and abroad. She specialized in menopause care, sexual health, and trauma-informed women’s health. Today, she continues her work through medical writing, focusing on sexual minority women’s health and care for survivors of trauma.
Dr. Nerissa Bauer is a behavioral pediatrician specializing in ADHD, parenting strategies, and mental health in children. A former academic and AAP spokesperson, she is the creator of the TEACH Me ADHD program, helping families better understand and manage ADHD. She brings warmth, creativity, and evidence-based guidance to her work with patients and parents.
FAQs about Ketoconazole prescription online
Is Ketoconazole over the counter?
Some ketoconazole products are. Ketoconazole 1% shampoo (such as Nizoral Anti-Dandruff) is available over the counter in pharmacies and grocery stores for dandruff. Stronger 2% shampoo, 2% cream, foam, and tablets need a prescription. If OTC shampoo hasn’t helped, or you have seborrheic dermatitis or tinea versicolor, a doctor can prescribe a stronger option.
What strength is Ketoconazole prescription?
Prescription ketoconazole usually comes in a 2% strength, as a cream, shampoo, or foam. The over-the-counter shampoo is 1%. Ketoconazole tablets come in 200 mg, but they’re used only for rare, serious infections. Talk to a doctor online to get virtual prescriptions in minutes.
How to use Ketoconazole?
It depends on the form and what you’re treating. Ketoconazole cream is applied in a thin layer to the affected skin and the area around it, once a day for most skin infections or twice a day for seborrheic dermatitis. Treatment usually lasts about 2 weeks for ringworm, jock itch, and yeast infections, about 4 weeks for seborrheic dermatitis, and up to 6 weeks for athlete’s foot. The shampoo is usually used twice a week, left on the scalp for 3–5 minutes before rinsing. For tinea versicolor, it’s applied to the affected skin and left on for about 5 minutes, and a single use is often enough. Wash your hands after applying the cream, and keep all forms away from your eyes. Follow your doctor’s instructions, and keep using it for the full course, even if your skin looks better.
How can I refill my Ketoconazole prescription?
You will need to consult with our online doctor at Your Doctors Online to refill your Ketoconazole cream online prescription. After discussing your medical concerns and history, our online doctor can send your prescription to your preferred local pharmacy.
How long does it take for 2% Ketoconazole to work?
2% Ketoconazole usually works within 2 to 3 weeks for most fungal infections, but it can take six weeks for an athlete’s foot to improve.
Can Ketoconazole shampoo cause liver damage?
No. Ketoconazole shampoo, cream, and foam are applied to the skin, and very little reaches your bloodstream, so they don’t cause liver damage. The liver risk applies to ketoconazole tablets, which can cause serious liver injury. That’s why the tablets are no longer used for skin or scalp infections.
Will Ketoconazole cure toenail fungus?
Usually not. Topical ketoconazole doesn’t get through the nail well, so it isn’t effective for toenail fungus. Ketoconazole tablets aren’t recommended for nail infections because of their serious side effects and drug interactions. Better options include oral terbinafine or prescription nail solutions such as ciclopirox or efinaconazole.
How to apply Ketoconazole cream for yeast infection?
Ketoconazole cream is used for yeast infections on the skin, such as in skin folds or under the breasts. It isn’t meant for vaginal yeast infections. Clean and dry the affected area, then apply a thin layer of cream to cover the rash and the skin around it, usually once a day for about 2 weeks. Wash your hands afterward. Follow your doctor’s instructions, and contact them if the rash doesn’t improve.
How long after taking Ketoconazole can I drink?
Topical ketoconazole (cream, shampoo, or foam) doesn’t interact with alcohol, so you don’t need to wait. Ketoconazole tablets can rarely cause flushing, nausea, or headache with alcohol, and alcohol can add to their liver risk, so people taking the tablets should avoid alcohol. Always consult your healthcare provider for specific advice based on your situation.
How often can you use Ketoconazole shampoo?
The shampoo is often used twice a week for 2–4 weeks to treat dandruff or seborrheic dermatitis. To prevent flare-ups from returning, many people then use it once every 1–2 weeks. The cream is usually used once or twice daily, depending on the condition.
What are the interactions of Ketoconazole?
Topical ketoconazole rarely interacts with other medicines, because very little is absorbed into the body. Ketoconazole tablets, on the other hand, interact with many medicines, including antacids, blood thinners, and drugs broken down by the liver enzyme CYP3A4. This can change how well they work or increase side effects. Tell your doctor about all the medicines and skin products you use.
Who should not take Ketoconazole?
You shouldn’t use topical ketoconazole if you’re allergic to ketoconazole, other azole antifungals, or any of its ingredients, including sulfites in the cream. Ketoconazole tablets carry many more restrictions. People with liver disease, heart rhythm problems such as QT prolongation, or adrenal insufficiency, and people taking certain other medicines, shouldn’t take them.
What happens if you use Ketoconazole too much?
Your skin may become inflamed or red if you use Ketoconazole shampoo or cream too much or too often. If there are any side effects, see a doctor right away.
Is Ketoconazole an FDA-approved drug?
Yes. Ketoconazole cream, shampoo, and foam are FDA-approved to treat fungal and yeast infections of the skin and scalp, including seborrheic dermatitis. Ketoconazole tablets are also FDA-approved, but only for serious fungal infections when other treatments can’t be used, and they carry a boxed warning.