Yes, it is safe and effective when used as directed. The 2% ketoconazole helps reduce the fungus that causes dandruff and itching. Apply it only to your scalp, leave for a few minutes, then rinse. Use once or twice a week unless your doctor advises otherwise. Mild irritation or dryness may occur. Avoid contact with the eyes, and do not use it if you are allergic to ketoconazole. If dandruff does not improve or irritation is severe, consult a doctor.

Tugain Essentials 2% Ketoconazole Shampoo may help reduce dandruff and improve scalp health, but some people might notice temporary hair shedding or dryness after use. This extra hair fall is usually not permanent. If you experience significant hair loss, stop using it and consult a doctor.