Tugain Essentials 2% Ketoconazole Shampoo can sometimes cause a temporary increase in hair fall when you first start using it. This happens because the shampoo helps remove weak or damaged hairs and improves scalp health by reducing dandruff and fungal infections, which may lead to some initial shedding.

• This increased hair fall is usually short-term and should improve with continued use.
• If hair fall continues or gets worse, stop using the shampoo and consult a dermatologist.
• It’s also important to consider other causes of hair loss like hormonal imbalances or nutritional deficiencies.

Overall, this shampoo is generally safe for scalp health and not linked to long-term hair loss. If you have concerns, a dermatologist can provide personalized advice and treatment options.