Acnay Gel
Med Manor Organics Pvt Ltd - Gel - 10 G
Prescription required
Ketoconazole + Zinc pyrithione
Keto Sz Hair Wash is used for this medicine is used in the treatment of fungal skin infection, ringworm, athlete's foot, dandruff, nail fungal infection, hair loss and scalp conditions.
Medically reviewed by Dr. Balaji Krishnan, MBBS · Updated September 2026
Keto Sz Hair Wash contains Ketoconazole + Zinc pyrithione. It belongs to the Antifungal and Hair growth stimulant / anti-dandruff agent class of medicines.
This medicine combines 2 active ingredients: Ketoconazole and Zinc Pyrithione. Ketoconazole kills the fungus on the skin by breaking down the membrane that holds its cells together. Zinc Pyrithione acts on the scalp and hair follicles to slow hair loss and control flaking.
Clean and dry the affected area, then apply a thin layer and rub it in gently. Wash your hands before and after use, unless your hands are the area being treated. This is for use on the skin only — do not swallow it. Follow the dose and the duration written on your prescription.
Take it exactly as your doctor prescribed. Do not change the dose or stop early on your own.
Apply it as soon as you remember. If it is nearly time for the next application, skip the missed one — applying extra does not make up for it.
An overdose of this medicine is unlikely from skin use; swallowing the preparation may cause stomach upset. It can cause a fall in blood pressure and a racing heart when far too much is applied to the skin. Do not wait for symptoms to appear — go to the nearest emergency department and take the pack or strip with you.
Most side effects of Keto Sz Hair Wash are mild and settle as the body adjusts. Reported side effects include:
Stop the medicine and seek help immediately for a rash, swelling of the face or lips, wheezing or difficulty breathing. Tell your doctor about any side effect that persists or worries you.
| Pregnancy | Not recommended in pregnancy — it may harm the developing baby. Tell your doctor at once if you are or might be pregnant. |
|---|---|
| Breastfeeding | Consult your doctor before using this while breastfeeding. |
| Alcohol | No significant interaction with alcohol is expected. |
| Driving | Not expected to affect your ability to drive. |
| Kidney | Use with caution if you have kidney disease — your doctor may adjust the dose or monitor your kidney function. |
| Liver | Use with caution if you have liver disease — your doctor may adjust the dose or monitor your liver function. |
| Habit forming | No |
Keep applying for the full period your doctor stated, usually two to four weeks, and for a week or two after the rash has cleared. Stopping when it looks better is why ringworm keeps coming back. Apply a little beyond the visible edge of the patch — the fungus extends further than the redness. Do not use a combination cream containing a steroid on a fungal infection unless a doctor has specifically prescribed it. The steroid calms the redness while the fungus spreads underneath. See a doctor if the rash covers a large area, involves the scalp or nails, or has not improved in two weeks — these usually need tablets as well. Topical minoxidil causes a burst of shedding in the first two to eight weeks. This is the old hair making way for new — it is expected, not a failure. Results take three to six months, and stop when you stop. This is a continuing treatment, not a cure. Finasteride must not be handled or taken by anyone who is pregnant or could become pregnant — it causes birth defects. Do not let a pregnant person handle broken or crushed tablets. Apply topical treatments to a dry scalp, not to hair, and wash your hands afterwards. Tell your doctor about any chest pain, dizziness, rapid heartbeat or sudden weight gain with minoxidil.
Not for anyone with a known allergy to this medicine or to any ingredient in the pack. For external use only. Not for use in the eyes. Not for use on inflamed, broken or sunburnt scalp.
No significant interactions are expected from preparations used on the skin. Avoid applying other scalp products at the same time of day unless advised.
Store below 30°C, away from direct sunlight. Close the cap tightly after each use. Keep out of the reach of children.
Keep the area clean and completely dry — fungus thrives in moisture and sweat. Wear loose cotton clothing, change it daily, and wash clothes and towels in hot water. Do not share towels, and treat affected family members at the same time. Be consistent — irregular use gives no result. Have persistent or patchy hair loss assessed; thyroid disease, iron deficiency and other causes are treatable.
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The information on Keto Sz Hair Wash is compiled from the manufacturer's prescribing information and the sources below, and is reviewed by a registered medical practitioner. It does not replace advice from your own doctor.